The judicialisation of health as a means of ensuring access to medicines/Judicializacao da saude na garantia do acesso ao medicamento/La Judicializacion de la salud como garantia de acceso a medicamentos

• Published in: Revista de salud pública (Bogotá, Colombia) Colombia), 2014-06, Vol.16 (3), p.360
• Main Authors: Simoes, Andrezza Eliab Oliveira, Barbosa, Igor Carvalho, Pinto, Marlla Emanuella Barreto, Leitao, Luana Couto Assis, Simoes, Monica Oliveira da S, Alves, Bruna Costa
• Format: Article
• Language: Spanish
• Subjects: Chronic diseases; Hypertension; Rheumatoid factor; Surveys
• ISSN: 0124-0064
• DOI: 10.15446/rsap.v16n3.33795

Objective A systematic review, focusing on the judicialisation of health regarding gaining access to medicines, was aimed at understanding the impact of lawsuits on the organisation of public health services. Method Original articles published between 2007 and 2011 in the pertinent national and international literature were analysed, resulting in 49,239 articles being found in Science Direct and BIREME databases. Results The survey indicated a predominance of literature from Brazil, mainly the southeast, as well as a study from Colombia. Discussion The aforementioned chronic disease-related claims involved diabetes, high blood pressure, cancer and rheumatoid arthritis. Forming part of specific Unified Healthcare System programmes highlighted the difficulty in gaining access to the appropriate medicine and consequent health judicialisation demonstrated the fragility of existing public policy. Conclusion It was concluded that the courts (despite being a strategy for ensuring access to medicine) were unable to deal with the current spate of lawsuits, thereby leading to disruption regarding the flow of public systems. Key Words: The right to health, national drug policy, unified healthcare system (source: MeSH, NLM). Objetivo Visando conhecer o impacto das demandas judiciais sobre a organizacao dos servicos publicos de saude, realizou-se uma revisao sistematica com enfoque na "judicializacao da saude" para fornecimento de medicamentos. Metodos Foram analisados artigos originais publicados no periodo de 2007 a 2011, na literatura nacional e internacional, resultando no total de 49239 artigos disponiveis nas bases de dados Science Direct e BIREME. Resultados: A pesquisa indicou predominancia da bibliografia proveniente do Brasil, principalmente do sudeste, bem como de estudo realizado na Colombia. Discursao Dentre os pleitos, configuraram-se como principais agravos relatados as doencas cronicas, podendo-se citar: diabetes, hipertensao, canceres e artrite reumatoide. Por serem afeccoes parte de programas especificos do Sistema Unico de Saude, a dificuldade de acesso a esses farmacos e consequente judicializacao da saude demonstrou a fragilidade das politicas publicas existentes. Conclusao Por fim, conclui-se que a via judicial, apesar de ser uma estrategia para garantir o acesso ao medicamento, apresenta inabilidade para lidar com o julgamento das acoes e gera, dessa forma, distorcoes no fluxo dos sistemas publicos. Palavras-chave: Direito a saude, politica nacio