Prioritization of strategies to approach the judicialization of health in Latin America and the Caribbean

被引:14
|
作者
Pinzon-Florez, Carlos Eduardo [1 ]
Chapman, Evelina [2 ]
Cubillos, Leonardo [3 ]
Reveiz, Ludovic [4 ]
机构
[1] Univ La Sabana, Grp Invest Salud, Chia, Colombia
[2] Org Panamer Saude, Brasilia, DF, Brazil
[3] World Bank Inst, Washington, DC USA
[4] Pan Amer Hlth Org, Dept Knowledge Management Bioeth & Res, 525 23rd St NW, Washington, DC 20037 USA
来源
REVISTA DE SAUDE PUBLICA | 2016年 / 50卷
关键词
Judicial Decisions; Jurisprudence; Patient Rights; Right to Health; Health Priorities; legislation; jurisprudence; Health Systems; RIO-DE-JANEIRO; SOCIAL PROTECTION; COURT RULINGS; SAO-PAULO; STATE; CARE; ACCESS; SYSTEM; MEDICINES; LAWSUITS;
D O I
10.1590/S1518-8787.2016050005728
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
OBJECTIVE: To describe strategies that contribute to the comprehensive approach to the judicialization of health in countries of Latin America and the Caribbean. METHODS: A search was structured to identify articles presenting strategies to approach the judicialization of health. A survey was designed, which included actors of the health system and judiciary sector. We prioritized the strategies qualified by more than the 50.0% of the participants as "very relevant". Strategies were categorized according to: governance, provision of services, human resources, information systems, financing, and medical products. RESULTS: We included 64 studies, which identified 50 strategies, related to the sub-functions and components of health systems. Of the 165 people who answered the survey, 80.0% were aged 35- 64 years. The distribution of men and women was homogeneous. Half of the respondents were from Colombia (20.0%), Uruguay (16.9%), and Argentina (12.7%). We prioritized strategies that addressed aspects of generation of useful scientific evidence for decision making according to the health needs of the population, empowerment for the society, and creating spaces for discussion of measures of inclusion or exclusion of health technologies. The executive and judiciary decision makers prioritized questions that dealt with strategies that would ensure accountability. CONCLUSIONS: The results of this study contribute to the identification of effective strategies to approach the phenomenon of judicialization of health, guaranteeing the right to health.
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页数:14
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