Demandas judiciais de medicamentos no Rio Grande do Norte: análise do triênio 2020-2022

Despite the current health policies, the "judicialization of health" is increasing, with legal actions to obtain medications in the Unified Health System, shifting responsibilities from the Executive to the Judiciary since the 2000s. The study in question, conducted in 2022, is a continuat...

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Autor principal: Santos, Jeniffe Gomes dos
Outros Autores: Diniz, Rodrigo dos Santos
Formato: bachelorThesis
Idioma:pt_BR
Publicado em: Universidade Federal do Rio Grande do Norte
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Endereço do item:https://repositorio.ufrn.br/handle/123456789/56211
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id ri-123456789-56211
record_format dspace
institution Repositório Institucional
collection RI - UFRN
language pt_BR
topic Sistema Único de Saúde
Unified Health System
Judicialização da Saúde
Health's Judicialization
Acesso a Medicamentos Essenciais
Access to Essential Medicines
Tecnologias em Saúde
Health Technologies
Política Nacional de medicamentos
National Drug Policy
Assistência Farmacêutica
Pharmaceutical Services
CNPQ::CIENCIAS DA SAUDE
spellingShingle Sistema Único de Saúde
Unified Health System
Judicialização da Saúde
Health's Judicialization
Acesso a Medicamentos Essenciais
Access to Essential Medicines
Tecnologias em Saúde
Health Technologies
Política Nacional de medicamentos
National Drug Policy
Assistência Farmacêutica
Pharmaceutical Services
CNPQ::CIENCIAS DA SAUDE
Santos, Jeniffe Gomes dos
Demandas judiciais de medicamentos no Rio Grande do Norte: análise do triênio 2020-2022
description Despite the current health policies, the "judicialization of health" is increasing, with legal actions to obtain medications in the Unified Health System, shifting responsibilities from the Executive to the Judiciary since the 2000s. The study in question, conducted in 2022, is a continuation and comparison with previous research on the judicialization of medications in Rio Grande do Norte. Using data from UNICAT and state and federal courts, it analyzes various variables such as gender, defendant, origin of the process, among others. Exclusion criteria were applied, and the results from 2022 were compared with previous years. From 2020 to 2022, legal proceedings related to health issues were analyzed. There was an increase in the number of cases over time. In 2020, the majority of actions were initiated by women, and most cases were not stratified by region. In 2021 and 2022, a greater impact was observed in the metropolitan areas of Natal and Seridó. Judicialization in the Federal Court increased, with the majority of cases requested by private attorneys. The technical support of decisions also grew over the years, highlighting the role of the Technical Support Center of the Judiciary. Most judicialized medications were purchased by the plaintiffs, blocking public funds. About 40% of the medications were in the National List of Essential Medicines (RENAME), and the most requested ones included aflibercept, enoxaparin sodium, bevacizumab, insulin glargine, and ranibizumab. Ranibizumab was the most judicialized medication in 2022, despite not being on the RENAME for that year. The study revealed an increase in demand for medications, especially biologics and those not listed in the RENAME. The State Judiciary was the main origin of the cases, but the involvement of the Federal Judiciary increased over time. The blocking of public funds to comply with judicial decisions was emphasized, despite constitutional questions. The study suggests the need to reformulate policies for access to medications, considering technical criteria in judicial decisions. Therefore, it is crucial to address this issue collaboratively to ensure fair, efficient, and sustainable access to medications.
author2 Diniz, Rodrigo dos Santos
author_facet Diniz, Rodrigo dos Santos
Santos, Jeniffe Gomes dos
format bachelorThesis
author Santos, Jeniffe Gomes dos
author_sort Santos, Jeniffe Gomes dos
title Demandas judiciais de medicamentos no Rio Grande do Norte: análise do triênio 2020-2022
title_short Demandas judiciais de medicamentos no Rio Grande do Norte: análise do triênio 2020-2022
title_full Demandas judiciais de medicamentos no Rio Grande do Norte: análise do triênio 2020-2022
title_fullStr Demandas judiciais de medicamentos no Rio Grande do Norte: análise do triênio 2020-2022
title_full_unstemmed Demandas judiciais de medicamentos no Rio Grande do Norte: análise do triênio 2020-2022
title_sort demandas judiciais de medicamentos no rio grande do norte: análise do triênio 2020-2022
publisher Universidade Federal do Rio Grande do Norte
publishDate 2023
url https://repositorio.ufrn.br/handle/123456789/56211
work_keys_str_mv AT santosjeniffegomesdos demandasjudiciaisdemedicamentosnoriograndedonorteanalisedotrienio20202022
AT santosjeniffegomesdos legaldemandsformedicinesinriograndedonorteanalysisofthetriennium20202022
