Judicial decisions on non-standard medicines: a study in the context of the Court of Justice of the State of Espírito Santo, Brazil

Detalhes bibliográficos
Autor(a) principal: Gomes Correia, João Victor
Data de Publicação: 2022
Outros Autores: Vetis Zaganelli, Margareth
Tipo de documento: Artigo
Idioma: por
Título da fonte: Cadernos Ibero-Americanos de Direito Sanitário (Online)
Texto Completo: https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/782
Resumo: Objective: to study the judicialization of health care within the Court of Justice of the State of Espírito Santo (TJES, in Portuguese) in Brazil, using the decisions on the dispensing of nonstandard medications by the Unified Health System in 2019. Methods: data collection was performed using the quantitative and qualitative descriptive methods, based on a content analysis of the second-instance rulings of the TJES in 2019. Results and discussion: all 111 second-instance rulings studied were individual lawsuits, and a balance was observed between lawsuits filed by private lawyers and prosecutors and state public defenders in the cases studied. There was a predominantly higher number of postponements of nonstandard medications, largely through temporary guardianships. In the 88 judgments in which the request for medication was granted, a split can be seen between the use of the need/hyposufficiency parameter by the TJES and Supreme Court’s Thesis No. 106, with little reliance on National Council of Justice (CNJ, in Portuguese) testimony. For the technical reports, expert testimony predominated to the detriment of the opinions of the Justice Technical Assistance Centers (NAT-JUS, in Portuguese). Conclusion: there was the predominance of individual lawsuits, with the use of injunctions and motions to medicines, with notable performance of public bodies in litigation. The TJES adheres to precedent and prevailing Superior Court case law on the issue of nonstandard medication, granting most of the motions. Received: 03/11/21 | Accepted: 03/13/22
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spelling Judicial decisions on non-standard medicines: a study in the context of the Court of Justice of the State of Espírito Santo, BrazilDeterminaciones judiciales sobre medicamentos no normalizados: un estudio en el ámbito del Tribunal de Justicia del Estado de Espírito Santo, BrasilDeterminações judiciais sobre medicamentos não padronizados: um estudo sobre as decisões do Tribunal de Justiça do Estado do Espírito SantoMedicamentosSistema Único de SaúdeDecisões JudiciaisJudicialização da SaúdeMedicamentosSistema Único de SaúdeDecisões JudiciaisJudicialização da SaúdeMedicamentosSistema Único de SaludDecisiones JudicialesJudicialización de la SaludMedicamentosSistema Único de SaludDecisiones JudicialesJudicialización de la SaludDrugsUnified Health SystemJudicial DecisionsHealth's JudicializationDrugsUnified Health SystemJudicial DecisionsHealth’s JudicializationObjective: to study the judicialization of health care within the Court of Justice of the State of Espírito Santo (TJES, in Portuguese) in Brazil, using the decisions on the dispensing of nonstandard medications by the Unified Health System in 2019. Methods: data collection was performed using the quantitative and qualitative descriptive methods, based on a content analysis of the second-instance rulings of the TJES in 2019. Results and discussion: all 111 second-instance rulings studied were individual lawsuits, and a balance was observed between lawsuits filed by private lawyers and prosecutors and state public defenders in the cases studied. There was a predominantly higher number of postponements of nonstandard medications, largely through temporary guardianships. In the 88 judgments in which the request for medication was granted, a split can be seen between the use of the need/hyposufficiency parameter by the TJES and Supreme Court’s Thesis No. 106, with little reliance on National Council of Justice (CNJ, in Portuguese) testimony. For the technical reports, expert testimony predominated to the detriment of the opinions of the Justice Technical Assistance Centers (NAT-JUS, in Portuguese). Conclusion: there was the predominance of individual lawsuits, with the use of injunctions and motions to medicines, with notable performance of public bodies in litigation. The TJES adheres to precedent and prevailing Superior Court case law on the issue of nonstandard medication, granting most of the motions. Received: 03/11/21 | Accepted: 03/13/22Objetivo: investigar la judicialización de la salud en el ámbito del Tribunal de Justicia del Estado de Espírito Santo (TJES), in Brasil, a partir de decisiones sobre la dispensación de medicamentos no estándar por el Sistema Único de Salud en 2019. Metodología: recolección de datos, utilizando el método cuantitativo y cualitativo-descriptivo, a partir del análisis de contenido de las sentencias del TJES en el año 2019. Resultados y discussión: las 111 sentencias relevadas fueron demandas individuales, observándose un equilibrio entre la actuación de los abogados privados y el Ministerio Público del Estado y la Defensoría Pública del Estado en los casos investigados. Hubo un número predominantemente mayor de aplazamientos de medicamentos no estandarizados, en gran parte a través de tutelas provisionales. En las 88 sentencias que concedieron la solicitud de medicación, hay una división entre la utilización por el TJES del parámetro necesidad/hiposuficiencia y el Tema N.