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Access the Unified Health System actions and services from the perspective of judicialization

OBJECTIVE: the judicialization of health is incorporated into the daily work of health institutions in Brazil through the court orders for access. In this study, the objective was to describe the contents of the social representations of access, through judicialization, for the health professionals....

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Autores principales: Ramos, Raquel de Souza, Gomes, Antonio Marcos Tosoli, de Oliveira, Denize Cristina, Marques, Sergio Corrêa, Spindola, Thelma, Nogueira, Virginia Paiva Figueiredo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4964302/
https://www.ncbi.nlm.nih.gov/pubmed/27143542
http://dx.doi.org/10.1590/1518-8345.1012.2689
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author Ramos, Raquel de Souza
Gomes, Antonio Marcos Tosoli
de Oliveira, Denize Cristina
Marques, Sergio Corrêa
Spindola, Thelma
Nogueira, Virginia Paiva Figueiredo
author_facet Ramos, Raquel de Souza
Gomes, Antonio Marcos Tosoli
de Oliveira, Denize Cristina
Marques, Sergio Corrêa
Spindola, Thelma
Nogueira, Virginia Paiva Figueiredo
author_sort Ramos, Raquel de Souza
collection PubMed
description OBJECTIVE: the judicialization of health is incorporated into the daily work of health institutions in Brazil through the court orders for access. In this study, the objective was to describe the contents of the social representations of access, through judicialization, for the health professionals. METHOD: qualitative study based on Social Representations Theory, involving 40 professionals, at a teaching hospital and at the center for the regulation of beds and procedures in Rio de Janeiro. Forty semistructured interviews were held, to which the thematic-categorical content analysis technique was applied. RESULTS: the health professionals' attitude towards the reality the judicialization imposes is negative, but they acknowledge this resource as necessary in view of the public health crisis. Judicialization is considered a strategy to exercise citizenship that superimposes individual on collective law, increases social inequalities in access and compromises the efficacy of health policies. CONCLUSION: considering social representation as a determinant of practices, the representations that emerged can contribute to the change of the professionals' practices. Improvements in user care should be promoted, characterized as one of the main challenges to advance in universal access to health.
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spelling pubmed-49643022016-08-19 Access the Unified Health System actions and services from the perspective of judicialization Ramos, Raquel de Souza Gomes, Antonio Marcos Tosoli de Oliveira, Denize Cristina Marques, Sergio Corrêa Spindola, Thelma Nogueira, Virginia Paiva Figueiredo Rev Lat Am Enfermagem Original Articles OBJECTIVE: the judicialization of health is incorporated into the daily work of health institutions in Brazil through the court orders for access. In this study, the objective was to describe the contents of the social representations of access, through judicialization, for the health professionals. METHOD: qualitative study based on Social Representations Theory, involving 40 professionals, at a teaching hospital and at the center for the regulation of beds and procedures in Rio de Janeiro. Forty semistructured interviews were held, to which the thematic-categorical content analysis technique was applied. RESULTS: the health professionals' attitude towards the reality the judicialization imposes is negative, but they acknowledge this resource as necessary in view of the public health crisis. Judicialization is considered a strategy to exercise citizenship that superimposes individual on collective law, increases social inequalities in access and compromises the efficacy of health policies. CONCLUSION: considering social representation as a determinant of practices, the representations that emerged can contribute to the change of the professionals' practices. Improvements in user care should be promoted, characterized as one of the main challenges to advance in universal access to health. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2016-05-03 /pmc/articles/PMC4964302/ /pubmed/27143542 http://dx.doi.org/10.1590/1518-8345.1012.2689 Text en http://creativecommons.org/licenses/by/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Articles
Ramos, Raquel de Souza
Gomes, Antonio Marcos Tosoli
de Oliveira, Denize Cristina
Marques, Sergio Corrêa
Spindola, Thelma
Nogueira, Virginia Paiva Figueiredo
Access the Unified Health System actions and services from the perspective of judicialization
title Access the Unified Health System actions and services from the perspective of judicialization
title_full Access the Unified Health System actions and services from the perspective of judicialization
title_fullStr Access the Unified Health System actions and services from the perspective of judicialization
title_full_unstemmed Access the Unified Health System actions and services from the perspective of judicialization
title_short Access the Unified Health System actions and services from the perspective of judicialization
title_sort access the unified health system actions and services from the perspective of judicialization
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4964302/
https://www.ncbi.nlm.nih.gov/pubmed/27143542
http://dx.doi.org/10.1590/1518-8345.1012.2689
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