MULTIPROFESSIONAL CARE FOR PEOPLE WITH ARTERIAL HYPERTENSION IN THE BRAZILIAN UNIFIED HEALTH SYSTEM: CHALLENGES AND POTENTIALITIES

Abstract

Objective: to critically analyse scientific evidence on multiprofessional care for people with arterial hypertension within the Brazilian Unified Health System (SUS), focusing on the challenges faced by services and the potentialities of collaborative practices for blood pressure control, treatment adherence and quality of life. Method: integrative literature review conducted according to the six stages proposed by Whittemore and Knafl, reported in accordance with PRISMA 2020, with levels of evidence classified according to the Joanna Briggs Institute. Searches were performed in PubMed/MEDLINE, Scopus, Web of Science, Embase, the Virtual Health Library, LILACS and SciELO, using DeCS and MeSH descriptors combined through Boolean operators, covering publications from 2015 to 2026 in Portuguese, English or Spanish. The guiding question was structured using the PICO strategy. Results: twelve studies were included, predominantly Brazilian, mostly randomised controlled trials and population-based cross-sectional studies. Multiprofessional interventions included nursing case management, health and nutrition education, pharmaceutical care, exercise prescription, home visits by community health workers and digital technologies. The most consistent effects were observed on treatment adherence, self-care, bonding and anthropometric parameters; effects on blood pressure control were favourable but heterogeneous, being more pronounced in longitudinal, structured interventions involving the effective participation of more than one professional category. Final considerations: multiprofessional care constitutes a concrete potentiality of the SUS, but its effectiveness depends on overcoming structural barriers, sustaining territorial bonding and reducing regional inequalities in access.