Rewa Talita, de Souza Gonçalves Geisa Colebrusco, Varela Andrea Liliana Vesga, Leonello Valéria Marli, Peduzzi Marina, de Almeida Leticia Yamawaka, Belotti Lorrayne, da Silva Debora Bernardo, Bonfim Daiana
Hospital Israelita Albert Einstein, São Paulo, Brazil.
School of Nursing at, Sao Paulo University, USP, São Paulo, Brazil.
BMC Health Serv Res. 2025 Feb 26;25(1):317. doi: 10.1186/s12913-025-12439-9.
Shared activities by health workers in meeting health needs are crucial to improve the health population, patient experience, quality of life of health teams members and the effectiveness of care.
To identify the activities shared by Primary Health Care (PHC) team workers, whether multiprofessional or uniprofessional.
A descriptive study was, thus, carried out, based on the time-motion technique, in São Paulo-Brazil. Data collection was carried out from 2021 to 2022, through direct observations of workers, family health teams (FHT), oral health teams (OHT) and multiprofessional teams (MultiT). The frequency rates of both activities and time of shared practices and the distribution of workers involved in information exchanges were considered.
A total of 93 workers were observed, recording 21,936 activities (157,653 minutes). Of these, 72.90% were individual activities and 27.10%, shared (36.1% uni-professional and 63.9% multiprofessional). Shared activities represented 26.26% of the time. Dentists presented 60.8% of their activities in the shared modality, uni-professionally (99.26%). Concerning FHT, nurses were most dedicated to shared practices (33.09%) and exchanged information the most with others. According to team practices, the greatest amount of time dedicated to shared practices was spent by FHT (80%), followed by MultiT (71%) and OHT (65%).
Multiprofessional work in PHC is evident as a precursor to interprofessional practice. In this sense, studies and reflections on the way in which PHC indicators have been monitored and evaluated, which mainly refer to individual activities, are required.
卫生工作者共同开展满足健康需求的活动对于改善人群健康、患者体验、卫生团队成员的生活质量以及护理效果至关重要。
确定初级卫生保健（PHC）团队工作者（无论是多专业还是单专业）共同开展的活动。
因此，基于时间 - 动作技术在巴西圣保罗开展了一项描述性研究。2021年至2022年期间，通过对工作者、家庭健康团队（FHT）、口腔健康团队（OHT）和多专业团队（MultiT）的直接观察进行数据收集。考虑了活动的频率、共同实践的时间以及参与信息交流的工作者分布情况。
共观察了93名工作者，记录了21936项活动（157653分钟）。其中，72.90%为个体活动，27.10%为共同活动（36.1%为单专业，63.9%为多专业）。共同活动占总时间的26.26%。牙医单专业开展的活动中有60.8%以共同模式进行（99.26%）。对于家庭健康团队，护士最致力于共同实践（33.09%），且与他人信息交流最多。根据团队实践，家庭健康团队用于共同实践的时间最多（80%），其次是多专业团队（71%）和口腔健康团队（65%）。
初级卫生保健中的多专业工作作为跨专业实践的先驱很明显。从这个意义上说，需要对主要针对个体活动的初级卫生保健指标的监测和评估方式进行研究和反思。
