Analysis of the Judicialization the right to health, Underfunding of the sector and Public Policy: A Case Study in the State of Alagoas

Detalhes bibliográficos
Autor(a) principal: Macêdo, Dartagnan Ferreirra de
Data de Publicação: 2015
Outros Autores: Ataide, João Antônio da Rocha, Costa, Antonio Carlos Silva, Souza, Waldemar Antonio da Rocha de, Santa Rita, Luciana Peixoto
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Administração de Roraima - RARR
Texto Completo: https://revista.ufrr.br/adminrr/article/view/2949
Resumo: The judicial demands related to the requirement of the compliance of the Universal Right to Health in accordance with the Federal Constitution of 1988 have increased in recent years. It also accounts that the public financing for the sector is insufficient to cover the scope of the Constitution due to the budget limits for the implementation of health policies. This article aims to analyze the process of judicialization of health, noting the implications and impacts on public administration, and specifically for the management of public policy. Therefore, a qualitative research was organized through case study, analyzing the data regarding to the judicialization and the expenses of the Health Department in the State of Alagoas (SESAU). An evolution of judicial requests has mainly been related to the access to medications through actions from the Public Defender´s Office and the Public Prosecutor's Office with expenditures exceeding $ 100 million between 2009 and 2014. Thus, despite attempts to minimize the impact generated with the creation of an interinstitutional core aiming to mitigate the effects of judicialization, it is necessary to implement health public policy for the community and evaluate the efficiency and effectiveness of existing ones. However, the underfunding and ineffective management of the Unified Health System (SUS) are highlighted as main causes that block the implementation of alternative solutions.
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spelling Analysis of the Judicialization the right to health, Underfunding of the sector and Public Policy: A Case Study in the State of AlagoasAnálise da Judicialização do Direito à Saúde, Subfinanciamento do setor e Políticas Públicas: Estudo de Caso no Estado de AlagoasRight to Health. Judicialization. Public Health Policies. Health Financing. Public Administration.Direito à SaúdeJudicializaçãoPolíticas Públicas de SaúdeFinanciamento da SaúdeAdministração PúblicaThe judicial demands related to the requirement of the compliance of the Universal Right to Health in accordance with the Federal Constitution of 1988 have increased in recent years. It also accounts that the public financing for the sector is insufficient to cover the scope of the Constitution due to the budget limits for the implementation of health policies. This article aims to analyze the process of judicialization of health, noting the implications and impacts on public administration, and specifically for the management of public policy. Therefore, a qualitative research was organized through case study, analyzing the data regarding to the judicialization and the expenses of the Health Department in the State of Alagoas (SESAU). An evolution of judicial requests has mainly been related to the access to medications through actions from the Public Defender´s Office and the Public Prosecutor's Office with expenditures exceeding $ 100 million between 2009 and 2014. Thus, despite attempts to minimize the impact generated with the creation of an interinstitutional core aiming to mitigate the effects of judicialization, it is necessary to implement health public policy for the community and evaluate the efficiency and effectiveness of existing ones. However, the underfunding and ineffective management of the Unified Health System (SUS) are highlighted as main causes that block the implementation of alternative solutions.As demandas judiciais referentes à exigência do cumprimento do Direito Universal à Saúde, conforme prevê a Constituição Federal de 1988, aumentaram nos últimos anos. Também se registra que o financiamento público do setor é insuficiente para abarcar a abrangência do texto constitucional, decorrente de limites orçamentários para a implementação das políticas de saúde. Este artigo objetivou analisar o processo de judicialização da saúde, observando as implicações e impactos para a Administração Pública e, especificamente, para a gestão de políticas públicas. Para tanto, organizou-se uma pesquisa qualitativa, por meio de estudo de caso, analisando os dados referentes à judicialização e aos gastos da Secretaria Estadual de Saúde de Alagoas (SESAU). Contatou-se uma evolução das solicitações judiciais, principalmente buscando acesso a medicamentos, mediante ações da Defensoria Pública e Ministério Público, e que os gastos ultrapassaram 100 milhões de reais, entre 2009 e 2014. Desta forma, apesar das tentativas de minimização do impacto gerado, com a criação de um Núcleo Interinstitucional objetivando mitigar os efeitos da judicialização, é necessário implementar políticas públicas de saúde para a coletividade e avaliar a eficiência e efetividade das existentes. Contudo, ilustrou-se o subfinanciamento e a gestão ineficaz do Sistema Único de Saúde (SUS), dificultando a operacionalização das alternativas de soluções.Universidade Federal de Roraima2015-12-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAdEapplication/pdfhttps://revista.ufrr.br/adminrr/article/view/294910.18227/2237-8057rarr.v5i2.2949Journal of Management of Roraima-RARR; Vol. 5 No. 2 (2015); 300-325Revista Administración de Roraima (RARR); Vol. 5 Núm. 2 (2015); 300-325Revista de Administração de Roraima - RARR; v. 5 n. 2 (2015); 300-3252237-8057reponame:Revista de Administração de Roraima - RARRinstname:Universidade Federal de Roraima (UFRR)instacron:UFRRporhttps://revista.ufrr.br/adminrr/article/view/2949/1856Copyright (c) 2015 RARR. REVISTA DE ADMINISTRAÇÃO DE RORAIMA (UFRR)info:eu-repo/semantics/openAccessMacêdo, Dartagnan Ferreirra deAtaide, João Antônio da RochaCosta, Antonio Carlos SilvaSouza, Waldemar Antonio da Rocha deSanta Rita, Luciana Peixoto2015-12-31T21:32:52Zoai:oai.revista.ufrr.br:article/2949Revistahttps://revista.ufrr.br/index.php/adminrr/PUBhttps://revista.ufrr.br/adminrr/oairarr.ufrr@gmail.com||emersonclaytonarantes@gmail.com2237-80572237-8057opendoar:2015-12-31T21:32:52Revista de Administração de Roraima - RARR - Universidade Federal de Roraima (UFRR)false
dc.title.none.fl_str_mv Analysis of the Judicialization the right to health, Underfunding of the sector and Public Policy: A Case Study in the State of Alagoas
Análise da Judicialização do Direito à Saúde, Subfinanciamento do setor e Políticas Públicas: Estudo de Caso no Estado de Alagoas
title Analysis of the Judicialization the right to health, Underfunding of the sector and Public Policy: A Case Study in the State of Alagoas
spellingShingle Analysis of the Judicialization the right to health, Underfunding of the sector and Public Policy: A Case Study in the State of Alagoas
Macêdo, Dartagnan Ferreirra de
Right to Health. Judicialization. Public Health Policies. Health Financing. Public Administration.