º 106, del Superior Tribunal de Justicia, con escasa utilización de los pronunciamientos del Consejo Nacional de Justicia. Los fundamentos técnicos tuvieron predominio de los informes periciales en detrimento de los dictámenes de los Centros de Apoyo Técnico del Poder Judicial.  Conclusión: hubo predominio de las demandas individuales, con uso de tutelas provisionales y diferimiento de medicamentos, con considerable actuación de los órganos públicos en la representación procesal. El TJES muestra atención a los precedentes judiciales y la jurisprudencia dominante de los Tribunales Superiores en el campo de los medicamentos no estandarizados y ha basado mayoritariamente el otorgamiento de reclamaciones en los informes médicos del paciente. Recepción: 11/03/21 | Aceptación: 13/03/22Objetivo: investigar a judicialização da saúde no âmbito do Tribunal de Justiça do Estado do Espírito Santo (TJES) a partir das decisões sobre dispensação de medicamentos não padronizados pelo Sistema Único de Saúde no ano de 2019. Metodologia: levantamento de dados, sob o método quantitativo e qualitativo-descritivo, com base na análise de conteúdo dos acórdãos do TJES no ano de 2019. Resultados e discussão: todos os 111 acórdãos pesquisados foram demandas individuais, observando-se equilíbrio entre as atuações de advogados particulares e o Ministério Público Estadual e a Defensoria Pública Estadual nas causas investigadas. Houve um número predominantemente maior de deferimentos dos medicamentos não padronizados, em grande medida por meio de tutelas provisórias. Nos 88 acórdãos que concederam o pedido de medicamento, nota-se divisão entre a utilização pelo TJES do parâmetro necessidade/hipossuficiência e o Tema nº 106, do Superior Tribunal de Justiça, sendo pouco utilizado os enunciados do Conselho Nacional de Justiça. Os fundamentos técnicos tiveram a predominância de laudos periciais em detrimento de pareces dos Núcleos de Apoio Técnico do Judiciário. Conclusão: constatou-se o predomínio de demandas individuais, com utilização de tutelas provisórias e deferimentos dos medicamentos, tendo considerável atuação dos órgãos públicos na representação processual. O TJES mostra atenção aos precedentes judiciais e jurisprudência dominantes dos Tribunais Superiores na matéria de medicamentos não padronizados e tem pautado majoritariamente os deferimentos dos pleitos em laudos médicos do paciente. Submetido em: 11/03/21 | Aprovado em: 13/03/22Fundação Oswaldo Cruz Brasília2022-12-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionTextoTextoinfo:eu-repo/semantics/otherapplication/pdfhttps://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/78210.17566/ciads.v11i4.782Iberoamerican Journal of Health Law; Vol. 11 No. 4 (2022): (OCT./DEC. 2022); 204-222Cuadernos Iberoamericanos de Derecho Sanitario; Vol. 11 Núm. 4 (2022): (OCT./DEC. 2022); 204-222Cadernos Ibero-Americanos de Direito Sanitário; v. 11 n. 4 (2022): (OUT./DEZ. 2022); 204-2222358-18242317-839610.17566/ciads.v11i4reponame:Cadernos Ibero-Americanos de Direito Sanitário (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/782/926Copyright (c) 2022 João Victor Gomes Correia, Margareth Vetis Zaganelli (Autor)https://creativecommons.org/licenses/by-nc-sa/4.0info:eu-repo/semantics/openAccessGomes Correia, João VictorVetis Zaganelli, MargarethGomes Correia, João VictorVetis Zaganelli, MargarethGomes Correia, João VictorVetis Zaganelli, Margareth2023-03-08T15:00:31Zoai:ojs.cadernos.prodisa.fiocruz.br:article/782Revistahttp://www.cadernos.prodisa.fiocruz.brPUBhttp://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/oaicadernos.direitosanitario@fiocruz.br2358-18242317-8396opendoar:2023-03-08T15:00:31Cadernos Ibero-Americanos de Direito Sanitário (Online) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Judicial decisions on non-standard medicines: a study in the context of the Court of Justice of the State of Espírito Santo, Brazil
Determinaciones judiciales sobre medicamentos no normalizados: un estudio en el ámbito del Tribunal de Justicia del Estado de Espírito Santo, Brasil
Determinações judiciais sobre medicamentos não padronizados: um estudo sobre as decisões do Tribunal de Justiça do Estado do Espírito Santo
title Judicial decisions on non-standard medicines: a study in the context of the Court of Justice of the State of Espírito Santo, Brazil
spellingShingle Judicial decisions on non-standard medicines: a study in the context of the Court of Justice of the State of Espírito Santo, Brazil
Gomes Correia, João Victor
Medicamentos
Sistema Único de Saúde
Decisões Judiciais
Judicialização da Saúde
Medicamentos
Sistema Único de Saúde
Decisões Judiciais
Judicialização da Saúde
Medicamentos
Sistema Único de Salud
Decisiones Judiciales
Judicialización de la Salud
Medicamentos
Sistema Único de Salud
Decisiones Judiciales
Judicialización de la Salud
Drugs
Unified Health System
Judicial Decisions
Health's Judicialization
Drugs
Unified Health System
Judicial Decisions
Health’s Judicialization
