Parra-Gómez Laura Alejandra, Galeano Luis, Chacón-Manosalva María, Camacho Paul
Subdirección de Investigación, Innovación y Educación Clínica FOSCAL Floridablanca Colombia Subdirección de Investigación, Innovación y Educación, Clínica FOSCAL, Floridablanca, Colombia.
Rev Panam Salud Publica. 2023 Feb 10;47:e26. doi: 10.26633/RPSP.2023.26. eCollection 2023.
Group the barriers to knowledge, treatment, and control of hypertension in patients in Latin America through a scoping review.
A scoping review was conducted in accordance with the Arksey and O'Malley methodological framework and the PRISMA guidelines for systematic reviews and meta-analyses. Searches were carried out in the PubMed, Virtual Health Library, and Scopus databases. Blind and independent selection was conducted in the RAYYAN QCRI application. Finally, the results of the selected studies were addressed narratively.
Eight qualitative and quantitative studies that fit the research question were included. The most frequently described barriers are systemic barriers that hinder comprehensive and equitable access to health care and medication, as well as a lack of educational programs, personalized interventions to improve adherence to treatments, and lifestyle changes. Economic factors are critical in Latin America, hindering access to the health system and changes to lifestyles due to the costs of transportation, medical appointments, and medicines.
The detected barriers affect all dimensions of adherence to treatment; among the most important barriers are decision makers who lack education and positioning with respect to care of hypertension.
通过范围综述对拉丁美洲患者在高血压知识、治疗和控制方面的障碍进行分类。
根据阿克西和奥马利的方法框架以及系统评价和荟萃分析的PRISMA指南进行范围综述。在PubMed、虚拟健康图书馆和Scopus数据库中进行检索。在RAYYAN QCRI应用程序中进行盲法和独立筛选。最后，对所选研究的结果进行叙述性阐述。
纳入了八项符合研究问题的定性和定量研究。最常描述的障碍是系统性障碍，这些障碍阻碍了全面、公平地获得医疗保健和药物，以及缺乏教育项目、改善治疗依从性的个性化干预措施和生活方式改变。经济因素在拉丁美洲至关重要，由于交通、医疗预约和药品成本，阻碍了获得卫生系统服务和生活方式的改变。
检测到的障碍影响治疗依从性的各个方面；其中最重要的障碍是缺乏高血压护理相关教育和定位的决策者。
