Métodos autocompositivos como ferramenta de acesso ao direito à saùde: análise das negociaçoes extrajudiciais de medicamentos no programa SUS mediado RN

Abstract

The SUS faces a series of challenges in guaranteeing the health care that everyone needs. Faced with these challenges, the phenomenon of health judicialization has gained prominence, becoming a challenge for the Public Health System and the judiciary. In an attempt to minimize the negative impacts of the judicialization of healthcare in the state of Rio Grande do Norte, the SUS Mediated Program was developed. The aim of this article is to analyze the results of drug negotiations carried out by SESAP in the program. Its specific objectives were to determine the profile of requests for mediation in the SUS Mediado program; to identify the relevant factors for the success of drug negotiations; to find out the reasons that contributed to the failure of negotiations and, finally, to propose directions for increasing the number of negotiations in the program. To this end, a descriptive and retrospective study was carried out, with the unit of analysis being the Technical Form filled out during the program's drug negotiation sessions. Important facts were identified that demonstrated the low negotiation rate, such as: the high number of requests for medicines not incorporated into the SUS; high demand for medicines from the basic component of pharmaceutical assistance; requests for medicines that act on the sensory system, due to the lack of information from the Ministry of Health about the availability of the medicine; cases of incompatibility with the criteria established in the PDCT and limitations of the negotiator, since his scope for resolving conflicts is the provisions of the RENAME.