Este artigo discute as tendências do Poder Judiciário frente às demandas sobre judicialização do direito à saúde, por meio de um estudo de demandas judiciais cíveis por acesso à assistência em saúde no Distrito Federal. Por judicialização do direito à saúde, entende-se a judicialização de variadas prestações de saúde. Trata-se de um estudo exploratório, descritivo, longitudinal, com uso de técnicas mistas de levantamento e análise dos dados coletados no DF. Foram analisadas 385 ações, o que corresponde a 87% do total de casos de judicialização da saúde do período entre 2005 e 2010 que alcançaram a 2ª Vara. Os resultados indicam que o principal bem judicializado é o acesso à UTI (66%), seguido por medicamentos (16%) e assistência médica (14%). A quase totalidade dos processos é apresentado por defensor público (95%), com receitas e indicações médicas oriundas do serviço público de saúde (85%). Em cerca de 8% dos casos, há comprovante de renda no processo com predominância dos valores em torno de R$ 500,00. Os resultados da pesquisa desafiam algumas teses dominantes no debate nacional, em particular a alegação de que é um fenômeno das elites e que o bem judicializado são os medicamentos. Os dados não têm pretensões generalizantes, mas aponta que o fenômeno da judicialização da saúde tem diferentes aspectos englobados pelo mesmo conceito.
Palavras-chave:
Judicialização da Saúde
Abstract:
This paper aims to analyze the Judiciary’s tendencies related to demands of ‘judicialization’ of the right to health by means of a case study of civil lawsuits for access to health care in Brazil’s Federal District. Judicialization of the right to health means the judicialization of several health services. This is a descriptive and exploratory case study that covers the Federal District and uses mixed techniques to gather and analyze data. The data were collected between September and November, 2010 at the 2nd Public Finance Private Court of the Federal District’s Court of Justice. This study analyzed 385 lawsuits (87% of the total number of cases of judicialization of health from 2005 to 2010 that reached the 2nd court). The results indicate that the most judicialized service is access to intensive care unit (66%), followed by drugs (16%) and health care (14%). Almost all lawsuits are filed by public defenders (95%), with medical prescriptions and indications from the public health service (85%). The results of this study challenge some dominant beliefs in the national debate, particularly the claim that judicialization is a phenomenon of the elites and that the services judicialized are drugs. The study is not intended to be generalizable, but points that the phenomenon of judicialization of health includes a wide variety of aspects under the same concept.
The Health Litigation in the Distrito Federal, Brazil
Resumo (abstract):
This paper aims to analyze the Judiciary’s tendencies related to demands of ‘judicialization’ of the right to health by means of a case study of civil lawsuits for access to health care in Brazil’s Federal District. Judicialization of the right to health means the judicialization of several health services. This is a descriptive and exploratory case study that covers the Federal District and uses mixed techniques to gather and analyze data. The data were collected between September and November, 2010 at the 2nd Public Finance Private Court of the Federal District’s Court of Justice. This study analyzed 385 lawsuits (87% of the total number of cases of judicialization of health from 2005 to 2010 that reached the 2nd court). The results indicate that the most judicialized service is access to intensive care unit (66%), followed by drugs (16%) and health care (14%). Almost all lawsuits are filed by public defenders (95%), with medical prescriptions and indications from the public health service (85%). The results of this study challenge some dominant beliefs in the national debate, particularly the claim that judicialization is a phenomenon of the elites and that the services judicialized are drugs. The study is not intended to be generalizable, but points that the phenomenon of judicialization of health includes a wide variety of aspects under the same concept.
Diniz, D, Robichez, T., Penalva, J.. A Judicialização da saúde no Distrito Federal. Cien Saude Colet [periódico na internet] (2013/Mar). [Citado em 28/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/a-judicializacao-da-saude-no-distrito-federal/12120
