Abstract
The sustainability and viability of the public health services accessible to all has been widely discussed worldwide, due to the aging of the population, increasing burden of chronic diseases and consequent rising of healthcare expenditures. The mortality and burden of cardiovascular disease is one of the most important drivers of public and private expenses and hypertension and non-compliance with medical prescription one of the leading contributors. Therefore, strategies that promote therapeutic adherence are necessary to control cardiovascular disease and its major outcomes. A solution named PACTO was developed and emphasizes the role of the patient as an active partner of health professionals. PACTO is a mHealth solution with a variety of functionalities that accompanies the patient throughout the treatment journey, with multiple incentives that promote behavioural changes.Finally, PACTO may work in interoperability with other applications already in use in primary healthcare, reducing its initial investment and clinical teams’ overload, while increasing adherence, patients’ health and quality of life, and sustainability of health systems.
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