Judicialization of health during the COVID-19 pandemic in Pará state, Northern region of Brazil

Detalhes bibliográficos
Autor(a) principal: Araújo, Kellice Feitosa de
Data de Publicação: 2020
Outros Autores: Silva, Emanuele Rocha da, Nascimento, Rodolfo Gomes do, Matsumura, Erica Silva de Souza, Cunha, Katiane da Costa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/7127
Resumo: In Brazil, the right to health has constitutional universal provision. However, its incompleteness and the scarcity of structural and human resources leads people who would benefit from access to specific health services, mainly the ones in intensive care need - as currently intensified by the COVID-19 pandemic -, to appeal to judicial way to obtain access to them. The aim of this study was to problematize the relation between the insufficient number of ICU (Intensive Care Unit) beds at the current demands for them due to the COVID-19 pandemic through judicialization. The data from the Ministry of Health database were confronted with the literature on the judicialization of health within the national scope, with attention to the statistical data of Pará state’s Court of Justice. There were 14 actions aimed at guaranteeing access to the ICU beds in the period from 03/20/2020 to 05/25/2020 in Pará state. The availability of these in the state (1,718) represents 9% of the total number of beds, below the national average, both beneath the ideal determined by the World Health Organization (ideal rate of 3 to 5 ICU beds for every thousand inhabitants). In conclusion, the judicialization of health can be a sign of dysfunctions and failures in the management of the health systems, evidenced by the COVID-19 pandemic, which could lead to the possibility of scarcity of health resources in the country.
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spelling Judicialization of health during the COVID-19 pandemic in Pará state, Northern region of Brazil Judicialización de la salud durante la pandemia de COVID-19 en Pará, Norte de BrasilJudicialização da saúde durante a pandemia de COVID-19 no Pará, região Norte do Brasil Health's JudicializationCOVID-19Intensive Care Units.Judicialización de la SaludCOVID-19Unidad de Cuidados Intensivos.Judicialização da SaúdeCOVID-19Unidades de Terapia Intensiva.In Brazil, the right to health has constitutional universal provision. However, its incompleteness and the scarcity of structural and human resources leads people who would benefit from access to specific health services, mainly the ones in intensive care need - as currently intensified by the COVID-19 pandemic -, to appeal to judicial way to obtain access to them. The aim of this study was to problematize the relation between the insufficient number of ICU (Intensive Care Unit) beds at the current demands for them due to the COVID-19 pandemic through judicialization. The data from the Ministry of Health database were confronted with the literature on the judicialization of health within the national scope, with attention to the statistical data of Pará state’s Court of Justice. There were 14 actions aimed at guaranteeing access to the ICU beds in the period from 03/20/2020 to 05/25/2020 in Pará state. The availability of these in the state (1,718) represents 9% of the total number of beds, below the national average, both beneath the ideal determined by the World Health Organization (ideal rate of 3 to 5 ICU beds for every thousand inhabitants). In conclusion, the judicialization of health can be a sign of dysfunctions and failures in the management of the health systems, evidenced by the COVID-19 pandemic, which could lead to the possibility of scarcity of health resources in the country.En Brasil, el derecho a la salud tiene disposición constitucional y universal. Sin embargo, su incompletitud y escasez de recursos humanos y estructurales lleva a las personas que se beneficiarían del acceso a servicios de salud específicos, especialmente aquellos que necesitan cuidados intensivos, como lo intensifica actualmente la pandemia COVID-19, para recurrir al sistema judicial. Por tanto, el objetivo de este artículo fue problematizar la relación entre el número insuficiente de camas de UCI y las demandas actuales de las mismas en la pandemia de COVID-19 a través del sistema judicial. Los datos proporcionados por el Ministerio de Salud se compararon con la literatura sobre judicialización a nivel nacional, con atención a los datos estadísticos de la Corte de Justicia del Estado de Pará. Se realizaron 14 acciones encaminadas a garantizar el acceso a las camas de UCI en el período del 20/03/2020 al 25/05/2020 en el Estado de Pará . La disponibilidad de estos en el estado (1.718) representa el 9% del total de camas existentes, por debajo del promedio nacional, ambos por debajo de la cantidad ideal determinada por la Organización Mundial de la Salud (tasa ideal de 3 a 5 camas de UCI por cada mil habitantes). Se concluye que la judicialización de la salud puede ser signo de fallas en la gestión y disfunciones en los sistemas de salud, evidenciado por la pandemia COVID-19, lo que podría significar la posibilidad de escasez de recursos de salud en el país.No Brasil, o direito à saúde tem previsão constitucional e universal. No entanto, sua incompletude e a escassez de recursos humanos e estruturais levam as pessoas que necessitam e se beneficiariam do acesso a bens e serviços de saúde específicos, principalmente as em necessidade de cuidados intensivos - como atualmente intensificado pela pandemia COVID-19 -, a recorrer à via judicial para obtê-los. Sendo assim, o objetivo deste artigo foi problematizar a relação entre a insuficiência do número de leitos de UTI com as atuais demandas por estes na pandemia de COVID-19 por meio da via judicial. Fez-se o confronto dos dados