Banca de DEFESA: KELLEN CRISTINA MARQUES DE LIMA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : KELLEN CRISTINA MARQUES DE LIMA
DATE: 06/11/2023
TIME: 14:00
LOCAL: online
TITLE:

JUDICIALIZATION OF HEALTH: ANALYSIS OF JUDICIAL DEMANDS FOR NUTRITIONAL FORMULAS IN THE STATE OF RIO GRANDE DO NORTE

KEY WORDS:

Keywords: Health's Judicialization. Right to health. Judicial Decisions. Dietary Supplements. Nutritional Rights.

PAGES: 64
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

In Brazil, despite healthcare being a constitutionally recognized fundamental right and having
the largest publicly funded healthcare system, there is chronic underfunding. As a result,
healthcare litigation is used to hold the government accountable for meeting healthcare needs.
Nutrition and diet play an essential role in health, supported by the National Food and
Nutrition Policy and the 1988 Federal Constitution. However, nutritional formulas used to
treat or prevent nutrition-related issues are often unattainable due to high costs and lack of
free access through the healthcare system. This study aims to assess legal actions for the
supply of demanded nutritional formulas against the state of Rio Grande do Norte between
2017 and 2021. The study is of an exploratory descriptive nature, using a database of
individual legal cases filed against the state during the mentioned period. A descriptive
analysis of the data was carried out using Microsoft Excel version 2306. A total of 132 active
cases were identified. The majority of claimants were female (52.3%), and the pediatric
population accounted for 40.9% of the cases. Diseases of the nervous system accounted for
40.2% of the total indications for nutritional formulas. Most claimants originated from the 7th
health region of RN - Natal and the metropolitan area (42.9%). The seizure of funds was part
of 54.5% of all cases, and nutritional formulas were prescribed by nutritionists in 66.7% of
cases compared to medical prescriptions. Regarding the costs incurred through legal demands,
the accumulated total during the evaluated period was R$ 3,828,262.00, with an annual
average of R$ 765,652.50 spent. Modified and pediatric formulas represented the majority of
costs in the evaluated period, accounting for 44.6% and 44.1%, respectively. The average
time between litigation and the date of the judicial decision was 28.8 days, and the total time
from litigation to receiving care was approximately 64.8 days. The research aimed to enhance
understanding of the legal action regarding nutritional formulas in the state of RN,
considering the lack of literature on the topic. Given the significance of the issue, it is
necessary to provide technical assistance to the legal system to ensure equitable, regulated,
and uninterrupted access that meets users' needs and promotes rational use, considering that
nutritional care is essential and a matter of bioethics.

COMMITTEE MEMBERS:
Presidente - 421717 - MARIA ANGELA FERNANDES FERREIRA
Interna - ***.382.224-** - CLÁUDIA HELENA SOARES DE MORAIS FREITAS - UFPB
Externa à Instituição - YONARA MONIQUE DA COSTA OLIVEIRA - UFCG