Adherencia terapéutica: factores modificadores y estrategias de  mejora

Neus Pagès-Puigdemont; M Isabel Valverde-Merino

doi:10.30827/ars.v59i4.7357

Autores/as

Neus Pagès-Puigdemont Hospital Clínic (Barcelona)
M Isabel Valverde-Merino Cátedra María José Faus Dáder de Atención Farmacéutica. Universidad de Granada (UGR)

DOI:

https://doi.org/10.30827/ars.v59i4.7357

Palabras clave:

adherencia al tratamiento, factores, estrategias

Resumen

Objetivos: Describir los factores que pueden influir en la adherencia a los tratamientos farmacológicos y las intervenciones que han sido desarrolladas para su mejora.

Métodos: Se realizó una búsqueda de los artículos de investigación más importantes publicados sobre el tema en la base de datos National Library of Medicine, Washington, DC (MEDLINE: PubMed).

Resultados: La adherencia al tratamiento es un comportamiento complejo influenciado por múltiples factores: socioeconómicos, relacionados con el sistema sanitario, con el tratamiento, con la patología o con el paciente. En cuanto a las intervenciones, principalmente pueden diferenciarse en intervenciones de tipo técnico, intervenciones conductuales o intervenciones educativas. Ninguna de las intervenciones estudiada hasta la fecha ha demostrado ser efectiva de forma universal y permanente.

Conclusiones: La adherencia terapéutica es un comportamiento dinámico influenciado por una gran variedad de factores y, por ello, las estrategias para mejorarla deberán individualizarse para cada paciente.

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