Analysis of medicines provided by court order in a children’s hospital in rio de janeiro, brazil
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Universidade Federal do Rio de Janeiro
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A933
Background and objective:
The Brazilian Federal Constitution confers on health the status of a fundamental right of the citizen and duty to the State, marking an advance in the field of Public Health in the country and taking the first steps towards the creation of the Unified Health System (SUS). However, it’s in the interpretative divergences about how SUS managers must comply with the duties established in the laws that the judicial demand against public entities arises. The phenomenon of judicialization of health can be defined as the search for the Judiciary to ensure access to medicines and other health benefits not foreseen or unavailable in SUS. The analysis of the effects of this judicial demand on the hospital environment is still understudied. The objective of this work is to analyze the medications resulting from court warrants administered by the Institute of Pediatrics Martagão Gesteira, a university hospital in Rio de Janeiro, from May 2021 to May 2022.

This is a retrospective cross-sectional descriptive study carried out in the form of documentary research using as data sources the documents available in the hospital about the drugs administered in the period studied.

Five drugs provided by court order were found, where flow analysis pointed to challenges for responsible health professionals and the need for specific knowledge. The analysis of the characteristics related to the drugs pointed to failures of management of high-cost drugs available in SUS, motivating the lawsuits. All drugs found are used for treatment of rare diseases, evidencing the scarcity of medicines destined for these diseases.

The research allowed the discussion about judicialized drugs and the particularities of the pediatric hospital environment. Furthermore, the research showed the need for education of health professionals responsible for these drugs and the demand for health public policies.

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