Banca de DEFESA: SÉRGIO MUNIZ NEVES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : SÉRGIO MUNIZ NEVES
DATE: 30/12/2024
TIME: 08:00
LOCAL: S ala do Aplicativo Google Meet
TITLE:

The Mediated SUS Project of the Public Defender's Office of the State of Rondonia

KEY WORDS:

SUS Mediado; right to health; health judicialization; conflict mediation; Public Defender's Office.

PAGES: 105
BIG AREA: Outra
AREA: Multidisciplinar
SUMMARY:

This work analyzes the effectiveness of the SUS Mediado project of the Public Defender's Office of the State of Rondonia as a strategy to ensure the fundamental right to health and reduce judicialization in the healthcare sector. Established in 2016 by Resolution 42/2016/CSDPE, the project promotes the mediation of administrative health conflicts, aiming to avoid judicialization whenever possible, provided that no harm is caused to the service user. The effectiveness of the SUS Mediado project can be observed through the reduction in the percentage of judicialized cases, as well as the increase in the total number of services provided, which indicates greater legitimacy and trust from the population of Porto Velho in SUS Mediado services. The reduction in the average duration of administrative processes also serves as an indicator of the project's effectiveness. Using a quantitative methodological approach, documentary data were analyzed from the Advanced Solution in Referral Service System (SOLAR) and the Electronic Information System (SEI) between 2020 and 2023. The data include annual total service numbers, services categorized by requested medical specialty, total and percentage rates of administrative resolution of user requests within the SUS Mediado project, and the average duration of administrative processes. The results demonstrate significant growth in the number of services provided and a proportional reduction in judicialization. Despite this progress, challenges remain in administrative resolution and interinstitutional integration. It is concluded that SUS Mediado holds great potential for improvement, and two strategies are recommended. The first involves issuing a resolution by the Public Defender's superior administration to redefine the roles of the Health Assistance Unit (NAS) and SUS Mediado, expanding their scope to municipalities in the state’s interior and aligning their operations with the Health Dispute Resolution Chamber (CRLS) model implemented in the state of Rio de Janeiro. The second strategy suggests the signing of an addendum to the cooperation agreement establishing SUS Mediado, involving all agencies and institutions that participated in the previous agreement, allowing municipalities in the interior to join and implement the SUS Mediado project locally. These measures aim to strengthen cooperation among the involved entities and enhance mediation efficacy. This research contributes to the debate on equitable access to public healthcare and the mitigation of the impacts of judicialization.

COMMITTEE MEMBERS:
Presidente - 396810 - OSMAR SIENA
Interna - 1718398 - THAIS BERNARDES MAGANHINI
Externo ao Programa - 1546037 - CARLOS ANDRE DA SILVA MULLER - UNIR