FROM FRAGMENTED CARE TO COLLECTIVE PRACTICE: INTEGRATION OF KNOWLEDGE, SHARED DECISION-MAKING, AND PATIENT SAFETY IN MULTIPROFESSIONAL HEALTHCARE

Authors

  • Leidiane Braz de Sousa
  • Kárita Roberta da Silva Melo
  • Mariana Elizabeth Lopes de Sales
  • Larissa Emanuelle Sestari
  • Jander Marcus Cirino Lopes
  • Janainna Rocha Batista Oliveira
  • Neide Garcia Ribeiro
  • Aline de Morais Gomes
  • Sirlene de Miranda Julião
  • Thalita Nilky Silva de Oliveira
  • Isabella Clarissa Vasconcelos Rêgo
  • Arilana de Jesus Carretilha
  • Thais Castro de Oliveira
  • Heráclito Ferreira Neto
  • José Mario Guerra de Lima
  • Jhennifer Stefany Teles Gonçalves
  • Graziele Queiroz Mazete Maran
  • Maria Eleuziane dos Santos da Silva
  • Jean Claude Martins de Andrade
  • Danyelle Karine de Oliveira Baquer
  • Aline Tavares Freitas Rezende
  • Leidson Frank Santana Cardoso
  • Elizabeth Cristina da Silva
  • Patrícia dos Santos Moutinho Coelho
  • Anna Catharinna da Costa

DOI:

https://doi.org/10.56238/revgeov17n2-129

Keywords:

Multiprofessional Team, Shared Decision-Making, Patient Safety, Integrated Care, Collaborative Practice

Abstract

Fragmented healthcare delivery has been widely recognized as a major challenge to care quality and patient safety. In response to this issue, multiprofessional practice has emerged as a fundamental strategy to integrate knowledge and promote shared clinical decision-making. This study aimed to analyze the transition from fragmented care to collective practice, emphasizing knowledge integration, interprofessional shared decision-making, and its implications for patient safety. This qualitative theoretical-analytical investigation was based on recent scientific evidence regarding interprofessional collaboration, team communication, and integrated care models. The findings indicate that coordinated action among physicians, nurses, physiotherapists, nutritionists, pharmacists, dentists, and other healthcare professionals enhances therapeutic coherence, reduces care-related risks, and strengthens continuity of care. However, cultural and organizational barriers still hinder the consolidation of collective practice. It is concluded that multiprofessional integration, supported by effective communication and shared decision-making processes, is central to building safer, more efficient, and patient-centered healthcare systems.

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Published

2026-02-24

How to Cite

de Sousa, L. B., Melo, K. R. da S., de Sales, M. E. L., Sestari, L. E., Lopes, J. M. C., Oliveira, J. R. B., Ribeiro, N. G., Gomes, A. de M., Julião, S. de M., de Oliveira, T. N. S., Rêgo, I. C. V., Carretilha, A. de J., de Oliveira, T. C., Ferreira Neto, H., de Lima, J. M. G., Gonçalves, J. S. T., Maran, G. Q. M., da Silva, M. E. dos S., de Andrade, J. C. M., … da Costa, A. C. (2026). FROM FRAGMENTED CARE TO COLLECTIVE PRACTICE: INTEGRATION OF KNOWLEDGE, SHARED DECISION-MAKING, AND PATIENT SAFETY IN MULTIPROFESSIONAL HEALTHCARE. Revista De Geopolítica, 17(2), e1657. https://doi.org/10.56238/revgeov17n2-129