Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil
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...
| Main Authors: | , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335522002807 |
| _version_ | 1811267078205734912 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Ingrid Maria Novais Barros de Carvalho Costa |
| collection | DOAJ |
| description | 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 < 0.05) than SUS users did. They also showed better adherence to physical activity (p = 0.047). There was no distinction between the groups regarding smoking cessation. The secondary prevention measures after ACS were more effective in PHCS users than in SUS users due to better adherence, especially to pharmacotherapy and regular physical activity. |
| first_indexed | 2024-04-12T20:54:44Z |
| format | Article |
| id | doaj.art-73b07cc8c026402fb6848a2f013a8eba |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-04-12T20:54:44Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-73b07cc8c026402fb6848a2f013a8eba2022-12-22T03:17:01ZengElsevierPreventive Medicine Reports2211-33552022-10-0129101973Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in BrazilIngrid Maria Novais Barros de Carvalho Costa0Danielle Góes da Silva1Joselina Luzia Meneses Oliveira2José Rodrigo Santos Silva3Larissa Monteiro Costa Pereira4Luciana Vieira Sousa Alves5Fabrício Anjos de Andrade6Juliana de Góes Jorge7Larissa Marina Santana Mendonça de Oliveira8Rebeca Rocha de Almeida9Victor Batista Oliveira10Larissa Santos Martins11Jamille Oliveira Costa12Márcia Ferreira Cândido de Souza13Silvia Maria Voci14Marcos Antonio Almeida-Santos15Victoria Vieira Abreu16Felipe J. Aidar17Leonardo Baumworcel18Antônio Carlos Sobral Sousa19Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil; Federal Institute of Sergipe, São Cristóvão, Sergipe, BrazilProgram of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, BrazilProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil; Department of Medicine, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil; São Lucas Clinic and Hospital / Rede D Or São Luiz, Aracaju, Sergipe, Brazil; Division of Cardiology, University Hospital, Federal University of Sergipe, Aracaju, Sergipe, BrazilDepartment of Statistics and Actuarial Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, BrazilProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, BrazilProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, BrazilPrimavera Hospital, Aracaju, Sergipe, BrazilProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil; Department of Physiotherapy, Tiradentes University, Aracaju, Sergipe, BrazilProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, BrazilProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil; Correspondence author at: Graduate Program in Health Sciences, Federal University of Sergipe (UFS), 49060-676 Sergipe, Brazil.Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, BrazilProgram of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, BrazilProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, BrazilDivision of nutrition, University Hospital, Federal University of Sergipe, Aracaju, Sergipe, BrazilProgram of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, BrazilSão Lucas Clinic and Hospital / Rede D Or São Luiz, Aracaju, Sergipe, Brazil; Postgraduate Program in Health and Environment, Tiradentes University, Aracaju, Sergipe, BrazilProgram of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, BrazilGroup of Studies and Research in Performance, Sport, Health and Paralympic Sports – GEPEPS, Federal University of Sergipe (UFS), São Cristóvão, Sergipe, BrazilSão Lucas Clinic and Hospital / Rede D Or São Luiz, Aracaju, Sergipe, BrazilProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil; Department of Medicine, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil; São Lucas Clinic and Hospital / Rede D Or São Luiz, Aracaju, Sergipe, Brazil; Division of Cardiology, University Hospital, Federal University of Sergipe, Aracaju, Sergipe, BrazilAdherence 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 < 0.05) than SUS users did. They also showed better adherence to physical activity (p = 0.047). There was no distinction between the groups regarding smoking cessation. The secondary prevention measures after ACS were more effective in PHCS users than in SUS users due to better adherence, especially to pharmacotherapy and regular physical activity.http://www.sciencedirect.com/science/article/pii/S2211335522002807CardiovascularExerciseGlobal healthHealthcare qualityRecurrence |
| spellingShingle | 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 Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil Preventive Medicine Reports Cardiovascular Exercise Global health Healthcare quality Recurrence |
| title | Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil |
| title_full | Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil |
| title_fullStr | Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil |
| title_full_unstemmed | Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil |
| title_short | Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil |
| title_sort | adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in brazil |
| topic | Cardiovascular Exercise Global health Healthcare quality Recurrence |
| url | http://www.sciencedirect.com/science/article/pii/S2211335522002807 |
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