title_short Judicial decisions on non-standard medicines: a study in the context of the Court of Justice of the State of Espírito Santo, Brazil
title_full Judicial decisions on non-standard medicines: a study in the context of the Court of Justice of the State of Espírito Santo, Brazil
title_fullStr Judicial decisions on non-standard medicines: a study in the context of the Court of Justice of the State of Espírito Santo, Brazil
title_full_unstemmed Judicial decisions on non-standard medicines: a study in the context of the Court of Justice of the State of Espírito Santo, Brazil
title_sort Judicial decisions on non-standard medicines: a study in the context of the Court of Justice of the State of Espírito Santo, Brazil
author Gomes Correia, João Victor
author_facet Gomes Correia, João Victor
Vetis Zaganelli, Margareth
author_role author
author2 Vetis Zaganelli, Margareth
author2_role author
dc.contributor.author.fl_str_mv Gomes Correia, João Victor
Vetis Zaganelli, Margareth
Gomes Correia, João Victor
Vetis Zaganelli, Margareth
Gomes Correia, João Victor
Vetis Zaganelli, Margareth
dc.subject.por.fl_str_mv Medicamentos
Sistema Único de Saúde
Decisões Judiciais
Judicialização da Saúde
Medicamentos
Sistema Único de Saúde
Decisões Judiciais
Judicialização da Saúde
Medicamentos
Sistema Único de Salud
Decisiones Judiciales
Judicialización de la Salud
Medicamentos
Sistema Único de Salud
Decisiones Judiciales
Judicialización de la Salud
Drugs
Unified Health System
Judicial Decisions
Health's Judicialization
Drugs
Unified Health System
Judicial Decisions
Health’s Judicialization
topic Medicamentos
Sistema Único de Saúde
Decisões Judiciais
Judicialização da Saúde
Medicamentos
Sistema Único de Saúde
Decisões Judiciais
Judicialização da Saúde
Medicamentos
Sistema Único de Salud
Decisiones Judiciales
Judicialización de la Salud
Medicamentos
Sistema Único de Salud
Decisiones Judiciales
Judicialización de la Salud
Drugs
Unified Health System
Judicial Decisions
Health's Judicialization
Drugs
Unified Health System
Judicial Decisions
Health’s Judicialization
description Objective: to study the judicialization of health care within the Court of Justice of the State of Espírito Santo (TJES, in Portuguese) in Brazil, using the decisions on the dispensing of nonstandard medications by the Unified Health System in 2019. Methods: data collection was performed using the quantitative and qualitative descriptive methods, based on a content analysis of the second-instance rulings of the TJES in 2019. Results and discussion: all 111 second-instance rulings studied were individual lawsuits, and a balance was observed between lawsuits filed by private lawyers and prosecutors and state public defenders in the cases studied. There was a predominantly higher number of postponements of nonstandard medications, largely through temporary guardianships. In the 88 judgments in which the request for medication was granted, a split can be seen between the use of the need/hyposufficiency parameter by the TJES and Supreme Court’s Thesis No. 106, with little reliance on National Council of Justice (CNJ, in Portuguese) testimony. For the technical reports, expert testimony predominated to the detriment of the opinions of the Justice Technical Assistance Centers (NAT-JUS, in Portuguese). Conclusion: there was the predominance of individual lawsuits, with the use of injunctions and motions to medicines, with notable performance of public bodies in litigation. The TJES adheres to precedent and prevailing Superior Court case law on the issue of nonstandard medication, granting most of the motions. Received: 03/11/21 | Accepted: 03/13/22
publishDate 2022
dc.date.none.fl_str_mv 2022-12-13
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Texto
Texto
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/782
10.17566/ciads.v11i4.782
url https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/782
identifier_str_mv 10.17566/ciads.v11i4.782
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/782/926
dc.rights.driver.fl_str_mv Copyright (c) 2022 João Victor Gomes Correia, Margareth Vetis Zaganelli (Autor)
https://creativecommons.org/licenses/by-nc-sa/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 João Victor Gomes Correia, Margareth Vetis Zaganelli (Autor)
https://creativecommons.org/licenses/by-nc-sa/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Fundação Oswaldo Cruz Brasília
publisher.none.fl_str_mv Fundação Oswaldo Cruz Brasília
dc.source.none.fl_str_mv Iberoamerican Journal of Health Law; Vol. 11 No. 4 (2022): (OCT./DEC. 2022); 204-222
Cuadernos Iberoamericanos de Derecho Sanitario; Vol. 11 Núm. 4 (2022): (OCT./DEC. 2022); 204-222
Cadernos Ibero-Americanos de Direito Sanitário; v. 11 n. 4 (2022): (OUT./DEZ. 2022); 204-222
2358-1824
2317-8396
10.17566/ciads.v11i4
reponame:Cadernos Ibero-Americanos de Direito Sanitário (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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reponame_str Cadernos Ibero-Americanos de Direito Sanitário (Online)
collection Cadernos Ibero-Americanos de Direito Sanitário (Online)
repository.name.fl_str_mv Cadernos Ibero-Americanos de Direito Sanitário (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos.direitosanitario@fiocruz.br
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