Resistance to interprofessional collaboration in in-service training in primary health care.
Luana Pinho de Mesquita Lago, Daniel Vannucci Dóbie, Cinira Magali Fortun and 3 others
PMID 35608105WHAT IT FOUND
Residents in primary care teams described avoiding shared work because they did not know other professions' roles.
Doctor-centred schedules and referral habits kept care fragmented, although a team built trust around a young patient.
Key findings
01Uncertainty about other professionals' roles and competencies made residents isolate their own practice and default to specialist referral.
02Individual schedules and physician-centred organisation made shared care difficult to implement.
03A female speech therapist, physiotherapist and resident physician shared care for a teenager with facial paralysis.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The study analysed only residents' accounts and observations in a residency programme. Users, preceptors and other health professionals did not participate directly, so their views on collaboration are missing. It reports themes about resistance, not measured patient outcomes or effectiveness of collaboration. Participation was not complete; average session participation was 25 residents.
Declared interests
The work was supported by CAPES through a doctoral scholarship associated with the Postgraduate Program in Public Health Nursing (EERP-USP).
The easy way to misread this
Do not read this as evidence that interprofessional collaboration improves patient outcomes or can be scaled from this small group. It describes themes and observed interactions in a residency programme, not measured effects.