Determinants of health and therapeutic non-adherence in patients with chronic diseases: a review

Chronic diseases today represent a real public health problem that, over time, despite all the prevention measures, interventions by health personnel, pharmacological treatments and changes in people’s lifestyle, adherence to treatment continues as a therapeutic obstacle. The Determinants of Health allow us to understand the factors, consequences, and possible strategies to achieve adequate promotion, prevention and adherence to treatment of these diseases. Objective: To determine the correlation between the determinants of health and the lack of therapeutic adherence in the treatment of patients with chronic diseases. Methodology: A systematic review was carried out on the Internet, in the search engines Crossref Metadata Search, PubMed, and Redalyc, based on the following keywords: Determinants of Health, Therapeutic Adherence and Chronic Diseases. The search criteria were indexed articles with the theme of Health Determinants, Therapeutic Adherence, Hypertension, Diabetes, Obesity, Kidney Disease, Respiratory Disease and Cancer. Results: Lack of adherence is unintentional, it is due to lack of knowledge regarding treatment, lack of communication with the doctor, credibility due to the type of disease, lack of motivation to start treatment, lifestyle, socioeconomic implications, among other factors. Conclusion: Health personnel must share treatment instructions more clearly through assertive communication, as well as co-responsibility to improve lifestyles and socioeconomic status.