Shared decision making in Brazil: Concrete efforts to empower the patients' voice.

Patient involvement in healthcare decisions has grown in Brazil at three different levels: 1) the macro level, which includes the patient actively influencing legislation and regulation of medical care as well as political changes in the process of care itself; 2) the meso level, which includes institutions that aim to improve information, empowerment and counseling to patients, and 3) the micro level, which focuses on the actual decision-making process that takes place within patient-physician encounter. In Brazil, the macro and meso levels are stronger than the micro one. In this paper, the practical efforts to engage patients in the center of their own care are presented. In order to do that, an overview on the National Humanization Policy and the Brazilian patient's movement is provided.

Trabalho interprofissional em fóruns: sua importância nos casos de adoção / Interprofessional work in courts: its importance in adoption cases

A adoção é um tema muito referenciado na atualidade em vários âmbitos, porém as equipes interdisciplinares são somente citadas e há poucos estudos específicos sobre este tema. Diante da importância do trabalho desenvolvido pelas equipes, este estudo foi realizado no intuito de esclarecer como é o trabalho das equipes na Vara da Infância e da Juventude de três Fóruns de cidades de médio porte do Estado do Paraná bem como sua importância. Esta pesquisa qualitativa utilizou-se da entrevista semiestruturada e de um questionário de formação acadêmico profissional para realizar o levantamento dos dados. Estes foram submetidos a uma análise de conteúdo e após algumas leituras chegou-se a três grandes tópicos contendo as principais categorias definidas: desenvolvimento do trabalho em equipe; funcionamento do trabalho em equipe e percepções do trabalho em equipe. Conclui-se que, além de ser de extrema importância a composição desta equipe que é formada por Psicólogos e Assistentes Sociais, o relacionamento interno e a estruturação do trabalho fazem a diferença no processo de adoção.

Adoption is a much mentioned subject in several areas in present days, but the interdisciplinary teams are only cited and there are few specific studies on this topic. Based on the importance ofthe work developed by those teams, this study was carried out in order to make clear the work of the teams in the Court for Childhood and Youth (Vara da Infância e da Juventude) of three courts of midsize cities in the state of Paraná as well as their importance. This qualitative research used semi-structured interview and an academic professional training questionnaire to conduct the data collection. These were submitted to content analysis and after some reading we came up with three major topics containing the main categories defined: Teamwork Development; Teamwork Operation and Teamwork Perceptions. We concluded that besides being extremely important the composition of this team, which is made up of psychologists and social workers, the internal relationships and the work structure makes a difference in the adoption process.