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ZENODO
Article . 2025
License: CC BY
Data sources: ZENODO
ZENODO
Article . 2025
License: CC BY
Data sources: Datacite
ZENODO
Article . 2025
License: CC BY
Data sources: Datacite
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Multiprofessional Care for Chronic Conditions in Brazil's SUS: Key Challenges and Opportunities for Comprehensive Health Care

Authors: Siglia Sousa de França1*, Siglia Sousa de França2, Adenilson Lima e Silva3, Adriana Marinho Pereira Dapont4, Cristiane de Castro Barcelos5, Anelise Nogueira de Lima6, Carlos Barros Marinho Filho7, Ludmila Vohryzek Sommer8, Felipe Flavio Silva9;

Multiprofessional Care for Chronic Conditions in Brazil's SUS: Key Challenges and Opportunities for Comprehensive Health Care

Abstract

This study examines the importance of multiprofessional teams in delivering comprehensive care to individuals with chronic diseases within the Brazilian public health system. Chronic conditions require continuous and coordinated actions that address biological, psychological, social, and environmental factors, which makes isolated or strictly biomedical interventions insufficient. The literature indicates that collaborative team practices enhance clinical decision-making, strengthen continuity of care, and improve health outcomes. This narrative review synthesizes evidence from national and international studies published over the past five years, selected through searches in major health databases using controlled descriptors and related terms in multiple languages. Eligible studies addressed multiprofessional work in chronic disease management and discussed challenges, collaborative practices, and impacts on care quality. The findings reveal three central themes. First, the organization and integration of multiprofessional work are essential for building shared therapeutic plans, promoting interprofessional communication, and ensuring coordinated care across different points of the health network. Second, teams face significant structural, organizational, and relational barriers, including insufficient resources, fragmented care pathways, limited information systems, power asymmetries, and communication difficulties. These challenges restrict the implementation of collaborative practices and compromise continuity of care. Third, the literature highlights substantial potentialities of multiprofessional work, such as broader clinical assessments, more humanized and contextualized interventions, prevention of complications, and reduction of avoidable hospitalizations. Multiprofessional collaboration also fosters ongoing learning and strengthens collective competencies within teams. Overall, this review demonstrates that multiprofessional work is a strategic component for improving comprehensive care for chronic diseases in Brazil. Advancing this approach requires investments in workforce development, organizational integration, information technologies, and participatory management to ensure equitable, coordinated, and person-centered care.

Keywords

Multiprofessional Care; Chronic Diseases; Comprehensive Health Care; Interprofessional Collaboration

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average