Da desjudicialização à participação democrática: propostas para a efetivação do direito à saúde a partir de estudo de caso em João Pessoa

• Autor(a) principal: Farias, Rodrigo Nóbrega
• Data de Publicação: 2015
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/9310
• topic: Right to health; Municipality of João Pessoa; Judicialization; Institutional dialogue; Mechanisms of participation in health politics; Direito à saúde; Município de João Pessoa; Judicialização; Diálogo institucional; Instrumentos de participação na saúde; CNPQ::CIENCIAS SOCIAIS APLICADAS::DIREITO::DIREITOS ESPECIAIS

This thesis aims at identifying means of guaranteeing effectiveness of the fundamental right to health in the Municipality of João Pessoa, based on the analysis of the activity of the Judiciary and on the mechanisms of popular participation in health politics. As to motivate the research and to demonstrate the relevance of this work, it is observed that the indexes of public health in the Municipality, especially those of the Brazilian Health System, describe grave inefficiency of public policies in the health sector. Even though the judicialization of health might be an instrument of guaranteeing sanitary measures, it creates distortions in Brazilian Health System. This work points that the judicialization itself is not the path to solve the problem, but it is otherwise necessary to use mechanisms to juridicize health issues, through administrative measures and through institutional dialogue, involving the Executive branch, the Judiciary, the Prosecutor s Office, the Public Attorneys Office and society. This study also approaches needed instruments of popular participation in public health policies, emphasizing Participatory Budget and the Municipal Council of Public Health. The thesis conclusions are brought after analysis of the results of case study involving the Municipality of João Pessoa, through the individual exam of every lawsuit, filed between 2011 and 2013, in which the plaintiff demands the Municipality on public health issues. The case study demonstrates the dimensions of the judicialization, the impacts on public finances and on the administration and on the planning of health policies, bringing an appropriate discussion of the limits of the Brazilian doctrines of reservation of the possible and of the existential minimum , besides pointing out the adequate posture of the Executive branch and other actors involved with the matter. The case study also involved the analysis of the Participatory Budget and the Municipal Council of Public Health, in order to present objective measures to better functioning of the organs.