Revista Cubana de Salud Pública
Print version ISSN 0864-3466
MARTIN ALFONSO, Libertad et al. Compliance and non-compliance of antihypertensive treatment from a patient perspective. Rev. cub. salud pública [online]. 2007, vol.33, n.3. ISSN 0864-3466. http://dx.doi.org/10.1590/S0864-34662007000300013.
Health service providers, patients, relatives and the general population work out their hypotheses about the causes influencing the compliance and non-compliance of medical prescriptions. The scientific literature presents a wide group of influencing factors in compliance or non-compliance of the medical treatment involving components of psychosocial, medical character and of the physician-patient relationship. The World Health Organization stressed the effect of socioeconomic factors and of those related to the system or equipment rendering health services. The present paper was aimed at ascertaining through a qualitative research technique the causes that affect or contribute to the compliance with the antihypertensive treatment from the perspective of the persons suffering this disease. The results pointed to questions that have to do with the organization of health services, the individual personality configurations of the patient, some characteristics of the treatment, the economic resources to carry out the dietary treatment and the networks of family backup necessary to assume the role of the patient. For contributing to blood hypertension control and to quality medical care, the aspects related to the health service organization should be addressed in a priority way.
Keywords : Primary health care; hypertension; therapeutical adherence; compliance with the treatment.