Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil

Autor: Ingrid Maria Novais Barros de Carvalho Costa, Danielle Góes da Silva, Joselina Luzia Meneses Oliveira, José Rodrigo Santos Silva, Larissa Monteiro Costa Pereira, Luciana Vieira Sousa Alves, Fabrício Anjos de Andrade, Juliana de Góes Jorge, Larissa Marina Santana Mendonça de Oliveira, Rebeca Rocha de Almeida, Victor Batista Oliveira, Larissa Santos Martins, Jamille Oliveira Costa, Márcia Ferreira Cândido de Souza, Silvia Maria Voci, Marcos Antonio Almeida-Santos, Victoria Vieira Abreu, Felipe J. Aidar, Leonardo Baumworcel, Antônio Carlos Sobral Sousa
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Preventive Medicine Reports, Vol 29, Iss , Pp 101973- (2022)
Druh dokumentu: article
ISSN: 2211-3355
DOI: 10.1016/j.pmedr.2022.101973
Popis: Adherence to secondary prevention measures after acute coronary syndrome (ACS) is essential to prevent disease recurrence. In Brazil, the Brazilian Unified Health System (SUS, in Portuguese), and the private healthcare system (PHCS) coexist. We aimed to evaluate the adherence to secondary prevention in patients with ACS who were assisted by either SUS or PHCS. In this longitudinal prospective study, patients with ACS were admitted to the four cardiological reference hospitals of Sergipe, three of which assisted PHCS users, and one, SUS users. We analyzed the two patient care models with multiple logistic regression models for adherence to physical activity, pharmacotherapy, and smoking cessation. We enrolled 581 volunteers in this study: 44.1 % from SUS and 55.9 % from PHCS. PHCS users showed greater adherence to pharmacotherapy at both 30 and 180 (p = 0.001) days after ACS with better results in all classes of medications (p
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