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透过不同视角看巴西的个人医疗保健诉讼:加强卫生技术评估与新型医疗保健治理模式

Individual Health Care Litigation in Brazil through a Different Lens: Strengthening Health Technology Assessment and New Models of Health Care Governance.

作者信息

Borges Danielle da Costa Leite

机构信息

Postdoctoral research fellow at Scuola Superiore Sant'Anna, Pisa, Italy.

出版信息

Health Hum Rights. 2018 Jun;20(1):147-162.

Abstract

This article investigates policy and bureaucracy changes provoked by individual litigation for health care rights in Brazil, especially the one regarding access to medicines, looking at the effects it produced in relation to health technology assessment (HTA) and health care governance. The article first contextualizes the social, legal, and political conditions for the development of individual litigation for health care rights in Brazil. Then it points out the changes brought about by this litigation model and discusses their potential to contribute to efficiency and fairness in the health care system by the improvement of the HTA decision-making process and health care governance.

摘要

本文探讨了巴西因个人医疗保健权利诉讼引发的政策和官僚体制变化,特别是与药品获取相关的变化,考察了其在卫生技术评估(HTA)和医疗保健治理方面产生的影响。文章首先阐述了巴西个人医疗保健权利诉讼发展的社会、法律和政治背景。接着指出了这种诉讼模式带来的变化,并讨论了其通过改进卫生技术评估决策过程和医疗保健治理,对医疗保健系统的效率和公平性做出贡献的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aff/6039743/238c7c4f2203/hhr-20-147-g001.jpg

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