<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2594-2166</journal-id>
<journal-title><![CDATA[Medicina y ética]]></journal-title>
<abbrev-journal-title><![CDATA[Med. ética]]></abbrev-journal-title>
<issn>2594-2166</issn>
<publisher>
<publisher-name><![CDATA[Universidad Anáhuac México, Facultad de Bioética]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2594-21662021000400897</article-id>
<article-id pub-id-type="doi">10.36105/mye.2021v32n4.01</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La adherencia terapéutica en pacientes con enfermedades crónicas no transmisibles: diabetes, hipertensión y obesidad]]></article-title>
<article-title xml:lang="en"><![CDATA[Therapeutic adherence in patients with chronic non-communicable diseases: diabetes, hypertension and obesity]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza Reyes]]></surname>
<given-names><![CDATA[Robertha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Contaduría y Administración ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>32</volume>
<numero>4</numero>
<fpage>897</fpage>
<lpage>945</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2594-21662021000400897&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2594-21662021000400897&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2594-21662021000400897&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes.  Las enfermedades crónicas no transmisibles, en particular la diabetes, hipertensión y obesidad son enfermedades cuya prevalencia a nivel mundial, y también en México, ha tomado dimensiones de pandemia, ya que, pese a los diferentes modelos clínicos de atención aplicados, los cuales se basan principalmente en tratamientos nutricionales, farmacológicos y recomendaciones de cambio de estilo de vida, la prevalencia continúa creciendo. Identificar las barreras de los pacientes y del sistema de salud que afectan la adherencia terapéutica para el control de la enfermedad permitirá desarrollar modelos con mayor efectividad y eficacia.  Objetivo.  Realizar una revisión sobre las barreras de la adherencia terapéutica de pacientes con diabetes, hipertensión y obesidad en clínicas de atención de primer nivel.  Método.  Revisión bibliográfica, con búsquedas en las siguientes bases de datos: PubMed, Science Direct, Springer, Biblioteca Virtual en Salud (BVS) y Google Scholar. Se revisaron fuentes primarias de tres tipos: revisiones sistemáticas, ensayos clínicos y artículos de revisión. Para la estrategia de búsqueda se utilizaron estos términos: adherencia terapéutica, barreras de la adherencia terapéutica, enfermedades crónicas no transmisibles, diabetes, obesidad, hipertensión. El periodo seleccionado para la revisión bibliográfica es el comprendido entre el 2005 y el 2020.  Resultados.  Para el cumplimiento de la adherencia terapéutica existen diferentes barreras que no permiten el control de la enfermedad. Estas barreras pueden ser propias del paciente, pero también propias del sistema de salud que otorga el servicio, enfatizando el papel de los médicos para educar y orientar al paciente con respecto a su enfermedad y coadyuvar a su adherencia. Para identificar estas barreras existen diferentes instrumentos, los cuales han sido diseñados para diferentes enfermedades, por lo que para seleccionar el adecuado se debe considerar la enfermedad y el perfil de la población en la que se aplicará el cuestionario.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background.  Chronic non-communicable diseases, particularly diabetes, hypertension and obesity, are diseases whose prevalence worldwide and in Mexico have taken on pandemic dimensions, since, despite the different clinical models of care applied, which are mainly based on nutritional and pharmacological treatments and lifestyle change recommendations, prevalence continues to grow. Identifying patient and health system barriers that affect therapeutic adherence for disease control will allow the development the development of programs with greater effectiveness and efficiency.  Objective:  To carry out a review on the barriers of Therapeutic Adherence of patients with diabetes, hypertension and obesity in first level care clinics.  Method:  Bibliographic review, searching the PubMed, Science Direct, Springer, Virtual Health Library (VHL) and Google Scholar databases. Three types of primary sources were reviewed: systematic reviews, clinical trials, and review articles. For the search strategy, the terms Therapeutic adherence, barriers to therapeutic adherence, chronic non-communicable diseases, diabetes, obesity, and hypertension were used. The period selected for the bibliographic review is from 2005 to 2020.  Results:  There are different barriers to compliance with therapeutic adherence that do not allow the control of the disease. These barriers may be specific to the patient, but also specific to the health system that provides the service, emphasizing the role of physicians in educating and guiding the patient regarding their disease and helping to adhere to it. To identify these barriers, there are different instruments, which have been designed for different diseases, so to select the appropriate one, the disease and the profile of the population in which the questionnaire will be applied must be considered.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[barreras de la adherencia terapéutica]]></kwd>
<kwd lng="es"><![CDATA[enfermedades crónicas]]></kwd>
<kwd lng="es"><![CDATA[diabetes]]></kwd>
<kwd lng="es"><![CDATA[obesidad]]></kwd>
<kwd lng="es"><![CDATA[hipertensión]]></kwd>
<kwd lng="en"><![CDATA[Barriers to adherence]]></kwd>
<kwd lng="en"><![CDATA[chronic diseases]]></kwd>
<kwd lng="en"><![CDATA[diabetes]]></kwd>
<kwd lng="en"><![CDATA[obesity]]></kwd>
<kwd lng="en"><![CDATA[hypertension]]></kwd>
</kwd-group>
</article-meta>
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