Secretaria de Estado da Saúde, São Paulo, SP, Brazil.
Rev Saude Publica. 2010 Jun;44(3):421-8. doi: 10.1590/s0034-89102010000300005.
To assess the distribution rate of legal suits according to drug (manufacturer), prescribing physician, and attorney filing the lawsuit.
A descriptive study was carried out to assess the lawsuits in the São Paulo State (Southeastern Brazil) courts registry in 2006, and amounts spent in complying with these lawsuits, and total costs with medication thus resulting.
In 2006, the São Paulo State Administration spent 65 million Brazilian reais in compliance with court decisions to provide medication to approximately 3,600 individuals. The total cost of the medication was 1.2 billion Brazilian reais. In the period studied, 2,927 lawsuits were examined. These lawsuits were filed by 565 legal professionals, among which 549 were attorneys engaged by private individuals (97.17% of the total legal professionals). The drugs scope of the lawsuits had been prescribed by 878 different physicians. By assessing the number of lawsuits filed per attorney, it was found that 35% of them were brought before the courts by 1% of them.
The data related to the lawsuits and to the medication classified according to manufacturer, show that a small number of attorneys is responsible for the largest number of lawsuits filed to obtain these drugs. The finding that more than 70% of the lawsuits filed for certain drugs are the responsibility of one single attorney, may suggest a close connection between this professional and the manufacturer.
根据药物（制造商）、处方医生和提起诉讼的律师评估法律诉讼的分布率。
本研究为描述性研究，旨在评估 2006 年巴西圣保罗州（东南部）法院诉讼登记处的诉讼情况，以及为遵守这些诉讼而支出的款项，以及由此产生的药物总费用。
2006 年，巴西圣保罗州行政部门花费 6500 万雷亚尔来遵守法院判决，为大约 3600 人提供药物。药物总成本为 12 亿雷亚尔。在研究期间，共审查了 2927 起诉讼。这些诉讼由 565 名法律专业人员提起，其中 549 名是私人律师（占法律专业人员总数的 97.17%）。诉讼涉及的药物是由 878 名不同的医生开具的。通过评估每位律师提起的诉讼数量，发现其中 35%的诉讼是由 1%的律师提起的。
根据制造商对诉讼和药物进行分类的数据表明，少数律师负责提起了大部分获取这些药物的诉讼。对于某些药物，超过 70%的诉讼由一名律师负责，这可能表明该专业人员与制造商之间存在密切联系。
