Rodríguez Anna Maria Meyer Maciel, D'Andrea Gustavo, Ventura Carla Aparecida Arena, Mishima Silvana Martins
AR: Enf. Ph.D. Ciências. Universidade de São Paulo. Ribeirão Preto-SP, Brasil.
GDA: AB. Ph.D. Ciências, Universidade de São Paulo. Ribeirão Preto-SP, Brasil.
Rev Salud Publica (Bogota). 2020 Nov 1;22(6):634-641. doi: 10.15446/rsap.V22n6.66285.
To describe and analyze the work of a Special Commission, which technically evaluates litigations in a municipality in the regional area of São Paulo, in Brazil.
Qualitative study, in which seven semi-structured interviews were carried out following the snowball technique. The discursive data was analyzed taking as reference some elements of the thematic analysis.
The members of the Special Commission interviewed, answered questions related to four pre-established thematic axes: the work experience in the judicialization, the health-disease process, the responsibility of the health system regarding the user's well-being, and the right to health. In the first axis, they shared their work routine, exposed the tools they use to issue technical opinions, and recognized the relevance of the Commission to qualify the demands, rationalize public spending and approximate the areas of Health and Law. In the second axis, they highlighted the association between several constraints and determinants to be healthy or to develop a disease. In the third, they emphasized the relevance of integral care to promote well-being and reduce worsening. In the fourth, they affirmed that the right to health is not restricted to access to health care, but to the individual and collective elements that conform people, families and communities, and that the realization of the right to health is not a unilateral process.
According to the empirical material, recognizing the different issues, perspectives, conditions and opinions related to the judicialization can help in its global comprehension and offer more just and rational possibilities for the realization of the right to health through the judicial process.
描述并分析一个特别委员会的工作，该委员会对巴西圣保罗地区某城市的诉讼进行技术评估。
定性研究，采用滚雪球技术进行了七次半结构化访谈。以主题分析的一些要素为参考，对话语数据进行了分析。
接受访谈的特别委员会成员回答了与四个预先确定的主题轴相关的问题：司法化方面的工作经验、健康-疾病过程、卫生系统对用户福祉的责任以及健康权。在第一个主题轴上，他们分享了工作日常，展示了用于发表技术意见的工具，并认识到该委员会在使需求符合要求、合理安排公共支出以及拉近卫生与法律领域之间关系方面的相关性。在第二个主题轴上，他们强调了影响健康或引发疾病的若干制约因素和决定因素之间的关联。在第三个主题轴上，他们强调了全面护理对促进福祉和减少病情恶化的相关性。在第四个主题轴上，他们确认健康权不仅限于获得医疗保健，还包括构成个人、家庭和社区的个体及集体要素，并且健康权的实现不是一个单方面的过程。
根据实证材料，认识到与司法化相关的不同问题、观点、条件和意见有助于全面理解司法化，并通过司法程序为实现健康权提供更公正、合理的可能性。
