Judicialization of health at the level of Brazilian treatment centers: is the allocation of public resources efficient?
Objectives: to describe the management process of judicialized drugs at the level of a tertiary hospital, evaluating their potential weaknesses and the need for interventions; 2) evaluate the sample of national scenario regarding the management of judicialized drugs, based on the aspects previously listed at the institutional level. Methods: In the institutional scenario, were analyzed the activities of provision and dispensing of these drugs, arising from 168 lawsuits, and interventions carried if there is detection of remaining vials or financial resources in the institution, through internal control spreadsheets, medical records and other institutional documents, from January 2017 to December 2018. The sample of national scenario was assessed by means of a questionnaire. Results: At the institutional level, 168 lawsuits were analyzed. The cost of medicines was US$ 5,493,361.83, and 17.3% remained in the institution as a residual of vials or financial resources related to the lawsuits of 104 patients (65.8%). A total of 116 interventions were carried out, highlighting the return to the provider source (US$ 409,701.70) and exchanges of vials to avoid loss due to expiration (US$ 140,349.24), saving public coffers US$ 853,374.04. At the national level, 80% of the centers reported the discontinuation of treatment with judicialized drugs, and all carried out actions to manage the excess of vials. Conclusion: This work demonstrated that the discontinuity or non-initiation of therapy with judicialized drugs is an important problem inherent to the judicialization of drugs in the institutional and national scenario, which generates remaining vials and/or financial resources in the institutions, contributing to the inefficient allocation of public resources.
How to Cite
Copyright (c) 2022 Authors
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The authors hereby transfer, assign, or otherwise convey to RBFHSS: (1) the right to grant permission to republish or reprint the stated material, in whole or in part, without a fee; (2) the right to print republish copies for free distribution or sale; and (3) the right to republish the stated material in any format (electronic or printed). In addition, the undersigned affirms that the article described above has not previously been published, in whole or part, is not subject to copyright or other rights except by the author(s), and has not been submitted for publication elsewhere, except as communicated in writing to RHFHSS with this document.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-NC-ND) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
This journal permits and encourages authors to post and archive the final pdf of the articles submitted to the journal on personal websites or institutional repositories after publication, while providing bibliographic details that credit its publication in this journal.