Model Adherence to Treatment of Diseases Acquired by Asymmetries Between Job Demands and Self-Control

Abstract

Background: Psychological studies of adherence to treatment have established; 1) indicators models -frequency of medical consultation, prevalence of medication intake over any other treatment, attendance at therapeutic and rehabilitation sessions-; 2) determining models -sex, age, income, level of instruction, reading comprehension, interpersonal relationships-; 3) mediating models-beliefs, attitudes, knowledge, intentions, and strategies. Objective: Specify a model of the organizational and subjective determinants of adherence to treatment in cases of injured or sick workers due to their work activity, climate of relationships and task climate. Method: Documentary study with a selection of indexed sources in repositories of Latin America -Dialnet, Latindex, Publindex, Redalyc and Scieloconsidering the variables reported in the state of the art. Results: The specification of the model included four explanatory hypotheses of the trajectories of dependency relationships among the six variables - demands, social support, control, effort, reward and adhesion - taken from the literature review. Discussion: In relation to the models of indicators, the determinant models and the models of mediation, it is recommended to include the variables of work culture, quality of life and subjective well-being in the specified model to study the process that goes from the labor culture and it would culminate with the reinsertion of accident and disease cases. Conclusion: The new specification of the model would include explanatory hypotheses of the trajectories of correlations between the variables used in the present work with the purpose of establishing differences between the organizations that provide social security with respect to the companies managed from labor flexibility, as well as their effects on the occupational health of its workers