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Barriers and facilitators to medication adherence in chronic diseases: a scoping review
Ana Maria Rosa Freato Gonçalves1, Marília Silveira Almeida Campos1, Lara Almeida de Menezes1
1Centro de Assistência Farmacêutica e Pesquisa em Farmácia Clínica, Departamento de Ciências Farmacêuticas, Faculdade de Ciências Farmacêuticas de Ribeirão Preto, Universidade de São Paulo. Av. Prof. Dr. Zeferino Vaz s/n, Vila Monte Alegre. 14040-900 Ribeirão Preto SP Brasil. anafreato@hotmail.com.
Abstract:
To guide the interventions of health professionals, it is necessary to identify the reasons for non-adherence to treatment. This scoping review aims to identify and discuss barriers and facilitators for adherence to pharmacotherapy in chronic diseases. Of the 3,482 eligible studies, it was observed that in the 114 studies that met the selection criteria, facilitators such as income, social support, older age, education, motivation to use pharmacotherapy, formation of a bond with the health professional, health education, believe in pharmacotherapy, realize the benefits of pharmacotherapy, motivation for self-care, and disease severity, were common to the various chronic health conditions. Regarding the common barriers, were: cost of the medication, complexity of pharmacotherapy; adverse drug reaction, greater number of prescribers and pharmacies used, greater number of visits to urgent and emergency services, believing that the medication is not necessary, and having depression. The analysis of these factors provides support for the health professional to identify the reasons that led to non-adherence and guide the interventions to be carried out, promoting adherence to treatment.
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