Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-11-22T20:29:38Z No. of bitstreams: 1 MarciaFernandaSilvaMacedoGalvao_TESE.pdf: 2387988 bytes, checksum: 94065c70d94109887e9ec4fd433ef435 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-11-23T21:46:27Z (GMT) No. of bitstreams: 1 MarciaFernandaSilvaMacedoGalvao_TESE.pdf: 2387988 bytes, checksum: 94065c70d94109887e9ec4fd433ef435 (MD5) / Made available in DSpace on 2017-11-23T21:46:27Z (GMT). No. of bitstreams: 1 MarciaFernandaSilvaMacedoGalvao_TESE.pdf: 2387988 bytes, checksum: 94065c70d94109887e9ec4fd433ef435 (MD5) Previous issue date: 2017-09-01 / A judicializa??o das pol?ticas p?blicas de sa?de ? um fen?meno contempor?neo e crescente na realidade brasileira, tendo a potencialidade de gerar impactos na gest?o p?blica, seja de forma positiva ou negativa. Nesse sentido, a presente tese buscou compreender as causas da judicializa??o e suas consequ?ncias para a gest?o p?blica na implementa??o da pol?tica de oncologia no Rio Grande do Norte. Para tanto, incorporou-se os objetivos e categorias anal?ticas da tese (falhas, causas, consequ?ncias, alternativas e evid?ncias) ao ciclo judicializado de pol?ticas p?blicas de Barreiro e Furtado (2015), adaptando-o de modo a analisar uma pol?tica p?blica federal e que tivesse a sua implementa??o regida pelo modelo top down, e fosse analisada pelas vertentes: disposi??o dos servi?os, hierarquia, comunica??o e estrutura federativa (modelo de Edwards). Dando sequ?ncias as defini??es da tese, foi escolhida a metodologia de estudo de caso, tendo como unidade anal?tica o Rio Grande do Norte, como fonte de dados: a) decis?es judiciais proferidas em segunda inst?ncia pelo Tribunal de Justi?a do Rio Grande do Norte e pelo Tribunal Regional Federal 5? regi?o, em uma an?lise hist?rica a partir de 2007 at? 2016, b) documentos de gest?o: plano estadual de sa?de, plano plurianual, plano estadual de oncologia, relat?rio anuais de gest?o e c) entrevistas a profissionais vinculados a gest?o e a execu??o da pol?tica oncol?gica no Rio Grande do Norte. Os dados foram ent?o analisados por meio da an?lise de conte?do de Bardin (2011). Os resultados revelaram que as principais causas da judicializa??o de medicamentos oncol?gicos no RN envolvem: restri??es or?ament?rias e financeiras, exist?ncia dos vazios assistenciais, inconsist?ncia com os prestadores de servi?os oncol?gicos, falta de atualiza??o dos protocolos cl?nicos envolvendo medicamentos oncol?gicos, dificuldades no diagn?stico do c?ncer e no acesso dos pacientes aos servi?os do SUS. Os medicamentos mais demandados judicialmente (2007-2016) foram: trastuzumabe, rituximabe, temozolamida, sunitinibe, bevacizumabe, bortezomide, sorafenibe e cetuximabe, sendo o c?ncer de mama e o linfoma n?o hodgkin os mais prevalentes nas decis?es. Evidenciou-se que para a gest?o p?blica, os efeitos s?o primordialmente negativos e focados no desajuste or?ament?rio e financeiro e no preju?zo na presta??o dos servi?os para a coletividade. Contudo, a presente tese, aponta alternativas poss?veis de serem aplicadas pelos entes federativos, tanto a curto prazo quanto a longo prazo, que s?o capazes de mitigar os poss?veis danos para o servi?o p?blico de sa?de, requerendo empenho de todos os envolvidos em prol do bem maior: a assist?ncia oncol?gica p?blica sendo prestada com excel?ncia e abrang?ncia, para todos que necessitam de tratamentos para o c?ncer no estado do Rio Grande do Norte. Com isso, a presente tese, subsidia a gest?o p?blica, a medida que analisa conjuntamente causas, efeitos e alternativas envolvendo a judicializa??o e a oncologia no RN, permitindo que sejam tra?adas estrat?gias para concomitantemente diminuir os efeitos negativos da judicializa??o, ampliar a capacidade de debate envolvendo os efeitos positivos e com isso expandir a implementa??o da pol?tica oncol?gica em todo estado. / The judicialization of public health policies is a contemporary and growing phenomenon in the Brazilian reality, with the potential to generate impacts on public management, whether positive or negative. In this sense, the present thesis sought to understand the causes of the judicialization and its consequences for the public management in the implementation of the policy of oncology in Rio Grande do Norte. For this purpose, the objectives and analytical categories of the thesis (failures, causes, consequences, alternatives and evidences) were incorporated into the judiciary cycle of public policies of Barreiro and Furtado (2015), adapting it in order to analyze a federal public policy and Which had its implementation governed by the top down model, and was analyzed by the following aspects: service provision, hierarchy, communication and hierarchical structure (Edwards? model). Following the definitions of the thesis, the methodology of case study was chosen, having as analytical unit the state of Rio Grande do Norte, and as data source: a) judicial decisions rendered in second instance by the Court of Justice of Rio Grande do Norte and by the 5th region Federal Regional Court, in a historical analysis from 2007 to 2016, b) management documents: state health plan, multiannual plan, state oncology plan, annual management reports and c) interviews with management professionals and Implementation of cancer policy in Rio Grande do Norte. The data were then analyzed through the content analysis of Bardin (2011). The results showed that the main causes of cancer drug treatment in the newborns include: budgetary and financial constraints, existence of care gaps, inconsistency with providers of cancer services, lack of updating of clinical protocols involving cancer drugs, difficulties in diagnosing cancer and In the patients' access to SUS services. The drugs most demanded judicially (2007-2016) were: trastuzumab, rituximab, temozolamide, sunitinib, bevacizumab, bortezomide, sorafenib and cetuximab, with breast cancer and non-hodgkin lymphoma being the most prevalent in decisions. It has been shown that, for public management, the effects are primarily negative and focused on budget and financial mismatch and the loss in the provision of services to the community. Nevertheless, this thesis points out possible alternatives to be applied by federative entities, both in the short term and in the long term, that are able to mitigate the possible damages to the public health service, requiring the commitment of all those involved in favor of the greater good: public cancer care being provided with excellence and comprehensiveness for all who need cancer treatments in the state of Rio Grande do Norte. Thus, the present thesis subsidizes public management, as it analyzes jointly the causes, effects and alternatives involving the judicialization and oncology in the NN, allowing strategies to be drawn up simultaneously to reduce the negative effects of the judicialization, to increase the capacity for debate Involving the positive effects and, therefore expanding the implementation of cancer policy throughout the state.

Made available in DSpace on 2014-12-17T14:27:23Z (GMT). No. of bitstreams: 1 ClaudiaCQ_TESE.pdf: 1124968 bytes, checksum: 3830a175adfc8d531295c65a668eaa49 (MD5) Previous issue date: 2013-03-18 / Universidade Estadual do Rio Grande do Norte / In Brazil, the 1946 Constitution enshrined the right to health, having it defined as the possession of the best state of health that the individual can achieve. Already the Federal Constitution of 1988 lifted that right to the status of fundamental social right, which transcends the effectiveness and cure of the disease is based on the joint liability of public entities for the provision of a quality service, efficient and prioritize human dignity and comprehensive evaluation of patients. According to the World Health Organization, the definition of health, first characterized as the mere absence of disease, has become recognized as the need to search for preventive mechanisms to ensure the welfare and dignity of the population. Garantista this context, the growing seem lawsuits that deal with the implementation of public policies, especially in the area of the right to health, the omission of which the Government can result in the risk of death. Hence the concern of law professionals about whether or not the intervention of the judiciary in cases that deal with providing material benefits of health care. It claims to break the principle of separation of powers, disobedience to the principle of equality and the impossibility of judicial intervention in the formulation of public policy to try and exclude the liability of public entities. In contrast, the judiciary has repeatedly guardianships granted injunctions or merit determining the supply of materials indicated by the medical benefits that accompany the treatment of patients who resort to a remedy. In this context, mediation, object of study and resolution presented in this work, is presented as an instrument conciliator between the reserve clause and the right to financially possible existential minimum, as it seeks to serve all through rationalization of health services , avoidance of negativistic influence of the pharmaceutical industry, with prioritizing the welfare of the individual and the quality of relationships. This is alternative way to judicialization that in addition to encouraging and developing active citizen participation in public policy formulation also allows the manager to public knowledge of community needs. It is in this sense that affirms and defends the right to health is no longer the mere provision of medical care and prescription drugs, but a dialogue conscious existential minimum to guarantee a dignified life / No Brasil, a Constitui??o de 1946 consagrou direito ? sa?de, tendo-a definido como a posse do melhor estado de sa?de que o indiv?duo possa atingir. J? a Constitui??o da Rep?blica Federativa de 1988 al?ou o referido direito ao status de direito social fundamental, cuja efetividade transcende ? cura da mol?stia e funda-se na responsabilidade solid?ria dos entes p?blicos para a presta??o de um servi?o de qualidade, eficiente e que priorize a dignidade da pessoa humana e o acompanhamento integral do paciente. De acordo com a Organiza??o Mundial da Sa?de, a defini??o de sa?de, antes caracterizada como a mera aus?ncia de doen?as, passou a ser reconhecida como a necessidade de busca por mecanismos preventivos que assegurem o bem-estar e a dignidade da popula??o. Neste contexto garantista, crescente se afiguram as demandas judiciais que versam sobre a execu??o de pol?ticas p?blicas, notadamente na ?rea do direito ? sa?de, cuja omiss?o do Poder P?blico pode ocasionar risco de morte. Da? a preocupa??o dos operadores do direito sobre a possibilidade ou n?o de interven??o do Poder Judici?rio nos lit?gios que tratam do fornecimento de presta??es materiais de assist?ncia ? sa?de. Sustenta-se a quebra do princ?pio da separa??o dos poderes, a desobedi?ncia ao princ?pio da isonomia e a impossibilidade de interven??o judicial no processo de formula??o das pol?ticas p?blicas para tentar afastar a responsabilidade dos entes p?blicos. Em contrapartida, o Judici?rio tem, reiteradamente, concedido tutelas liminares ou de m?rito determinando o fornecimento das presta??es materiais indicadas pelos m?dicos que acompanham o tratamento dos pacientes que recorrem ? tutela jurisdicional. Neste contexto, a media??o, objeto de estudo e de resolu??o apresentado neste trabalho, se apresenta como um instrumento conciliador entre a cl?usula da reserva do financeiramente poss?vel e o direito ao m?nimo existencial, na medida em que busca atender a todos mediante racionaliza??o das presta??es de sa?de, coibi??o da influ?ncia negativista da ind?stria farmac?utica, com a prioriza??o do bem-estar do indiv?duo e a qualidade das rela??es. Trata-se de meio alternativo ? judicializa??o que, al?m de estimular e desenvolver a participa??o ativa do cidad?o na formula??o de pol?ticas p?blicas, tamb?m possibilita ao gestor p?blico o conhecimento das necessidades da comunidade. ? neste sentido que se afirma e se defende que o direito ? sa?de deixou de ser a mera presta??o de assist?ncia m?dica e de prescri??o de medicamentos, mas um di?logo consciente do m?nimo existencial para a garantia de uma vida digna

