Judicial demand of medications through the Federal Justice of the State of Paraná

Nisihara, Renato; Possebom, Ana Carolina; Borges, Luiza de Martino Cruvinel; Shwetz, Ana Claudia Athanasio; Bettes, Fernanda Francis Benevides

doi:10.1590/s1679-45082017gs3792

Cited by 12 publications

(25 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nesse sentido, alguns estudos identificaram a preponderância de ações representadas pela Defensoria Pública 22,23,26,34,39 . Por outro lado, Chieffi e Barata 14 , Chieffi et al 18 , Machado et al 27 , Neto et al 30 e Medeiros et al 33 apontaram uma relação entre médicos e advogados particulares nas ações judiciais. Ainda nessa mesma linha de análise, Chieffi e Barata 14 utilizando o Índice Paulista de Vulnerabilidade Social, que agrega renda, escolaridade e ciclo de vida familiar e aponta que a população atendida por decisões judiciais tem melhores condições socioeconômicas, residindo em áreas com baixa ou sem nenhuma vulnerabilidade social.…”

Section: Discussionunclassified

“…As revistas que mais apresentaram publicações sobre o tema foram a Revista de Saúde Pública (39,13%) e a Cadernos de Saúde Pública (30,43%). Borges e Ugá 21 , Messender 22 Pepe et al 23 , Figueiredo et al 24 , Sant'Ana et al 25 , Ventura et al 26 Machado et al 27 , Coelho et al 28 , Gomes et al 29 Neto et al 30 Romero 31 Stamford e Cavalcanti 37 Medeiros et al 32 Nisihara et al 33 Biehl et al 34 , Sartori et al 35 Oliveira e Fortes 36 Carvalho et al 38 Travassos et al 39 Massau e Brainy 40 Diniz et al 41 Aith et al 42 Gomes e Amador 43 Os principais motivos para a judicialização foram relacionados a medicamentos (69,56%); e acesso e incorporação tecnológica (13,03%). Um estudo que utilizou o Sistema S-Codes da SES/SP, criado para monitoramento das ações judiciais, analisou 53.345 ações.…”

Section: Analisar a Incorporação Tecnológica E Af Para Doenças Rarasunclassified

See 1 more Smart Citation

A Judicialização da saúde nos sistemas público e privado de saúde: uma revisão sistemática

Freitas

Fonseca

Queluz

2020

Interface (Botucatu)

View full text Add to dashboard Cite

No Brasil, o direito à saúde tem previsão constitucional e universal. No entanto, a via judicial tem sido muito utilizada para acesso a bens e serviços de saúde. Assim, o objetivo deste artigo foi revisar a literatura sobre a judicialização da saúde entre 2004 e 2017. A partir de pergunta estruturada, foram revisadas as bases de dados PubMed/MEDLINE, Lilacs, SciELO, Scopus e Bireme/BVS. A maioria das ações refere-se a medicamentos. Houve consenso quanto à característica individual das litigações, à preponderância da prescrição médica e à constitucionalidade da saúde integral. Há divergências em relação a possíveis interferências das decisões judiciais na gestão e na efetivação das políticas públicas e do direito à saúde. Estudos apontam falhas na gestão e disfunções nos sistemas de saúde. Os perfis das demandas de saúde levados à justiça podem auxiliar os gestores de saúde na reorientação das práticas assistenciais.

show abstract

Section: Discussionunclassified

Section: Analisar a Incorporação Tecnológica E Af Para Doenças Rarasunclassified

A Judicialização da saúde nos sistemas público e privado de saúde: uma revisão sistemática

Freitas

Fonseca

Queluz

2020

Interface (Botucatu)

View full text Add to dashboard Cite

show abstract

“…The right to Pharmaceutical Services (PS) is part of this context and should also be understood as such, since it is part of comprehensive health care as described in the Organic Health Law 2 . PS Policy involves a set of actions aimed at health promotion, protection and recovery for individuals and the public at large by considering drugs an essential ingredient and fostering their access and rational use [3][4][5] . Among the approaches to promote rational use and to enable the population to have access to these medicines is the use of the National List of Essential Medicines (NLEM).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore the judicial route is widely used to achieve adequate treatment 4,5 . The lawsuits for requesting medicines that are already on public lists (such as SLEM) are legitimate.…”