Direito à Saúde
Judicialização
Políticas Públicas de Saúde
Financiamento da Saúde
Administração Pública
title_short Analysis of the Judicialization the right to health, Underfunding of the sector and Public Policy: A Case Study in the State of Alagoas
title_full Analysis of the Judicialization the right to health, Underfunding of the sector and Public Policy: A Case Study in the State of Alagoas
title_fullStr Analysis of the Judicialization the right to health, Underfunding of the sector and Public Policy: A Case Study in the State of Alagoas
title_full_unstemmed Analysis of the Judicialization the right to health, Underfunding of the sector and Public Policy: A Case Study in the State of Alagoas
title_sort Analysis of the Judicialization the right to health, Underfunding of the sector and Public Policy: A Case Study in the State of Alagoas
author Macêdo, Dartagnan Ferreirra de
author_facet Macêdo, Dartagnan Ferreirra de
Ataide, João Antônio da Rocha
Costa, Antonio Carlos Silva
Souza, Waldemar Antonio da Rocha de
Santa Rita, Luciana Peixoto
author_role author
author2 Ataide, João Antônio da Rocha
Costa, Antonio Carlos Silva
Souza, Waldemar Antonio da Rocha de
Santa Rita, Luciana Peixoto
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Macêdo, Dartagnan Ferreirra de
Ataide, João Antônio da Rocha
Costa, Antonio Carlos Silva
Souza, Waldemar Antonio da Rocha de
Santa Rita, Luciana Peixoto
dc.subject.por.fl_str_mv Right to Health. Judicialization. Public Health Policies. Health Financing. Public Administration.
Direito à Saúde
Judicialização
Políticas Públicas de Saúde
Financiamento da Saúde
Administração Pública
topic Right to Health. Judicialization. Public Health Policies. Health Financing. Public Administration.
Direito à Saúde
Judicialização
Políticas Públicas de Saúde
Financiamento da Saúde
Administração Pública
description The judicial demands related to the requirement of the compliance of the Universal Right to Health in accordance with the Federal Constitution of 1988 have increased in recent years. It also accounts that the public financing for the sector is insufficient to cover the scope of the Constitution due to the budget limits for the implementation of health policies. This article aims to analyze the process of judicialization of health, noting the implications and impacts on public administration, and specifically for the management of public policy. Therefore, a qualitative research was organized through case study, analyzing the data regarding to the judicialization and the expenses of the Health Department in the State of Alagoas (SESAU). An evolution of judicial requests has mainly been related to the access to medications through actions from the Public Defender´s Office and the Public Prosecutor's Office with expenditures exceeding $ 100 million between 2009 and 2014. Thus, despite attempts to minimize the impact generated with the creation of an interinstitutional core aiming to mitigate the effects of judicialization, it is necessary to implement health public policy for the community and evaluate the efficiency and effectiveness of existing ones. However, the underfunding and ineffective management of the Unified Health System (SUS) are highlighted as main causes that block the implementation of alternative solutions.
publishDate 2015
dc.date.none.fl_str_mv 2015-12-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
AdE
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revista.ufrr.br/adminrr/article/view/2949
10.18227/2237-8057rarr.v5i2.2949
url https://revista.ufrr.br/adminrr/article/view/2949
identifier_str_mv 10.18227/2237-8057rarr.v5i2.2949
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revista.ufrr.br/adminrr/article/view/2949/1856
dc.rights.driver.fl_str_mv Copyright (c) 2015 RARR. REVISTA DE ADMINISTRAÇÃO DE RORAIMA (UFRR)
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2015 RARR. REVISTA DE ADMINISTRAÇÃO DE RORAIMA (UFRR)
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Roraima
publisher.none.fl_str_mv Universidade Federal de Roraima
dc.source.none.fl_str_mv Journal of Management of Roraima-RARR; Vol. 5 No. 2 (2015); 300-325
Revista Administración de Roraima (RARR); Vol. 5 Núm. 2 (2015); 300-325
Revista de Administração de Roraima - RARR; v. 5 n. 2 (2015); 300-325
2237-8057
reponame:Revista de Administração de Roraima - RARR
instname:Universidade Federal de Roraima (UFRR)
instacron:UFRR
instname_str Universidade Federal de Roraima (UFRR)
instacron_str UFRR
institution UFRR
reponame_str Revista de Administração de Roraima - RARR
collection Revista de Administração de Roraima - RARR
repository.name.fl_str_mv Revista de Administração de Roraima - RARR - Universidade Federal de Roraima (UFRR)
repository.mail.fl_str_mv rarr.ufrr@gmail.com||emersonclaytonarantes@gmail.com
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