Healthcare judicialization: an analysis of indicators and official data on medications

Author:

Bernardinis Nádia1ORCID,Gubert Vanessa Terezinha1ORCID,Ferreira Cristiane Munaretto1ORCID,Barreto Jorge Otávio Maia2ORCID

Affiliation:

1. Universidade Federal de Mato Grosso do Sul, Brazil

2. Fundação Oswaldo Cruz, Brazil

Abstract

ABSTRACT Objectives: to analyze judicial demands for medications in Campo Grande, Brazil, between July 2018 and June 2020. Methods: the four dimensions of the Manual of Indicators for Evaluation and Monitoring of Judicial Demands for Medications were examined. Results: 676 judicial processes were identified, corresponding to 1006 requests for 284 different medications. In 92.74% of the processes, access to medications was granted, with 88.80% granted on an urgent basis. The median time between the decision and delivery of the medication was 146 days. The average monthly cost of acquiring medications was R$ 2,183.68 Brazilian reais. Among the identified medications, 90.22% had at least one therapeutic alternative available in the public healthcare system. Conclusions: characterizing and analyzing judicial demands related to medications can support discussions on updating medication lists and clinical protocols, organizing healthcare services, allocating resources, and implementing actions to reduce judicialization.

Publisher

FapUNIFESP (SciELO)

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