Banca de DEFESA: YNHANÁ LEAL DA SILVA TOREZANI

Institutional Responses to the Judicialization of Health in Brazil

Health Judicialization, Institutional Dialogue, Self-Compositional; NatJus.

The growing demand in the search for the realization of health rights has generated the phenomenon of the health judicialization, in such peculiarities that challenge the justice system and public management. In pursuit of a greater understanding about the right to health and the creation of de-judicializing coping alternatives, the actors involved in the health judicialization are building new paths shaped by the mechanism of institutional dialogue between institutions and the alternative method of conflict resolution through self-composition. This work aimeds to describe an overview of institucional responses to the health judicialization developed in Brazil. Therefore, the study focused on presenting the main strategies that have been developed to adress health judicialization in the country, with a including existing mechanisms in the State Court of Justice of Rondônia. The research had a descriptive nature, with a qualitative main approach. In the first phase the content analysis technique applied for the interpretation of systematic review data. Searches for scientific literature were carried out in the CAPES Periodicals and Google Scholar databases, resulting in the Corpus of 43 selected scientific titles. As a result, strategies to combat judicialization were identified that explored the dynamics of dialogue and interinstitutional cooperation to achieve greater effectiveness, such as the Conciliation/Mediation Chambers, the Intermunicipal Health Councils, the Technical Support Centers, the Mediated SUS Program. The second phase of the research involved the subministration of questionnaires regarding the utilization and operation of the Technical Support Centers Judiciary of Rondônia (NatJus-RO) and self-composition methods. The questionnaire was made available to the offices of the 24 (twenty-four) Districts of the State and received feedback from 20 advisors, who discussed the use and applicability of NatJus-RO. From the analysis of the responses, it was observed that the expansion and dissemination of forms of use and functionalities of NatJus-RO can generate greater access to the tool, expanding the effects of institutional responses to combat the judicialization of health in the Court of Justice of Rondônia.