Banca de DEFESA: SEBASTIÃO CAIO DOS SANTOS DANTAS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : SEBASTIÃO CAIO DOS SANTOS DANTAS
DATA : 30/09/2018
HORA: 10:00
LOCAL: Sala F4 Setor V - CCSA/UFRN
TÍTULO:

Periculum in mora: judicialization of access to health services as an expression of the contradictions of capital in the actions of the Brazilian State.

PALAVRAS-CHAVES:

 Health Judicialization; Right to health; Social Function of Justice. Health Planning; Budget forecast;

PÁGINAS: 208
GRANDE ÁREA: Ciências Sociais Aplicadas
ÁREA: Serviço Social
SUBÁREA: Fundamentos do Serviço Social
RESUMO:

The present study adresses with the paradoxes that surrounding the phenomenon of health judicialization in Brazil, in the current context of the Unified Health System (SUS), seeking to apprehend and analyze the effects of court decisions issued in the years 2015 and 2016 by the Special Civil Court of the County of Caicó / RN, against the municipality of Caicó / RN relating the obligation to do or to give in terms of procedures or inputs in health and its impacts on the planning of services and municipal public budget. Its purpose was to map and analyze the effects of this judicialization in the scope of health planning, forecasting and budget programming based on the reality of the Municipal Health System of Caicó / RN, with the perspective of analyzing the potential of fulfilling the social function of justice to the to prosecute the right to health. From the methodological point of view, we conducted qualitative exploratory documentary research, examining legal proceedings whose object is to guarantee the realization of the right to health, filed in the Special Civil Courts of the Comarca of Caicó / RN referring to the years 2015 and 2016, whose decisions are public domain. We then analyze the Priorities defined in the Annual Plurianual Health Plans (PPA), and the corresponding Annual Health Program (PAS); Annual Budget Laws, Budgetary Guidelines Law and the Reports of the Public Health Budget Information System (SIOPS) and in the Summary Reports of Budgetary Execution of the years 2015, 2016 and 2017, in order to identify if there was a relation between the object of the sentences against the municipality and the impacts on planning and budgeting in health. Bibliographic research permeated the entire study. In this sense, it prioritized the technique of content analysis, even when we examined quantitative data. The result of the research reveals among the set of requisitions for access to consultations, exams, surgeries, supplies, procedures and services presented by SUS users in the municipality of Caicó, which have become judicial lawsuits, most of them are lawsuits related to medicines. And, of the drugs 75% (seventy five percent) are insufficiently offered drugs. These are users served by programs that require continuous use of medicines, provided for in the National Drug List (RENAME) and in the Municipal Drug List (REMUME) in force in the Municipal SUS. It is concluded that, although foreseen in the Plans and Annual Health Programming, the priorities and defined goals are not adequately dimensioned. They were underestimated. And, mainly, that the forecast in the Plans, are not accompanied by the allocation of the necessary resources for the effective implementation of the envisaged goals. Thus, when justice determines immediate care to users who represented judicially, management, who did not make adequate budget forecast spends the resource withdrawing from other actions failing to meet other patients with other demands and even with similar demand to the sentence. Even if considering the victims of judicial decisions, the repetition of the problems the following year, indicating that the management does not use the sentences as an indicator to incorporate in the PAS and LOA needs detected in order to make adequate prediction to avoid new lawsuits for the same problems.

 

MEMBROS DA BANCA:
Externo à Instituição - AIONE MARIA DA COSTA SOUSA - UERN
Interno - 1451156 - CARLA MONTEFUSCO DE OLIVEIRA
Externo à Instituição - HILDERLINE CAMARA DE OLIVEIRA - UnP
Presidente - 1149380 - MARIA DALVA HORACIO DA COSTA