Social determinants and adherence of chronic renal patients undergoing hemodialysis treatment

Abstract

Introduction: The importance of the subject in question is due to the need to better understand the difficulty of chronic renal patients in hemodialysis in terms of adherence to treatment, from the perspective of the expanded concept of health. Objective: To present theoretical reflection on the social determinants and adherence of chronic renal patients undergoing hemodialysis. Method: Reflective theoretical study in which works were used regarding the social determinants of health and adherence of chronic renal patients undergoing hemodialysis. Results: Adherence is a multidimensional phenomenon, in this sense, it is a mistake to think that only the factors related to the patient are decisive, and that this is the only responsible for following the proposed treatment, considering that other factors can affect both the behavior as to the person's ability to adhere to their treatment. Conclusion: Understanding the determinants and conditions of the main pathologies that lead to kidney disease, provides an opportunity for professionals to understand and provide subsidies for the development of cross-sectoral actions of public responsibility in conjunction with the population acting as co-managers of the health situation experienced.