Keywords
Health Equity
Multiprofessional Practice
Interprofessional Collaboration
Primary Health Care
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objectives: This study aimed to analyze the scientific evidence regarding multiprofessional practice strategies guided by the Social Determinants of Health (SDH) to promote equity in health care. Methods: This is an integrative literature review conducted across six national and international databases, including publications from the last ten years. After applying the eligibility criteria, 13 studies were included in the final sample. Results: The findings showed that the systematic incorporation of SDH into multiprofessional work processes expands access to health services, strengthens bonds with vulnerable populations, and contributes to improved clinical and social outcomes. Collaborative and intersectoral practices were highlighted as key strategies for addressing health inequities. However, challenges remain related to professional training, fragmentation of care, and institutional limitations. Final considerations: It can be considered that multiprofessional practice guided by SDH has significant potential to consolidate equity as a structuring principle in health practices, requiring investments in professional training, service organization, and strengthening of health care networks.
References
ANDERMANN A, et al. Incorporating social determinants of health into clinical practice: a practical approach. CMAJ, 2018; 190(17): E525-E531.
ANDERMANN A, et al. Screening for social determinants of health in clinical care: moving from the margins to the mainstream. Public Health Reviews, 2016; 37: 19.
ANDERMANN A. Taking action on the social determinants of health in clinical practice: a framework for health professionals. CMAJ, 2016; 188(17-18): E474–E483.
BARDIN L. Análise de conteúdo. São Paulo: Edições 70; 2016; 279 p.
BRASIL. Ministério da Saúde. Política Nacional de Atenção Básica. 2017.
BROWNE AJ, et al. Addressing social determinants of health inequities: what can the health sector do? Healthcare Policy, 2012; 8(2): 36–48.
BUSARI JO, et al. Understanding the impact of interprofessional collaboration on the quality of care: a case report from a small-scale resource limited health care environment. Journal of Multidisciplinary Healthcare, 2017; 10: 227-234.
DIMENSTEIN M, et al. Competência cultural, interseccionalidade e equidade em saúde. Estudos de Psicologia (Campinas), v. 42, e14749, 2025.
DOUGLAS MD, et al. Applying a health equity lens to evaluate and inform policy. Ethnicity & Disease, 2019; 29(Suppl 2): 329-342.
ERIKSEN MB, FRANDSEN TF. The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. Journal of the Medical Library Association, 2018; 106(4): 420-431.
FURTADO JHL, et al. Atenção Primária à Saúde no Brasil: desafios e possibilidades no cenário contemporâneo. Campina Grande: Editora Amplla; 2021; 356 p.
GOTTILIEB LM, et al. Effects of Social Needs Screening and In-Person Service Navigation on Child Health: A Randomized Clinical Trial, 2016; 170(11): e162521.
HICKEY MT, et al. An interprofessional clinical experience to address social determinants of health. Journal of the American Association of Nurse Practitioners, 2023; 35(9): 559-567.
KANGOVI S, et al. Evidence-based community health worker program addresses unmet social needs and generates positive return on investment. Health Affairs, v. 39, n. 2, p. 207–213, 2020.
KANNO NP, et al. Interprofessional collaboration in primary health care from the perspective of implementation science. Cadernos de Saúde Pública, 2023; 39(10): e00213322.
KASPER M, et al. Institutional analysis in scientific health production: an integrative literature review. Revista da Escola de Enfermagem da USP, 2020; 54: e03587.
KIM J, et al. Addressing social determinants of health in primary care patients may reduce hospital readmissions: a quasi-experimental study. Journal of General Internal Medicine, v. 39, n. 16, p. 3104–3112, 2024.
KREUTER MW, et al. Addressing social needs in health care settings: evidence, challenges, and opportunities for public health. Annual Review of Public Health, v. 42, p. 329–344, 2021.
LOSARDO RJ. Teamwork and patient safety. Prensa Med Argent, 2024; 110(6): 427.
MARMOT M. Health equity in England: the Marmot Review 10 years on. BMJ, 2020; 368: m693.
MENDES EV. O cuidado das condições crônicas na atenção primária à saúde: o imperativo da consolidação da estratégia da saúde da família. Brasília: Organização Pan-Americana da Saúde; 2012; 512 p.
PEDUZZI M, AGRELI HF. Trabalho em equipe e prática colaborativa na saúde. Interface – Comunicação, Saúde, Educação, 2018; 22(Supl 2): 1525-1534.
PINTO VNC, et al. Interdisciplinaridade na saúde e educação pública: promoção do conhecimento à luz da teoria da complexidade. Revista Caderno Pedagógico. Curitiba, 2024; 21(13): 01-11.
REEVES S, et al. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, 2017; 6(6): CD000072.
RIBEIRO LG, MARCONDES D. A interface entre a atenção primária à saúde e práticas integrativas e complementares no Sistema Único de Saúde: formas de promover as práticas na APS. APS em Revista, 2021, 3(2); 102-109.
SANTOS ANS, et al. Políticas de saúde e desigualdade – determinantes sociais e barreiras no acesso aos serviços do Sistema Único de Saúde (SUS). ARACÊ, 2025; 7(4): 17006-17039.
SANTOS CMC, et al. A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Revista Latino-Americana de Enfermagem, 2007; 15(3): 508-511.
SCHARDT C, et al. Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Medical Informatics and Decision Making, 2007; 7: 16.
SCHMITZ CCC, et al. Atuação dos profissionais da atenção primária acerca das práticas de promoção e dos determinantes sociais da saúde. Revista Enfermagem Atual. 2018; 86.
SOLAR O, IRWIN A. A conceptual framework for action on the social determinants of health. Geneva: World Health Organization; 2010; 76 p.
SOUZA MT, et al. Revisão integrativa: o que é e como fazer. Einstein (São Paulo), 2010; 8(1): 102-106.
THOMAS VE, et al. Community-Based Interventions to Address Disparities in Cardiometabolic Diseases Among Minoritized Racial and Ethnic Groups. Curr. Atheroscler. Rep. 2023 Augusyt; 25(8): 467–477.
URSI ES, GALVÃO CM. Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. Revista Latino-Americana de Enfermagem, 2005; 14(1): 124-131.
VALAITIS R, et al. Organizational factors influencing successful primary care and public health collaboration. Health Services Research, 2018; 18: 420.