A judicialização do fornecimento de medicamentos no Sistema Único de Saúde
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Data
2023-02-03
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Universidade Federal de Goiás
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OBJECTIVE: To investigate the phenomenon of Judicialization of Health. METHODOLOGY: Mixed research
involving a systematic literature review study and a quantitative and qualitative research. As for the
systematic literature review, studies published between 2010 and 2021 were consulted. The quantitative
research adopted a time frame between 2017 and 2019, contemplating a sample of 359 health lawsuits
against the Municipality of Goiânia. The qualitative study adopted a bibliographical narrative review, with
the following steps: selection of the topic and question of interest, definition of descriptors, definition of
search sources, selection of relevant articles by reading the title and abstract, reading in full, extraction of
the most important information from these articles and synthesis of the main findings. RESULTS: Most
studies analyzed the legalization of drugs related to the official list of free distribution. A study from
Colombia prioritized the increase in lawsuits. From Argentina, he found that the judges were not
concerned about promoting equity. In Costa Rica, drugs were ranked according to their priorities. Of the
lawsuits studied, more than half (53%) had a claim value between R$1,000.00 and R$50,000.00, aged
between 18 and 59 years (49%), filed by the Goiás Public Defender's Office (78%) . Injunctions were
granted in 92% and Nat-Jus heard in 22% of cases and final favorable judgment in 77%. Proposals point to
the need for deep knowledge of Clinical Protocols and Therapeutic Guidelines (PCDTs); adoption of
organization and management of drug stocks; implementation of support centers for the Judiciary
(NATJUS) and; creation of specialized rods. Implemented experiences: “SUS C.O.M VC” in Jundiaí-SP;
Technical Support Center added to the Municipal Ombudsman in Araguarina-TO; Drug Conciliation
Nucleus in Lages-SC; Regionalized Management Program for the Judicialization of Health in Santa Catarina;
REMUME update in Canguçu-RS. CONCLUSION: It is necessary to engage all the professionals involved,
demanding institutional dialogue and adopting a multicentric solution for the maintenance of the Public
Health System. Proposals and practices for health rationalization are essential measures and deserve to
migrate from specific experiences to a national scope.
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ROCHA, D. P. M. A judicialização do fornecimento de medicamentos no Sistema Único de Saúde. 2023. 91 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2023.