Banca de DEFESA: EMERSON GOMES GARCIA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : EMERSON GOMES GARCIA
DATE: 23/03/2022
TIME: 14:00
LOCAL: Escola de Administração
TITLE:

Implementation of Pharmaceutical Assistance Policy and budgetary effects of the judicialization of access to medication: Bahia, 2014 to 2019.

KEY WORDS:

Public Policies. Neo-institutionalism. Implementation of Pharmaceutical Assistance. Judicialization of Medication.

PAGES: 292
BIG AREA: Ciências Sociais Aplicadas
AREA: Administração
SUMMARY:

This thesis aims to analyze the process of implementation of the National Pharmaceutical Assistance Policy (PNAF) and the judicialization of access to medication in the state of Bahia, in the period from 2014 to 2019. This is a theoretical empirical case study, qualitative in nature. The study scales the expenses with the judicialization of Pharmaceutical Assistance, questioning how, in this aspect, the judicialization of medication interferes in the process of implementation of the National Pharmaceutical Assistance Policy (PNAF) in the State of Bahia. To achieve the research objectives, bibliographic reviews were carried out on the evolution of the Health and Pharmaceutical Assistance Policy in Brazil, cycle of public policies and neo-institutionalism, historical neo-institutionalism being the main theoretical foundation. Semi-structured interviews with key participants, document analysis and research in databases of the Bahia State Health Department and the State Attorney General's Office were carried out. Qualitative data were interpreted through content analysis, supported by NVivo software. The results indicate that: a) the judicialization of medication is increasing, and there was an increase in these expenses in the order of 73% in the analyzed period (2014 to 2019), showing that there is a need for changes in the implementation of the Pharmaceutical Assistance Policy; b) the judicialization of medication stems from institutional, legal, economic, social, corporate and organizational reasons. c) organizational isomorphism is found between the groups that make up the Judiciary Branch, who understand judicialization as a strategy for implementing the Pharmaceutical Assistance Policy, and among the groups that make up the Executive Branch, who defend measurement as a strategy for the implementation of this policy; d) the main actors that interfere in the implementation of the Pharmaceutical Assistance Policy, such as doctors, lawyers, media, health secretaries, users and the pharmaceutical industry e) Although the judicialization of medication is a problem for public management, the Pharmaceutical Assistance Policy was not properly discussed in the meetings of the Bipartite Intermanager Commission. The reduction of the judicialization of access to medication demands management capacity, mediation between the Judiciary and Executive Branches and regulatory bodies, instances of social participation and control, in addition to the organization of information, investment in the training of professionals and fast and specific interventions. It is hoped that the results of this thesis can contribute to increase theoretical knowledge about the implementation of Pharmaceutical Assistance Policy, considering the multiplicity of actors and agencies, and the need for coordination. From an empirical point of view, it is suggested that the prioritization of this policy can identify solutions that involve different spheres of governments, the National Council of Justice, the Judiciary, and civil society in the search for a consensus and the construction of management instruments capable of supporting decision-making, as well as, the introduction of improvements to reduce the effects of expenses with the judicialization of access to medication in the state of Bahia.

BANKING MEMBERS:
Externo à Instituição - RAQUEL APARECIDA MARRA DA MADEIRA FREITAS - UCG
Interna - 486.569.091-34 - EDSAURA MARIA PEREIRA - UFG
Interno - 063.966.155-68 - REGINALDO SOUZA SANTOS - UFBA
Externo ao Programa - 2663031 - RICARDO COUTINHO MELLO
Presidente - 287735 - VERA LUCIA PEIXOTO SANTOS MENDES