Accessibility of hypertensive users to health units and treatment adherence

  • Natasha Marques Frota
  • Thiago Moura de Araújo
  • Lívia Moreira Barros
  • Joselany Áfio Caetano
  • Zélia Maria de Sousa Araújo Santos
Keywords: Hypertension, Health Services Accessibility, Unified Health System, Patient Compliance.


We aimed to analyze the accessibility of hypertensive users to the health system with focus on treatment adherence. A cross-sectional study with quantitative approach was conducted in four Family Health Basic Units of Fortaleza-CE, Brazil. The sample consisted of 400 users. Data collection happened through a form applied from May to August 2011. About 97.5% of users were older than 40 years, and 67.2% were female. The accessibility to the referral service occurred in 47.2% of users to secondary care, of which 101 (25.2%) were referred to Emergency Units, and 88 (22.0%) were admitted to Inpatient Units. Most hypertensive patients adhered to healthy habits, except the use of dietetic sweeteners (36.0%) and physical exercise (35.0%). The hypertensive patients had good treatment adherence and difficulty in accessibility regarding counter-referral services to secondary and tertiary care services.


How to Cite
Frota, N. M., Araújo, T. M. de, Barros, L. M., Caetano, J. Áfio, & Santos, Z. M. de S. A. (2013). Accessibility of hypertensive users to health units and treatment adherence. Rev Rene, 14(4). Retrieved from
Research Article