Interprofissionalidade na atenção ao alcoolista: o olhar dos profissionais da saúde

Abstract

Chemical dependence on alcohol and other drugs is a public health issue that has a great impact on lives of both addicts and their families. Alcohol use disorder affects the users and also their family, professional and social relationships. Thus, treatment is essential and requires comprehensive health care with a team that works in a collaborative and interprofessional manner, that develops expanded clinic, the communication process and shared decision-making for a better health care development. The objective of this study is to understand the professionals’ perceptions about interprofessional collaboration regarding alcoholic dependent people in the Alcoholism Care Program (PAA) of the Cassiano Antônio Moraes University Hospital (Hucam). This is a descriptive-exploratory study of qualitative nature, carried out at PAA and Medical Clinic, in Gastroenterology sector at HUCAM. Data collection was carried out through semi-structured interviews with professionals and were analyzed using Bardin's thematic analysis technique. After the analysis, it was possible to identify that professionals perceive and confuse interprofessional collaboration with multiprofessionality. This is due to the fact that they did not have this type of contact and learning throughout their training, given the fact that they are graduated professionals for an average of 17 years, which demands permanent education in health to understand and act effectively in a collaborative manner. The dimensions of interprofessional collaboration identified the points that need to be improved and the potentialities: the user and family centered care strengthens collaboration. However, the centralization of power, the feeling of not belonging to the team, the work overload, the non-formalization of interprofessional work and protocols processes, inefficient communication and centralized management are some of the factors that make interprofessional collaboration difficult and demand to be improved through negotiation processes that produce consensus