Strategies to approach the judicialization of health in Brazil: an evidence brief

Ciencia e Saude Coletiva

article

Floriano, Fabiana Raynal¹  Boeira, Laura²  Biella, Carla de Agostino¹  Pereira, Viviane Cássia³  Carvalho, Marcel²  Barreto, Jorge Otávio Maia³  Oliveira, Sandra Maria do Valle Leone de⁴ 

[1]Ministério da Saúde

[2]Instituto Veredas

[3]Fundação Oswaldo Cruz

[4]Fiocruz Mato Grosso do Sul

关键词: Judicialization of health;    Evidence-informed policy;    Health Policy;   

DOI  :  10.1590/1413-81232023281.09132022EN

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

This article seeks to identify and discuss evidence-informed options to address the judicialization of health. The Supporting Policy Relevant Reviews and Trials Tools were used to define the problem and the search strategy, which was carried out in the following databases: PubMed, Health Systems Evidence, Campbell, Cochrane Collaboration, Rx for Change Database, and PDQ-Evidence. Selection and assessment of methodological quality was performed by two independent reviewers. The results were presented in a narrative synthesis. This study selected 19 systematic reviews that pointed out four strategies to address the judicialization of health in Brazil: 1) Rapid response service, 2) Continuous education program, 3) Mediation service between the parties involved, and 4) Adoption of a computer-based, online decision-making support tool and patient-mediated interventions. This study therefore presented and characterized four options that can be considered to address the judicialization of health. The implementation of these options must ensure the participation of different actors, reflecting on different contexts and the impact on the health system. The availability of human and financial resources and the training of teams are critical points for the successful implementation of the options.

【 授权许可】

CC BY