Determinants of health that influence adherence to treatment in patients with hypertension in Latin America

Abstract

Introduction: Therapeutic adherence in chronic diseases such as hypertension is a latent problem in our country. It is essential to know the determinants of health that influence this process, to develop a health education in primary health care as at all levels of care, for a better adherence to drug treatment and Dietary hygienic.

Objective: To identify the determinants of health that influence the therapeutic adherence of people with hypertension in the countries of Latin America from a systematic review of the scientific literature.

Material and methods: Bibliographic review based on PRISM methodology. The technique used for data collection was the search for articles published in the Databases Pubmed, Medline, Elsevier, Scielo, Scopus, Google academic, in the subjects: therapeutic adherence, hypertension and determinants of health in Latin America during the period 2015-2018.

Results: Twenty double-blind articles were analyzed, which met the inclusion criteria, which shows a low adherence to the treatment of Arterial hypertension which are caused by socioeconomic determinants, related to the team of Health and related to the patient and the disease. Conclusion: The therapeutic adherence is a complex process that is determined by factors: socioeconomic, related to the health care, the disease, the treatment and the patient, therefore it must work in each one of these determinants in Together with public health policy for better therapeutic adherence, avoiding complications to the pin male XLR PAC and reducing the costs to the state.

Conclusions: The therapeutic adherence is a complex process that is fundamentally determined by the following factors: socioeconomic, those related to the health and healthcare team, the disease, the treatment and the patient.