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-03-12T18:01:25Z No. of bitstreams: 1 TicianaMariaDelgadoNobre_DISSERT.pdf: 937346 bytes, checksum: bd1e384e63c2af663aff8d7e0184f4bf (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-03-15T20:04:52Z (GMT) No. of bitstreams: 1 TicianaMariaDelgadoNobre_DISSERT.pdf: 937346 bytes, checksum: bd1e384e63c2af663aff8d7e0184f4bf (MD5) / Made available in DSpace on 2018-03-15T20:04:52Z (GMT). No. of bitstreams: 1 TicianaMariaDelgadoNobre_DISSERT.pdf: 937346 bytes, checksum: bd1e384e63c2af663aff8d7e0184f4bf (MD5) Previous issue date: 2016-08-26 / Partindo-se da compreens?o sobre o surgimento dos direitos fundamentais como sendo o resultado da constante busca da sociedade para se firmar perante o Estado, este trabalho pontua a constitucionaliza??o dos direitos sociais e, em especial, do direito social ? sa?de, como o apogeu dessa perspectiva hist?rica e que veio a refletir a necessidade efetiva de se preservar, nas sociedades atuais, a dignidade da pessoa humana. Tendo por fundamento essa constata??o filos?fica e ainda a afirma??o de inefetividade pragm?tica do alcance pleno dos direitos fundamentais sociais pela humanidade, busca-se empreender uma an?lise sobre a atua??o das institui??es do Estado no objetivo de fazer valer o direito ? sa?de e, em especial, com rela??o ao exerc?cio da atividade jurisdicional no sentido de dar efetividade ?s normas constitucionais destinadas a concretiz?-lo. Por isso, reconhecendo a realidade social da aplica??o do direito ? sa?de inserida numa inefetividade constitucional que ? reflexo do descompasso entre as quest?es sociais e as interven??es estatais necess?rias a resolv?-los e ainda, tendo em considera??o a enuncia??o aberta dos preceitos constitucionais que, a mais das vezes, conduzem a interpreta??es judiciais totalmente dissociadas da realidade f?tica subjacente, analisa-se a atua??o do Poder Judici?rio sob a perspectiva da (in)efetividade de suas decis?es, a partir da considera??o de que, a prevalecer o atual contexto jurisdicional, perpetuar-se-? um constitucionalismo que n?o conseguir? estabilizar suas expectativas normativas. ? dessa forma que, com base nos fundamentos constitucionais da solidariedade e justi?a social, prop?e-se o incremento de um atuar mais dial?gico da jurisdi??o, seja no exerc?cio de sua compet?ncia decis?ria, exercendo a hermen?utica constitucional de suas decis?es a partir de uma dimens?o concretizadora, sobrelevando-se a compatibiliza??o da pr?compreens?o normativa com a realidade e complexidade social, seja quando tamb?m estiver a jurisdi??o a exercer a interlocu??o com os demais poderes e ?rg?os do Estado, no sentido de, partindo do diagn?stico de demandas que lhe ? auferido pela judicializa??o, conseguir articular par?metros e padr?es decis?rios de comandos exequ?veis na realidade f?tica, contribuindo, assim, efetivamente, para a concretiza??o do direito ? sa?de no Brasil. / Starting from the understanding of the emergence of fundamental rights as the result of the constant pursuit of society to establish itself before the State, this paper points out constitutionalization of social rights, particularly the social right to health, as the apogee of this historical perspective which reflected the actual need to preserve the dignity of human beings in contemporary societies. Based on that philosophical observation and the affirmation of pragmatic ineffectiveness of the full achievement of human?s fundamental social rights, it seeks to analyze the State?s institutions performances in order to assert the right to health and, particularly the exercise of judicial activity in order to give effect to the constitutional rules to achieve it. Thus, recognizing the social reality of the implementation of the right to health inserted in a constitutional ineffectiveness that reflects the gap between social issues and state interventions needed to solve them and also taking into account the open statement of the constitutional principles that, most often, lead to totally disassociated judicial interpretations of the underlying factual reality, we analyze the performance of the judiciary from the perspective of the (in)effectiveness of its decisions, considering that if the current judicial context is to predominate, a sort of constitutionalism that cannot stabilize its normative expectations will be perpetuated. This is how, based on the constitutional foundations of solidarity and social justice, the increasing of a more dialogic action of jurisdiction is proposed, both through the exercise of its decision-making power and the exercising of the constitutional hermeneutics of its decisions from a prolific dimension, valuing the compatibilization of the normative pre-understanding with reality and social complexity, both when the jurisdiction is engaging in dialogue with the other powers and organs of the State, in order to, based on the diagnosis of the demand which is earned by legalization, to be able to articulate parameters and decision-making patterns achievable commands in objective reality, thus contributing effectively to the realization of the right to health in Brazil.

