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迈向拉丁美洲药品获取司法化的分类法。

Towards a taxonomy of judicialisation for access to medicines in Latin America.

机构信息

EIDUS - Universidad de Sevilla, Sevilla, Spain.

Escuela Andaluza de Salud Publica, Granada, Spain.

出版信息

Glob Public Health. 2022 Jun;17(6):912-925. doi: 10.1080/17441692.2021.1892794. Epub 2021 Mar 2.

Abstract

In Latin America, 'judicialization' for access to healthcare refers to thousands of different claims, conditions, technologies and circumstances. Its impact depends on what is 'judicialized', why, for which benefit, and at what cost to society. Since judges cannot, by themselves, reduce medical uncertainty - or price tags - their health systems are exposed to costly adjudications based solely on interpretations of right to health, or life. The result is a low-governance, inefficient system for deciding coverage. We reviewed lists of judicialised medicines in Argentina, Brazil, Chile, Colombia, Costa Rica, Mexico, and Uruguay, dividing them into types A, B and C. We propose a debate by type, and that judges, facing litigation type-C, consider mandating coverage conditional on results, as requisite for reimbursement.

摘要

在拉丁美洲,医疗保健获取方面的“司法化”是指数千种不同的诉求、条件、技术和情况。其影响取决于被“司法化”的内容、原因、受益对象以及对社会的代价。由于法官本身无法降低医疗不确定性或价格标签,他们的医疗体系会受到仅基于健康权或生命权解释的昂贵裁决的影响。其结果是覆盖范围决策的低治理、低效率系统。我们审查了阿根廷、巴西、智利、哥伦比亚、哥斯达黎加、墨西哥和乌拉圭的司法化药品清单,将它们分为 A、B 和 C 型。我们提议按类型进行辩论,面对 C 型诉讼的法官,应考虑根据结果来规定覆盖范围,作为报销的必要条件。

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