Abstract

Brazilian higher education institutions are expected to offer teaching research and extension services to the communities they belong to. University of Sao Paulo (USP), one of the largest educational centers in the country, offers mainly community assistance services as extension programs. However, internal changes at USP, in addition to others involving the country’s health system and higher education, led it to emphasize teaching and research activities. This context resulted in a crisis affecting academic activities of USP’s School of Public Health undergraduates at its School Health Center. After successive failures to solve the crisis, Change Laboratory (CL) was chosen as a method for developing new models of collaboration. This chapter analyzes and tries to respond why CL has not passed beyond modeling scenarios to implementing changes in collaboration arrangements. Researchers revisit these institutions’ context and discuss what has changed as a result of the intervention.

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