Adherence of hypertension patients in the Brazil's Family Health Strategy.

Anderson Da Silva Rêgo,Cremilde Aparecida Trindade Radovanovic

doi:10.1590/0034-7167-2017-0297

Anderson Da Silva Rêgo, Cremilde Aparecida Trindade Radovanovic

Open Access

https://doi.org/10.1590/0034-7167-2017-0297

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Abstract

to evaluate the adherence and associate it to blood pressure control and to follow-up observation of people with hypertension in the Brazil's Family Health Strategy. cross-sectional study, conducted with 417 people in treatment of hypertension, living in a municipality located in the Northwest region of the state of Paraná, Brazil. The data were collected in the first 2016 semester, using an instrument adapted and validated for the evaluation of satisfaction with the services offered by Primary Health Care. Analysis of variance and the logistic regression model were used for the treatment of variables. it was evidenced that people with inadequate follow-up observation evaluate the relations between professional/user and the guidance to the medications used as unsatisfactory. weak guidelines and ineffective dialogue between health professionals and users might result in an inadequate follow-up observation of blood pressure control and of people with hypertension.

Highlights

The Family Health Strategy (FHS) program, in force in Brazil since 1994, has shown to be a decentralized, preventive and more efficient healthcare model for Brazilian communities
In the follow-up of persons with chronic non-communicable diseases (CNCD), Primary Health Care (PHC) has a fundamental role for the success of the control and treatment of these diseases[4] due to the high prevalence of deaths, estimated at over 38 million in 2012(3)
More than half of respondents have appropriate follow-up and blood pressure control, it is important to present the level of satisfaction of these users regarding the adherence/bonding established with the professionals, since the participation of the latter is considerably important for the success on the results of the treatment[2,14]

Summary

Introduction

The Family Health Strategy (FHS) program, in force in Brazil since 1994, has shown to be a decentralized, preventive and more efficient healthcare model for Brazilian communities. These type of program provides more access to health services for citizens. In the follow-up of persons with chronic non-communicable diseases (CNCD), PHC has a fundamental role for the success of the control and treatment of these diseases[4] due to the high prevalence of deaths, estimated at over 38 million in 2012(3). Hypertension is one of the most prevalent chronic diseases, affecting approximately 31% of the population worldwide and having an impact on public health policies due to its incapacitating effects. The treatment is commonly based on drug therapy, causing changes in life habits, especially stimulating physical activities and dietary modifications[4]

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Conclusion