Section: Introductionmentioning

confidence: 99%

Judicialization of health: lawsuits for access to medicines in Uruguaiana-RS

et al. 2021

View full text Add to dashboard Cite

Introduction: In Brazil, the right to health has a constitutional and universal provision. However, the judicial route has been widely used to access health goods and services. Objective: To analyze the lawsuits of medicines filed by citizens of a Brazilian municipality. Methods: Quantitative and retrospective study evaluating 652 lawsuits filed in 2016 conducted in Uruguaiana, state of Rio Grande do Sul. The information was made available by the State Department of Health. Results: 55.5% of lawsuits filed were related to drugs provided by the public health system Sistema Único de Saúde (SUS). 44.5% did not fit into the guidelines of the Brazilian Policy for Pharmaceutical Services. Most of the lawsuits were filed by women over 60 years old. Regarding the therapeutic classification, the most requested drugs were for the nervous system. The most described pathological condition according to the ICD-10 (International Classification of Diseases) was Diabetes Mellitus. Conclusion: These data corroborate the situation found in other parts of the country, demonstrating the need to reorganize the Pharmaceutical Service Policy to ensure universal and equitable access to medicines, as described in the Federal Constitution.

show abstract

“…(8) The main item requested in court is medication. (9) On the other hand, health outcomes are rarely recorded not to mention the recognized need for further academic-scientific background to expand the support to legal decisions. (10) Such decisions have been studied, and high judicial interference is acknowledged (11) particularly due to technical and scientific matters ignored in the decisionmaking process.…”

Section: ❚ Introductionmentioning

confidence: 99%

Economic evaluation of an active search system to monitor the outcomes of health-related claims

Rodrigues¹,

Zaia²,

Viana³

et al. 2019

Einstein (São Paulo)

View full text Add to dashboard Cite

Objective: Economic evaluation of a scientific advisory program with the Public Defenders Office to mitigate the impacts of the judicialization on health in the municipality, as well as the implementation of an active follow-up program to monitor health outcomes arising from court demands. Methods: A two-step study, the first documental, retrospective, with data collection of lawsuits in the region of Barbalha (CE), Brazil, from 2013 to 2018, and the second stage, prospective and intervention, through mediation between the citizen and the Public Defenders Office, aiming to reduce the occurrence of the judicialization, and the monitoring of the health outcomes of the processes. The study adopted the Consolidated Health Economic Evaluation Reporting Standards protocol for economic health assessments. The data obtained from the processes were grouped and treated for characterization of the scenario. A comparison of the profile of the lawsuits in the period of 12 months before and after the installation of the program to delimit a complete fiscal cycle was carried out. Results: The advisory service promoted a decrease of 40% (p=0.01) in lawsuits. There was a 31% reduction in court costs (p=0.003), with medicines accounting for 33% of this amount. There was a decrease in inputs outside the Sistema Único de Saúde lists (27%; p=0.003), however there was no statistical difference among several demanding groups, suggesting an equanimous approach. Conclusion: Data from the initial survey were comparable to those reported in Brazil regarding the profile of judicial demands. In view of the scenario, the proposal proved feasible as a means to mitigate the costs of the judicialization through mediation. Finally, the initiative can serve as a model for adoption by municipalities that have characteristics similar to those presented in this study.

show abstract

Judicial demand of medications through the Federal Justice of the State of Paraná

Cited by 12 publications

References 10 publications

A Judicialização da saúde nos sistemas público e privado de saúde: uma revisão sistemática

A Judicialização da saúde nos sistemas público e privado de saúde: uma revisão sistemática

Judicialization of health: lawsuits for access to medicines in Uruguaiana-RS

Economic evaluation of an active search system to monitor the outcomes of health-related claims

Contact Info

Product

Resources

About