[Team work and interdiciplinarity: challenges facing the implementation of comprehensive outpatient care for people with HIV/Aids in Pernambuco].
The complexity of providing healthcare to people with HIV/Aids requires investment in comprehensive action and care, constituting a challenge for the multidisciplinary work teams to build an interdisciplinary practice. This study sought to analyze comprehensive healthcare in the Specialized Assistance Services for HIV/Aids (SAE-HIV/Aids) in Recife, in the State of Pernambuco, starting with the process and organization of team work. This is a case study developed in three SAE-HIV/Aids units, based on a qualitative approach using different research techniques. The results show that SAE-HIV/Aids have complied with most of the Brazilian Health Ministry recommendations in terms of basic infrastructure, though none of them had a team of appropriate size. These services have shown signs of fragmentation and difficulty in establishing a systematic intersectorial and interdisciplinary practice, with failings in ensuring the reference and counter-reference flow. It was seen that there was little appreciation of the role of the manager as team leader. The need to perceive the user as a whole was identified, as well as for the team to work in a coordinated manner in order to ensure communicative and relational activities.
Centro de Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz R, Professora Ângela Pinto97/504/Bl D, Torre, 50710-010 Recife, Pernambuco. juciborges@hotmail.com
Maria Jucineide Lopes
MJ
Borges
Aletheia Soares
AS
Sampaio
Idê Gomes Dantas
IG
Gurgel
D000163:Acquired Immunodeficiency Syndrome / Q000628:therapy; D000553:Ambulatory Care / Q000458:organization & administration*; D001938:Brazil; D015658:HIV Infections / Q000628:therapy*; D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration*