Regolin Fabiana, Pepe Vera Lúcia Edais, Noronha Marina Ferreira, Martins Olga de Castro
Instituto Federal de Educação do Rio de Janeiro, Rio de Janeiro, Brasil.
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2022 May 30;38(5):e00178621. doi: 10.1590/0102-311XPT178621. eCollection 2022.
This study analyzed the court proceedings, health characteristics of the patients, and plaintiffs' characteristics in lawsuits for hip replacement surgery from public health services in the state of Rio de Janeiro, Brazil. The data employed was from the Technical Support Center for the Judiciary of the Rio de Janeiro Court of Justice (NAT-JUS) database, from January 2016 to December 2018. Data were analyzed according to tiers in the court system. There were 89 lawsuits filed for hip replacement surgery and most of them were tried in the Court of Justice of the State of Rio de Janeiro (TJRJ), with joint plaintiffs, represented by the Public Defender's Office. They had advance relief granted, and were ruled in favor of the plaintiffs, with no appeals filed. More than half of the cases were referred to NAT-JUS. The osteoarthritis group waited approximately seven months, while the emergency conditions group waited nearly two months from the date of filing to obtain the procedure. The lawsuits for hip replacement surgery showed similarities and differences in relation to other claims, object of others studies, which means that the strategies for their qualification. The study found that access to hip replacement surgery related to lawsuits in the Brazilian Unified National Health System (SUS) in the State of Rio de Janeiro is jeopardized, with the claims considered as an indicator of unmet needs.
本研究分析了巴西里约热内卢州公共卫生服务中髋关节置换手术诉讼的法庭程序、患者的健康特征以及原告的特征。所使用的数据来自里约热内卢法院司法技术支持中心(NAT-JUS)数据库,时间跨度为2016年1月至2018年12月。数据根据法院系统的层级进行分析。共有89起髋关节置换手术诉讼,其中大部分在里约热内卢州法院(TJRJ)审理,联合原告由公设辩护人办公室代理。他们获得了预先救济,并被判定有利于原告,且未提起上诉。超过一半的案件被提交给NAT-JUS。骨关节炎组从立案之日起等待约七个月,而紧急情况组等待近两个月才获得手术。髋关节置换手术诉讼与其他索赔、其他研究对象相比有异同,这意味着对其进行定性的策略。研究发现,在里约热内卢州,巴西统一国家卫生系统(SUS)中与诉讼相关的髋关节置换手术的可及性受到威胁,这些索赔被视为未满足需求的一个指标。