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CUSTO: um modelo prático de comunicação clínica sobre o custos do tratamento para uma melhor adesão terapêutica

by Raquel Ferreira, Ana Paula De Melo Dias, and Rivadavio Fernandes Batista de Amorim

Posted: July 24, 2025
Server: SciELO Preprints
DOI: 10.1590/scielopreprints.12731

Treatment costs are a major barrier to therapeutic adherence, especially in contexts of socioeconomic vulnerability. However, clinical communication on this topic remains limited. This study presents a scoping review and proposes the CUSTO model — Comprehend, Use accessible language, Seek preferences, Try alternatives, and Organize follow-up — as a practical tool to support healthcare professionals in addressing treatment costs sensitively and effectively. The review analyzed studies linking clinical communication and adherence, with emphasis on vulnerable populations. The proposal is also based on the authors’ experience in Brazil’s Family Health Strategy (SUS), in regions marked by poverty and low health literacy. The model aims to improve adherence, promote equity, and foster shared decision-making.

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