{"title":"医疗保健司法化：对有关药物的指标和官方数据的分析。","authors":"Nádia Bernardinis, Vanessa Terezinha Gubert, Cristiane Munaretto Ferreira, Jorge Otávio Maia Barreto","doi":"10.1590/0034-7167-2022-0413","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>to analyze judicial demands for medications in Campo Grande, Brazil, between July 2018 and June 2020.</p><p><strong>Methods: </strong>the four dimensions of the Manual of Indicators for Evaluation and Monitoring of Judicial Demands for Medications were examined.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290738/pdf/","citationCount":"0","resultStr":"{\"title\":\"Healthcare judicialization: an analysis of indicators and official data on medications.\",\"authors\":\"Nádia Bernardinis, Vanessa Terezinha Gubert, Cristiane Munaretto Ferreira, Jorge Otávio Maia Barreto\",\"doi\":\"10.1590/0034-7167-2022-0413\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>to analyze judicial demands for medications in Campo Grande, Brazil, between July 2018 and June 2020.</p><p><strong>Methods: </strong>the four dimensions of the Manual of Indicators for Evaluation and Monitoring of Judicial Demands for Medications were examined.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":21200,\"journal\":{\"name\":\"Revista Brasileira De Enfermagem\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-07-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290738/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Brasileira De Enfermagem\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1590/0034-7167-2022-0413\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Brasileira De Enfermagem","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/0034-7167-2022-0413","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Healthcare judicialization: an analysis of indicators and official data on medications.
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.
期刊介绍：
The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.
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