A DISCOURSE ANALYSIS ON THE REGULATION OF PROFESSIONS AND INTERPROFESSIONAL COLLABORATION
Work; Professional ethics; Professional training; Health professions; Interprofessional relations.
Introduction: Interprofessional collaboration has been increasingly consolidated on a global scale as a strategy to reorient the health promotion model. It urges health systems to reconsider their organizational structures in order to overcome the historically entrenched fragmented, uniprofessional, and uncoordinated approach to healthcare delivery. However, barriers and challenges to its consolidation still persist. In this context, professional councils and educational associations, as well as entities representing professional categories, play a crucial role in strengthening interprofessional logic within the health sector. Nevertheless, discussions regarding the role of these bodies in fostering interprofessionalism remain incipient, highlighting the need to actively involve them as key agents in the desired transformation. Objective: To examine the role of professional representation bodies, health professions’ educational associations, and scientific and cultural development institutions in advancing interprofessional collaboration within the process of reorienting health education and professional practice. Method: This is a qualitative and exploratory study conducted in two stages. The first stage consisted of a documentary analysis of official documents that guide the education and professional practice of Brazilian health professions. The second stage involved interviews with representatives of institutions that regulate or guide health professions' education and practice in Brazil. Data were analyzed using the technique of critical discourse analysis in both stages. Additionally, content analysis was applied to part of the results from the documentary phase. The study was approved by the Research Ethics Committee of the Onofre Lopes University Hospital. Results: The research findings are presented in the form of scientific articles. Two articles were proposed for the documentary analysis stage. The first, based on critical discourse analysis applied to documents regulating professional practice and those guiding health professions’ education, revealed elements of convergence and divergence between regulatory discourse and the development of interprofessional collaborative practice. The second article, which employed content analysis using interprofessional collaborative competencies as analytical categories, identified that Brazilian regulatory documents align with international competency frameworks, although in a fragmented manner. For the second stage, an article is currently being developed to systematize the discourse of professional organization representatives concerning interprofessional collaboration. Conclusion: The regulation of professional education and practice is a complex and multifaceted phenomenon that must keep pace with social changes, as it is both influenced by and influential upon the social context in which it is embedded. Furthermore, the advancement of interprofessional collaboration requires active engagement from the regulatory bodies of health professions, aiming for a genuine cultural shift to overcome the still-prevailing fragmented model of healthcare delivery.