Effects of spending on the Health's Judicialization in the budgetary of the State Department of Health of the Federal District between 2013 and 2017

Abstract

Objective: To identify which are the health judicialization spending effects in the budgetary execution of the Federal District. Methodology: It is a retrospective descriptive study, using the documentary analysis technique. The database of this study are the 3,545 lawsuits moved between 2013 and 2017, against the secretary requiring access to medicines and medical procedures. Results: The amount spent was R$ 122 million reais in current value. The largest portion of resources was used to commit 607 cases (17,1%) in 207, R$ 28,2 million (23,9%). Considering the entire number of moved lawsuits, R$ 87 millions (71,8%) of the prophylactic and therapeutic support subfunction were commited. Furthermore, 2498 lawsuits related with suppy of medicines of SUS (70,5%) were commited, 372 Lawsuits (10,5%) claiming the provision of compulsory hospitalization services; 231 lawsuits requesting ortheses and protheses (7,6%) and 157 lawsuits requesting medical exam and procedures (4,4 %). Conclusion: The number of lawsuits has increased considerably. The Health's Judicialization still of being an important instrument to guarantee the rights of citizens, strengthens the iniquity and causes difficulties in the daily operation of teams that make the management of the health system. In addition, contributes and has an effect on the budgetary execution in the secretariat, especially in the pharmaceutical assistance, preventing in part the fulfillment of health services and actions laid down in the health plan in addition to make it impossible for an efficient use of resources, which has its monitoring and control committed today by the modus operandi adopted.