Made available in DSpace on 2016-04-28T20:13:00Z (GMT). No. of bitstreams: 1 2009 - Francine Damasceno Pinheiro.pdf: 614855 bytes, checksum: 3c702d20030d8dbd74dc30d19c4b566f (MD5) Previous issue date: 2009-03-13 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Access to the Judiciary Power by a substantial portion of the population has transformed that space into a new arena of contention, which can contribute to the expansion of democratic ideals. The choice of this arena is based upon the perceived ability to reclaim what is Fair against the letter of the Law. We join this debate through an analysis of the workings of the Judiciary Power in the implementation of Agrarian Reform, particularly with respect to the judicial conflicts surrounding the settlements of Novo Horizonte and Oziel Alves I. This work aims at the following goals: to evaluate how far the legal advances foreseen in the 1988 Constitution influenced the heightening of the local land conflicts, as well the acquisition and distribution of the land by INCRA; to explain the role of the diverse actors involved in the process of Agrarian Reform and the Judiciary Power s perception of such actors; to establish the relation between the debates over the judicialization of politics and the judicial practices regarding Agrarian Reform; to reflect upon the role of the Judiciary Power within the structure of the Brazilian State and how it can be used as an instrument for the social advancement of the working class. Our intention is to analyze such issues within the proceedings of the law suits selected for fieldwork, following Carlo Ginsburg s indicial method for the analysis of court proceedings and their content. We thus seek to examine the evidence, the signs, and decipher the social structure hidden by the economic structure of the region in question. Our hypothesis is that the judicialization of politics, particularly in the case of Agrarian Reform, has not facilitated the application of public policy. In fact it has made it more difficult for the settlement of the families, due to the emphasis on private property of the judicial interpretations, which were not able to incorporate the concept of the social function of property nor the achievement of fundamental rights through Agrarian Reform. / A possibilidade de acesso ao Judici?rio por parte de uma quantidade expressiva da popula??o vem transformando este espa?o em uma nova arena de disputa capaz de contribuir com a expans?o dos ideais democr?ticos. A escolha desta arena sustenta-se na percep??o de poder reivindicar o Justo contra Lei. Propomos a inser??o neste debate analisando a atua??o do Poder Judici?rio na efetiva??o da Reforma Agr?ria, a partir dos conflitos judiciais decorrentes da realiza??o dos assentamentos Novo Horizonte e Oziel Alves I. Dessa forma, s?o objetivos avaliar em que medida as conquistas legais previstas na Constitui??o de 1988 influenciaram no acirramento dos conflitos fundi?rios locais, bem como na aquisi??o e distribui??o de terras por parte do INCRA; explicar a atua??o dos diversos atores envolvidos na realiza??o da Reforma Agr?ria e a percep??o que tem no Poder Judici?rio sobre os mesmos; estabelecer rela??es entre o debate sobre a judicializa??o da pol?tica e as pr?ticas jur?dicas no que tange a Reforma Agr?ria; refletir sobre o papel do Poder Judici?rio dentro da estrutura do Estado brasileiro e de como ele pode ser utilizado como instrumento de efetiva??o de conquistas sociais da classe trabalhadora. Nossa pretens?o ? analisar essas pondera??es no universo dos processos indicados para o trabalho de campo, utilizando o m?todo indici?rio, proposto por Carlo Ginzburg para a an?lise das pe?as processuais e de seus conte?dos, a fim de que possamos perceber os ind?cios, os sinais e decifrar a estrutura social oculta pela estrutura econ?mica da regi?o. Nossa hip?tese ? que a judicializa??o da pol?tica e no caso da Reforma Agr?ria, n?o vem facilitando a aplica??o dessa pol?tica p?blica e sim dificultando o assentamento das fam?lias, em raz?o do car?ter privatista das interpreta??es judiciais, que n?o conseguiram absorver os conceitos da fun??o social da propriedade e da efetiva??o dos direitos fundamentais a partir da Reforma Agr?ria.

Made available in DSpace on 2014-12-17T15:46:23Z (GMT). No. of bitstreams: 1 ManuelaMP_DISSERT.pdf: 2054299 bytes, checksum: 9162f4e25615b1e5d6c36142e6921984 (MD5) Previous issue date: 2011-05-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The health worker is seized in this research beyond the mere applicability of legal devices concerning the legislation of Labor, in order to be established correlations with activities alluding to the public power in the ambit of State of Rio Grande do Norte (RN). This dissertation is an cutting of analysis circumscribed in the research, "Accidents at work: law, citizenship and justice," of the Grupo de Estudos Seguridade Social e Trabalho (GESTO) of Universidade Federal do Rio Grande do Norte (UFRN). The overall goal turned to apprehend and relate contradictory elements inherent compliance of Occupational Health and Safety (OHS) in the supermarket which showed the highest occurrence of legal violations recognized by the Labor Justice of RN in the period between 2006 and 2008 . The specific objectives turned to identify, from the condemnatory sentences, violations inherent in the protective direction of the OH & S legislation; analyze the relationship of health damages to workers at the supposed recognition of rights claimed in condemnatory sentences and correlate violations inherent in the legislation OSH impacts on the health of workers, from data contained in expert reports. The justification for perform the research backed up, among other factors, in the fact that class of activity has been presented as the most recurrent in condemnatory sentences, since it chose to focus the analysis on documentary evidence from the supermarket which showed greater expression in relation to violations of the OSH legislation. From a qualitative perspective, the methodological approach was based on content analysis of thirteen condemnatory sentences, handed down by the potiguar labor justice, and three expert reports from a large supermarket in the city of Natal/RN. Aftermaths are evidenced relating to the cyclical processes of reorganization of capital, demanding requirements for labor organizations whose strategies for survival include identifying mechanisms to extract as much of the work force. Structural determination and ideological context that puts into question the historical achievements of workers, for example the legal devices aimed at preventing workplace accidents, expressed in this research as relativized, showing limitations of reach, as was inferred the indemnities, by material and moral damages, arising from Work-Related Musculoskeletal Diseases (MSDs'S), recognized by the laborite judiciary / A sa?de do trabalhador ? apreendida, nesta pesquisa, para al?m da mera aplicabilidade dos dispositivos legais concernentes ? legisla??o do Trabalho, de forma a serem estabelecidas correla??es com atividades alusivas ao poder p?blico, no ?mbito do Estado do Rio Grande do Norte (RN). Esta disserta??o constitui um recorte de an?lise circunscrito na pesquisa, Acidentes do trabalho: direito, cidadania e justi?a , do Grupo de Estudos Seguridade Social e Trabalho (GESTO) da Universidade Federal do Rio Grande do Norte (UFRN). O objetivo geral voltou-se a apreender e relacionar elementos contradit?rios inerentes ao cumprimento da legisla??o de Sa?de e Seguran?a do Trabalho (SST) no supermercado que apresentou a maior ocorr?ncia de viola??es legais reconhecidas pela Justi?a do Trabalho do RN no per?odo compreendido entre 2006 e 2008. Os objetivos espec?ficos voltaram-se a identificar, a partir das senten?as condenat?rias, viola??es inerentes ao direcionamento protetivo da legisla??o de SST; analisar a rela??o dos danos ? sa?de dos trabalhadores com o suposto reconhecimento de direitos aludidos nas senten?as condenat?rias e correlacionar infra??es inerentes ? legisla??o de SST aos impactos sobre a sa?de dos trabalhadores, a partir de dados constantes em laudos periciais. A justificativa para a realiza??o da pesquisa respaldou-se no fato desse ramo de atividade ter-se apresentado como o mais recorrente em senten?as condenat?rias, diante do que se optou por centrar a an?lise nos dados documentais do supermercado que evidenciou maior expressividade no tocante a viola??es ? legisla??o de SST. Sob uma perspectiva qualitativa, o percurso metodol?gico baseou-se na an?lise de conte?do de treze senten?as condenat?rias, prolatadas pela justi?a do trabalho potiguar, e de tr?s laudos periciais de um supermercado de grande porte da cidade de Natal/RN. Ficaram evidenciados rebatimentos atinentes aos c?clicos processos de reorganiza??o do capital, o que demanda exig?ncias ?s organiza??es do trabalho cujas estrat?gias para sobreviv?ncia englobam identificar mecanismos de extrair o m?ximo poss?vel da for?a de trabalho. As determina??es estruturais e ideol?gicas desse contexto p?em em xeque conquistas hist?ricas dos trabalhadores, a exemplo dos dispositivos legais voltados a prevenir acidentes do trabalho, expressos nesta pesquisa como relativizados, evidenciando limita??es do alcance, como foram depreendidas as indeniza??es, por danos material e moral, decorrentes de Doen?as Osteomusculares Relacionadas ao Trabalho (DORT?S), reconhecidas junto ao judici?rio trabalhista

