Evidence map›Paper›PMID 32013963›Full record

ArticleBMC health services research2020

Institutional strategies as a mechanism to rationalize the negative effects of the judicialization of access to medicine in Brazil.

Virginia Oliveira Chagas, Mércia Pandolfo Provin, Pedro Augusto Prado Mota, Rafael Alves Guimarães, Rita Goreti Amaral

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Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Virginia Oliveira ChagasFederal University of Goiás, Goiânia, 38 Luzia Miranda St. Jataí, Goiás, 75800-000, Brazil. virginiafarm@gmail.com.
Mércia Pandolfo ProvinFederal University of Goiás, Goiânia, 38 Luzia Miranda St. Jataí, Goiás, 75800-000, Brazil.
Pedro Augusto Prado MotaFederal University of Goiás, Goiânia, 38 Luzia Miranda St. Jataí, Goiás, 75800-000, Brazil.
Rafael Alves GuimarãesFederal University of Goiás, Goiânia, 38 Luzia Miranda St. Jataí, Goiás, 75800-000, Brazil.
Rita Goreti AmaralFederal University of Goiás, Goiânia, 38 Luzia Miranda St. Jataí, Goiás, 75800-000, Brazil.

Funding

Fundação de Amparo à Pesquisa do Estado de Goiás 201410267000327
6 · The paper itself

Abstract

backgroundRecently, the Executive Branch and Judiciary in Brazil increased spending due to larger numbers of lawsuits that forced the State to provide health goods and services. This phenomenon, known as health judicialization, has created challenges and required the Executive Branch and Judiciary to create institutional strategies such as technical chambers and departments to reduce the social, economic and political distortions caused by this phenomenon. This study aims to evaluate the effects of two institutional strategies deployed by a Brazilian municipality in order to cope with the economic, social and political distortions caused by the phenomenon of health judicialization regarding access to medicines.

methodsA longitudinal study was carried out in a capital in the Central-West Region of Brazil. A sample of 511 lawsuits was analyzed. The variables were placed into three groups: the sociodemographic characteristics and the plaintiffs' disease, the characteristics of the claimed medical products and the institutional strategies. To analyze the effect of the interventions on the total cost of the medicines in the lawsuits, bivariate and multivariate linear regressions with variance were performed. For the categorical outcomes, Poisson regressions were performed with robust variance, using a significance level of 5%.

resultsA reduction in the costs of medicines in the lawsuits and of the requests for medicines within the SUS formulary was verified after the deployment of the Department of Assessment of Nonstandardized Medicines (DAMNP) and the Technical Chamber of Health Assessment (CATS); an increase in processed prescriptions from the Brazilian Universal Health System was observed after the deployment of the CATS; and an increase in medicines outside the SUS formulary without a therapeutic alternative was verified after the CATS.

conclusionThe institutional strategies deployed were important tools to reduce the high costs of the medicines in the lawsuits. In addition, they represented a step forward for the State, provided a benefit to society and indicated a potential path for the health and justice systems of other countries that also face problems caused by the judicialization of health.

Indexed as

BrazilCitiesCosts and Cost AnalysisHealth PolicyHealth Services AccessibilityHumansLongitudinal StudiesPharmaceutical PreparationsPharmaceutical ServicesPharmaceutical PreparationsHealth systemsJudicial decisionsJudicialization of healthPharmaceutical servicesRight to health

Identifiers

PMID32013963
PMCPMC6998206

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