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Sustainable Development Goals
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PUBLIC SECTOR IMPLEMENTATION STRATEGIES TO APPROACH THE JUDICIALIZATION OF HEALTH CARE: A SYSTEMATIC REVIEW PROTOCOL
Organization and administration
Public health
Lawsuits and litigation
Justice administration system
Delivery of health care
Health systems
Organização e Administração
Saúde Pública
Jurisprudência
Sistema de Justiça
Atenção à Saúde
Sistemas de Saúde
Author
Affilliation
University of Sorocaba. Graduate Course in Pharmaceutical Sciences. Sorocaba, SP, Brazil.
Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.
University of Sorocaba. Graduate Course in Pharmaceutical Sciences. Sorocaba, SP, Brazil.
Federal University of Rio de Janeiro. Macae, RJ, Brazil.
University of Sorocaba. Graduate Course in Pharmaceutical Sciences. Sorocaba, SP, Brazil.
Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.
University of Sorocaba. Graduate Course in Pharmaceutical Sciences. Sorocaba, SP, Brazil.
Federal University of Rio de Janeiro. Macae, RJ, Brazil.
University of Sorocaba. Graduate Course in Pharmaceutical Sciences. Sorocaba, SP, Brazil.
Abstract
Background: The judicialization of health care can be understood as a societal response to pressing healthcare
needs, which probably are not being adequately addressed by the current healthcare system. This phenomenon
increases the strain on service resources, both in the health sector and in the judiciary system as well, demanding an
institutional reorganization to manage judicial actions. It is believed that each institution has developed strategies for
coping with the problem in isolation and with little public disclosure. The purpose of this review will be to identify
institutional strategies implemented and to investigate their effects in approaching the judicialization of health care.
Methods: Electronic searches will be conducted up to December 2021 on 11 databases, supplemented with gray lit‑
erature and references lists of secondary studies. The descriptor “judicialization of health” will be the basis for conduct‑
ing the main research. Studies describing any strategy implemented by public institutions to approach the judicializa‑
tion of health care will be included. Results related to the quality of services provided by the implemented strategy
reported in the studies and those that report accessibility, usability, and potential adverse effects or harms caused by
the implemented strategy will be investigated. In addition, it will be explored if there have been changes related to
the value or characteristics of health litigation. Two reviewers will independently screen all citations, abstract data, and
full‑text papers. The risk of bias in each study will be appraised using a tool suggested by Cochrane Effective Practice
and Care Organization Group (EPOC). Subsequently, the reviewers will also extract the data of interest and classify
the findings of these studies according to their performance at the institutional level. The results obtained will be
described as a narrative synthesis.
Discussion: This review may provide evidence on the effects of the strategies implemented to approach the judi‑
cialization of health care. It will potentially benefit health care and legal professionals, decision‑makers, and research‑
ers by identifying the types and characteristics of strategies that have the potential to improve service delivery in the
future.
Keywords
Judicialization of health careOrganization and administration
Public health
Lawsuits and litigation
Justice administration system
Delivery of health care
Health systems
DeCS
Judicialização da SaúdeOrganização e Administração
Saúde Pública
Jurisprudência
Sistema de Justiça
Atenção à Saúde
Sistemas de Saúde
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