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spelling ri-123456789-562112023-12-19T16:00:04Z Demandas judiciais de medicamentos no Rio Grande do Norte: análise do triênio 2020-2022 Legal demands for medicines in Rio Grande do Norte: analysis of the triennium 2020-2022 Santos, Jeniffe Gomes dos Diniz, Rodrigo dos Santos http://lattes.cnpq.br/0085346724655944 Pereira, Sylvia Patrícia Dantas Lima, Waldenice de Alencar Morais Cunha, Lorena Medeiros da Sistema Único de Saúde Unified Health System Judicialização da Saúde Health's Judicialization Acesso a Medicamentos Essenciais Access to Essential Medicines Tecnologias em Saúde Health Technologies Política Nacional de medicamentos National Drug Policy Assistência Farmacêutica Pharmaceutical Services CNPQ::CIENCIAS DA SAUDE Despite the current health policies, the "judicialization of health" is increasing, with legal actions to obtain medications in the Unified Health System, shifting responsibilities from the Executive to the Judiciary since the 2000s. The study in question, conducted in 2022, is a continuation and comparison with previous research on the judicialization of medications in Rio Grande do Norte. Using data from UNICAT and state and federal courts, it analyzes various variables such as gender, defendant, origin of the process, among others. Exclusion criteria were applied, and the results from 2022 were compared with previous years. From 2020 to 2022, legal proceedings related to health issues were analyzed. There was an increase in the number of cases over time. In 2020, the majority of actions were initiated by women, and most cases were not stratified by region. In 2021 and 2022, a greater impact was observed in the metropolitan areas of Natal and Seridó. Judicialization in the Federal Court increased, with the majority of cases requested by private attorneys. The technical support of decisions also grew over the years, highlighting the role of the Technical Support Center of the Judiciary. Most judicialized medications were purchased by the plaintiffs, blocking public funds. About 40% of the medications were in the National List of Essential Medicines (RENAME), and the most requested ones included aflibercept, enoxaparin sodium, bevacizumab, insulin glargine, and ranibizumab. Ranibizumab was the most judicialized medication in 2022, despite not being on the RENAME for that year. The study revealed an increase in demand for medications, especially biologics and those not listed in the RENAME. The State Judiciary was the main origin of the cases, but the involvement of the Federal Judiciary increased over time. The blocking of public funds to comply with judicial decisions was emphasized, despite constitutional questions. The study suggests the need to reformulate policies for access to medications, considering technical criteria in judicial decisions. Therefore, it is crucial to address this issue collaboratively to ensure fair, efficient, and sustainable access to medications. Apesar das políticas de saúde vigentes, a "judicialização da saúde" aumenta, com ações judiciais para obtenção de medicamentos no SUS, transferindo responsabilidades do Executivo para o Judiciário desde os anos 2000. O estudo em questão, realizado em 2022, é uma continuação e comparação com pesquisas anteriores sobre a judicialização de medicamentos no Rio Grande do Norte. Utilizando dados da UNICAT e tribunais estadual e federal, analisa diversas variáveis, como sexo, réu, origem do processo, entre outras. Critérios de exclusão foram aplicados, e os resultados de 2022 foram comparados com anos anteriores. Nos anos de 2020 a 2022, foram analisados processos envolvendo judicialização de medicamentos. Houve um aumento no número de processos ao longo do tempo. Em 2020, a maioria das ações foi iniciada por mulheres, e a maioria dos processos não era estratificada por região. Em 2021 e 2022, observou-se um impacto maior nas áreas metropolitanas de Natal e no Seridó. A judicialização na Justiça Federal aumentou, sendo a maioria dos processos solicitados por advogados privados. O suporte técnico das decisões também cresceu ao longo dos anos, destacando o papel do Núcleo de Apoio Técnico do Judiciário. A maioria dos medicamentos judicializados foi fornecida aos autores por bloqueio das verbas públicas. Os medicamentos mais solicitados incluíam aflibercept, enoxaparina sódica, bevacizumabe, insulina glargina e ranibizumabe, e cerca de 40% deles estavam na RENAME. O ranibizumabe foi o medicamento mais judicializado em 2022, apesar de não estar na RENAME deste ano. O estudo revelou um aumento na demanda por medicamentos, especialmente imunobiológicos e aqueles não listados na RENAME. A Justiça Estadual foi a principal origem dos processos, mas a participação da Justiça Federal aumentou ao longo do tempo. O bloqueio de verbas públicas para cumprir decisões judiciais foi destacado, apesar de questionamentos constitucionais. O estudo sugere a necessidade de reformular políticas de acesso a medicamentos, considerando critérios técnicos em decisões judiciais. Portanto, é crucial abordar essa questão de maneira colaborativa para garantir um acesso justo, eficiente e sustentável aos medicamentos. 2023-12-19T16:00:04Z 2023-12-19T16:00:04Z 2023-12-04 bachelorThesis SANTOS, Jeniffe Gomes dos. Demandas judiciais de medicamentos no Rio Grande do Norte: análise do triênio 2020-2022. Orientador: Rodrigo dos Santos Diniz. 2023. 34f. Trabalho de Conclusão de Curso (Graduação em Farmácia) - Departamento de Farmácia, Universidade Federal do Rio Grande do Norte, Natal, 2023. https://repositorio.ufrn.br/handle/123456789/56211 pt_BR application/pdf Universidade Federal do Rio Grande do Norte Brasil UFRN Farmácia Departamento de Farmácia