Submitted by Jadson Francisco de Jesus SILVA (jadson@uefs.br) on 2018-01-26T22:13:09Z No. of bitstreams: 1 DISSERTA??O de Diego Bruno de Souza Pires - Mestrado em EDUCA??O - UEFS.pdf: 1389424 bytes, checksum: 422a49b848bb4125c5c8f71f3b3e05b0 (MD5) / Made available in DSpace on 2018-01-26T22:13:09Z (GMT). No. of bitstreams: 1 DISSERTA??O de Diego Bruno de Souza Pires - Mestrado em EDUCA??O - UEFS.pdf: 1389424 bytes, checksum: 422a49b848bb4125c5c8f71f3b3e05b0 (MD5) Previous issue date: 2017-07-20 / This research deals with judicialization of education, highlighting the characteristics of academic productions produced by postgraduate programs in Brazil from 2000 to 2010, and the perspectives to understand this phenomenon, especially for the feasibility of the right to education. Thus, we aim to analyze - in a systematic way - the academic productions about the judicialization of education produced by the postgraduate programs in education in Brazil and to qualify the possible changes in the focuses and dimensions of these productions in the period from 2000 to 2010, as well as mapping these productions to characterize their directions and understanding to the possible contributions to the constitution of educational policies. This is a qualitative study of the state of knowledge and, therefore, seeks to apprehend the tendencies in academic production based on thematic categories, exploring the repertoire of the selected texts, their argumentative characteristics, theoretical and methodological options and context. It has as a north a historical understanding of the right to education, from the understanding brought by Norberto Bobbio. In this approach, the right to education, the Judicialization and the Reservation of the possible were chosen as categories of analysis. In the analyzed productions the diversity of dimensions and terminologies are perceived, defending the judicialization as an instrument that imposed access to school, but, at the same time, it has become a phenomenon that for some time has extrapolated this limit, to cover thematic and diverse approaches such as the quality of education and education, and also to stimulate fronts of interventions such as supervising, interfering and formulating public policies and, in some cases, controlling didactics and school pedagogy, mitigating executive skills. / Esta pesquisa p?e em relevo o tema da judicializa??o da educa??o, tomando como quest?o as caracter?sticas das produ??es acad?micas sobre a judicializa??o da educa??o produzidas pelos programas de p?s-gradua??o em educa??o no Brasil, no per?odo de 2000 a 2010, e as perspectivas que elas aportam para o entendimento desse fen?meno, especialmente para a exequibilidade do direito ? educa??o. Com isso, temos o objetivo de analisar - de forma sistem?tica - as produ??es acad?micas sobre a judicializa??o da educa??o produzidas pelos programas de p?s-gradua??o em educa??o no Brasil e qualificar as poss?veis mudan?as nos enfoques e dimens?es dessa produ??o no per?odo de 2000 a 2010, bem como fazer um mapeamento dessas produ??es no sentido de caracterizar seus direcionamentos e compreender suas poss?veis contribui??es para a constitui??o da ?rea de pol?ticas educacionais. Trata-se de um estudo de natureza qualitativa, do tipo estado de conhecimento e que, portanto, busca apreender as tend?ncias na produ??o acad?mica baseando-se em categorias tem?ticas, explorando o repert?rio dos textos selecionados, suas caracter?sticas argumentativas, op??es te?rico-metodol?gicas e o contexto circunstanciado. Tem-se como norte uma compreens?o hist?rica do direito ? educa??o, a partir do entendimento trazido por Norberto Bobbio. Neste enfoque, elegeu-se como categorias de an?lise o Direito ? educa??o, a Judicializa??o e a Reserva do poss?vel. Nas produ??es analisadas se faz percept?vel a diversidade de dimens?es e terminologias, defendendo a judicializa??o como um instrumento que impunha o acesso a escola, mas, ao mesmo tempo tem se constituindo em um fen?meno que j? h? algum tempo extrapolou esse limite, passando a abranger tem?ticas e enfoques variados, tais como a qualidade do ensino e da educa??o, passando tamb?m a estimular frentes de interven??es tais como fiscalizar, interferir e formular as pol?ticas p?blicas e, em alguns casos, controlar a did?tica e a pedagogia escolar, mitigando as compet?ncias executivas.

Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-08-14T14:42:33Z No. of bitstreams: 1 LiadeSouzaSiqueiraDissertacao2016.pdf: 1621963 bytes, checksum: a467c2b51dff4f4e3f0bd354c0810ce0 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-08-14T14:42:38Z (GMT) No. of bitstreams: 1 LiadeSouzaSiqueiraDissertacao2016.pdf: 1621963 bytes, checksum: a467c2b51dff4f4e3f0bd354c0810ce0 (MD5) / Made available in DSpace on 2017-08-14T14:42:38Z (GMT). No. of bitstreams: 1 LiadeSouzaSiqueiraDissertacao2016.pdf: 1621963 bytes, checksum: a467c2b51dff4f4e3f0bd354c0810ce0 (MD5) Previous issue date: 2016-11-24 / This paper aims to discuss the role of the Brazilian Minist??rio P??blico in promoting public safety through judicial and non-judicial instruments. The importance of the issue may be perceived by the criminal rates in Brazil, one of the highest among nations worldwide. Public safety is a fundamental positive right established in Brazilian Constitution. Therefore, it has to be guaranteed by the government without excess or insufficiency by means of a public policy that has to enable incapacitation and prevention, putting together law enforcement, police and tools conceived by the broken windows theory, situational crime prevention, routine activity approach, community policing and community-oriented policing. Those strategies lead to better results when planned within policy cycle approach. In Brazil, prosecutors have key role in public safety, since they can apply judicial and non-judicial instruments to guarantee this fundamental right. Prosecutors are important to break the inertia of Judicial branch and ask the Courts to control the acts of the Legislative and Executive branches. The collective approach of actions filed by Prosecutors is also essential because they can control the government budget and ask the Courts to enforce instruments of situational crime prevention, routine activity approach and community policing. One of the most significant points discussed is the limits of Courts to control the public policies, as well as the criteria used in judicial review, such as minimum core, under reserve of the possibilities clause and proportionality. The non-judicial instruments used by prosecutors are important to impact the origins of the public safety policy and provide legitimacy to government proceeding. Prosecutors are present in every stage of the policy cycletherefore they can encourage communities to participate and coordinate all actors of the network of public safety policy in order to ensure efficiency in facing criminality and grant wellness to Brazilian people. / Este trabalho tem como objetivo discutir o papel do Minist??rio P??blico brasileiro como agente de promo????o de seguran??a p??blica, por meio dos mecanismos judiciais e extrajudiciais. A import??ncia do tema ?? percebida pelos ??ndices de criminalidade no Brasil, um dos mais altos do mundo. A seguran??a p??blica ?? direito fundamental prestacional estabelecido pela Constitui????o da Rep??blica de 1988. Por isso, ela deve ser garantida pelo Estado, sem excessos ou insufici??ncias, por meio de pol??ticas p??blicas que devem conjugar repress??o e preven????o, aliando o sistema de justi??a criminal, a pol??cia e mecanismos concebidos pela teoria das janelas quebradas, pela preven????o situacional, teoria das atividades rotineiras, policiamento comunit??rio e policiamento voltado a solu????o de problemas. Essas estrat??gias levam a melhores resultados se planejadas por meio do ciclo de pol??ticas p??blicas. No Brasil, o Minist??rio P??blico tem papel central na seguran??a p??blica, pois tem ?? sua disposi????o mecanismos judiciais e extrajudiciais para garantir esse direito fundamental. O Minist??rio P??blico ?? importante para quebrar a in??rcia do Poder Judici??rio para que este controle os atos dos Poderes Legislativo e Executivo. As a????es coletivas ajuizadas pelos membros da institui????o s??o essenciais para o controle do or??amento p??blico e para a aplica????o dos instrumentos da preven????o situacional, atividades rotineiras e policiamento comunit??rio. Um dos pontos mais significativos estudados s??o os limites do Judici??rio no controle de pol??ticas p??blicas, bem como os crit??rios usados nas decis??es judiciais, tais como o m??nimo existencial, a reserva do poss??vel e a proporcionalidade. Os instrumentos extrajudiciais usados pelo Minist??rio P??blico, por sua vez, s??o relevantes para impactar a pr??pria origem da pol??tica p??blica e promover legitimidade para as a????es estatais. Os membros da institui????o est??o presentes em todas as fases do ciclo da pol??tica p??blica, por isso podem encorajar a comunidade para participar, al??m de coordenar os atores da rede das pol??ticas de seguran??a p??blica, a fim de garantir efici??ncia no enfrentamento da criminalidade e garantir o bem-estar da popula????o brasileira.