disponibilizados pelo Ministério da Saúde com a literatura sobre a judicialização no âmbito nacional, com atenção aos dados estatísticos do Tribunal de Justiça do Estado do Pará. Houve 14 ações visando garantir acessos aos leitos de UTI no período de 20/03/2020 a 25/05/2020 no estado do Pará. A disponibilidade destes no estado (1.718) representa 9% do total dos leitos existentes, abaixo da média nacional, ambas aquém da quantidade ideal traçada pela Organização Mundial de Saúde (Taxa ideal de 3 a 5 leitos de UTI para cada mil habitantes). Conclui-se que a judicialização da saúde pode ser um sinalizador de falhas na gestão e disfunções nos sistemas de saúde, evidenciadas pela pandemia COVID-19, podendo significar possibilidade de escassez de recursos em saúde no país.Research, Society and Development2020-08-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/712710.33448/rsd-v9i9.7127Research, Society and Development; Vol. 9 No. 9; e338997127Research, Society and Development; Vol. 9 Núm. 9; e338997127Research, Society and Development; v. 9 n. 9; e3389971272525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/7127/6492Copyright (c) 2020 Kellice Feitosa de Araújo; Emanuele Rocha da Silva; Rodolfo Gomes do Nascimento; Erica Silva de Souza Matsumura; Katiane da Costa Cunhahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAraújo, Kellice Feitosa deSilva, Emanuele Rocha daNascimento, Rodolfo Gomes doMatsumura, Erica Silva de SouzaCunha, Katiane da Costa2020-09-18T01:42:11Zoai:ojs.pkp.sfu.ca:article/7127Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:29:57.842056Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Judicialization of health during the COVID-19 pandemic in Pará state, Northern region of Brazil
Judicialización de la salud durante la pandemia de COVID-19 en Pará, Norte de Brasil
Judicialização da saúde durante a pandemia de COVID-19 no Pará, região Norte do Brasil
title Judicialization of health during the COVID-19 pandemic in Pará state, Northern region of Brazil
spellingShingle Judicialization of health during the COVID-19 pandemic in Pará state, Northern region of Brazil
Araújo, Kellice Feitosa de
Health's Judicialization
COVID-19
Intensive Care Units.
Judicialización de la Salud
COVID-19
Unidad de Cuidados Intensivos.
Judicialização da Saúde
COVID-19
Unidades de Terapia Intensiva.
title_short Judicialization of health during the COVID-19 pandemic in Pará state, Northern region of Brazil
title_full Judicialization of health during the COVID-19 pandemic in Pará state, Northern region of Brazil
title_fullStr Judicialization of health during the COVID-19 pandemic in Pará state, Northern region of Brazil
title_full_unstemmed Judicialization of health during the COVID-19 pandemic in Pará state, Northern region of Brazil
title_sort Judicialization of health during the COVID-19 pandemic in Pará state, Northern region of Brazil
author Araújo, Kellice Feitosa de
author_facet Araújo, Kellice Feitosa de
Silva, Emanuele Rocha da
Nascimento, Rodolfo Gomes do
Matsumura, Erica Silva de Souza
Cunha, Katiane da Costa
author_role author
author2 Silva, Emanuele Rocha da
Nascimento, Rodolfo Gomes do
Matsumura, Erica Silva de Souza
Cunha, Katiane da Costa
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Araújo, Kellice Feitosa de
Silva, Emanuele Rocha da
Nascimento, Rodolfo Gomes do
Matsumura, Erica Silva de Souza
Cunha, Katiane da Costa
dc.subject.por.fl_str_mv Health's Judicialization
COVID-19
Intensive Care Units.
Judicialización de la Salud
COVID-19
Unidad de Cuidados Intensivos.
Judicialização da Saúde
COVID-19
Unidades de Terapia Intensiva.
topic Health's Judicialization
COVID-19
Intensive Care Units.
Judicialización de la Salud
COVID-19
Unidad de Cuidados Intensivos.
Judicialização da Saúde
COVID-19
Unidades de Terapia Intensiva.
description In Brazil, the right to health has constitutional universal provision. However, its incompleteness and the scarcity of structural and human resources leads people who would benefit from access to specific health services, mainly the ones in intensive care need - as currently intensified by the COVID-19 pandemic -, to appeal to judicial way to obtain access to them. The aim of this study was to problematize the relation between the insufficient number of ICU (Intensive Care Unit) beds at the current demands for them due to the COVID-19 pandemic through judicialization. The data from the Ministry of Health database were confronted with the literature on the judicialization of health within the national scope, with attention to the statistical data of Pará state’s Court of Justice. There were 14 actions aimed at guaranteeing access to the ICU beds in the period from 03/20/2020 to 05/25/2020 in Pará state. The availability of these in the state (1,718) represents 9% of the total number of beds, below the national average, both beneath the ideal determined by the World Health Organization (ideal rate of 3 to 5 ICU beds for every thousand inhabitants). In conclusion, the judicialization of health can be a sign of dysfunctions and failures in the management of the health systems, evidenced by the COVID-19 pandemic, which could lead to the possibility of scarcity of health resources in the country.
publishDate 2020
dc.date.none.fl_str_mv 2020-08-20
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/7127
10.33448/rsd-v9i9.7127
url https://rsdjournal.org/index.php/rsd/article/view/7127
identifier_str_mv 10.33448/rsd-v9i9.7127
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/7127/6492
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 9 No. 9; e338997127
Research, Society and Development; Vol. 9 Núm. 9; e338997127
Research, Society and Development; v. 9 n. 9; e338997127
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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