Revisão sistemática: adesão medicamentosa no Brasil.

Abstract

Adherence to the use of drugs is widely discussed in the literature, having multiple strands and different methodologies. This wide range of publications entails difficulties in identifying methodologies and more accurate information about the theme. The aim of the study was to conduct a systematic review of medication adherence in Brazil. Searched in the electronic portal LILACS descriptors "adherence" and "medicine", and 67 selected articles. 17 were excluded because they fit the following criteria: review articles / debate, theses, dissertations, and articles in a foreign language. Predominance of publications from regions in southern / southeastern Brazil and the growing number of publications over the years, especially from 2009. Pathologies addressed, there is hypertension (24%), treatment of patients with HIV (24%), tuberculosis patients (8%), bipolar disorder (6%), patients with asthma (4%) and hypothyroidism (4%). The methodology used was the Test Moriky-Green; none of the articles was considered "good" by the Jadad scale. Among the factors most frequently associated with non-adherence stands out: complex dosage, collateral effects, poor accessibility medicine and forgetfulness. Also highlighted the lack of understanding of the severity of the disease and the need to use drugs, the prescriber attitudes, such as language, time dedicate for consultation, welcoming service, respect for the verbalizations and questioning of patients.