Made available in DSpace on 2014-12-17T14:27:20Z (GMT). No. of bitstreams: 1 FranciscoLS_DISSERT.pdf: 3460309 bytes, checksum: ba98a4a94dfa1c12a0926835de3bd2a4 (MD5) Previous issue date: 2012-04-16 / The 1988 Federal Constitution of Brazil by presenting the catalog of fundamental rights and guarantees (Title II) provides expressly that such rights reach the social, economic and cultural rights (art. 6 of CF/88) as a means not only to ratify the civil and political rights, but also to make them effective and practical in the life of the Brazilian people, particularly in the prediction of immediate application of those rights and guarantees. In this sense, health goes through condition of universal right and duty of the State, which should be guaranteed by social and economic policies aimed at reducing the risk of disease and other hazards, in addition to ensuring universal and equal access to actions and services for its promotion, protection and recovery (Article 196 by CF/88). Achieving the purposes aimed by the constituent to the area of health is the great challenge that requires the Health System and its managers. To this end, several policies have been structured in an attempt to establish actions and services for the promotion, protection and rehabilitation of diseases and disorders to health. In the mid-90s, in order to meet the guidelines and principles established by the SUS, it was established the Pol?tica Nacional de Aten??o Oncol?gica PNAO, in an attempt to sketch out a public policy that sought to achieve maximum efficiency and to be able to give answers integral to effective care for patients with cancer, with emphasis on prevention, early detection, diagnosis, treatment, rehabilitation and palliative care. However, many lawsuits have been proposed with applications for anticancer drugs. These actions have become very complex, both in the procedural aspects and in all material ones, especially due to the highcost drugs more requested these demands, as well as need to be buoyed by the scientific evidence of these drugs in relation to proposed treatments. The jurisprudence in this area, although the orientations as outlined by the Parliament of Supreme Court is still in the process of construction, this study is thus placed in the perspective of contributing to the effective and efficient adjudication in these actions, with focus on achieving the fundamental social rights. Given this scenario and using research explanatory literature and documents were examined 108 lawsuits pending in the Federal Court in Rio Grande do Norte, trying to identify the organs of the Judiciary behave in the face of lawsuits that seeking oncology drugs (or antineoplastic), seeking to reconcile the principles and constitutional laws and infra constitutional involving the theme in an attempt to contribute to a rationalization of this judicial practice. Finally, considering the Rational Use of health demands and the idea of belonging to the Brazilian people SUS, it is concluded that the judicial power requires ballast parameters of their decisions on evidence-based medicine, aligning these decisions housing constitutional principles that the right to health and the scientific conclusions of efficacy, effectiveness and efficiency in oncology drugs, when compared to the treatments offered by SUS / A Constitui??o Federal brasileira de 1988 ao apresentar o cat?logo dos direitos e garantias fundamentais (T?tulo II), traz, expressamente, que tais direitos alcan?am os direitos sociais, econ?micos e culturais (art. 6? da CF/88), como forma n?o s? de ratificar os direitos civis e pol?ticos, mas, tamb?m, de faz?-los efetivos e concretos na vida do povo brasileiro, especialmente diante da previs?o de aplica??o imediata dos referidos direitos e garantias. Nesse sentir, a sa?de passa ? condi??o de direito de todos e dever do Estado, o qual dever? ser garantido mediante pol?ticas sociais e econ?micas que visem ? redu??o do risco de doen?a e de outros agravos, al?m de garantir acesso universal e igualit?rio ?s a??es e servi?os para sua promo??o, prote??o e recupera??o (art. 196 da CF/88). Alcan?ar os fins almejados pelo constituinte para a ?rea da sa?de ? o grande desafio que se imp?e ao Sistema ?nico de Sa?de e aos seus gestores. Para tanto, diversas pol?ticas p?blicas t?m sido estruturadas na tentativa de estabelecer a??es e servi?os para a promo??o, prote??o e recupera??o de doen?as e agravos de sa?de. Em meados da d?cada de 90, e procurando atender as diretrizes e princ?pios estabelecidos pelo SUS, foi institu?da a Pol?tica Nacional de Aten??o Oncol?gica PNAO, na tentativa de esbo?ar uma pol?tica p?blica que buscasse atingir o m?ximo de efici?ncia e que fosse capaz de dar respostas efetivas ao integral atendimento aos pacientes com c?ncer, com ?nfase na preven??o, detec??o precoce, diagn?stico, tratamento, reabilita??o e cuidados paliativos. No entanto, muitas a??es judiciais t?m sido propostas com pedidos de medicamentos antineopl?sicos. Essas a??es v?m cercadas de muita complexidade, tanto nos aspectos processuais quanto nos aspectos materiais, especialmente em raz?o dos altos custos dos f?rmacos mais solicitados nessas demandas, bem como pela necessidade de serem balizadas as evid?ncias cient?ficas desses medicamentos em rela??o aos tratamentos propostos. A jurisprud?ncia nessa ?rea, apesar dos contornos j? delineados pelo Plen?rio do Supremo Tribunal Federal, ainda est? em pleno processo de constru??o, raz?o pela qual o presente estudo se coloca na perspectiva de contribuir para a efetiva, eficaz e eficiente presta??o jurisdicional nessas a??es, com foco na concretiza??o dos direitos fundamentais sociais. Diante desse cen?rio e utilizando-se da pesquisa explicativa, bibliogr?fica e documental, foram analisadas 108 a??es judiciais em tr?mite perante a Justi?a Federal, Se??o Judici?ria do Estado do Rio Grande do Norte, buscando identificar como os ?rg?os do Poder Judici?rio se portam diante das a??es judiciais que pleiteiam medicamentos oncol?gicos (ou antineopl?sicos), procurando compatibilizar os princ?pios e normas constitucionais e infraconstitucionais que envolvem a tem?tica, na tentativa de contribuir para uma racionaliza??o dessa pr?tica judici?ria. Ao final, considerando o Uso Racional de Medicamentos e a ideia de pertencimento do SUS ao povo brasileiro, conclui-se que, nas demandas de sa?de, o Judici?rio p?trio necessita lastrear suas decis?es em par?metros de medicina baseada em evid?ncias, compatibilizando nessas decis?es os princ?pios constitucionais que albergam o direito ? sa?de e as conclus?es cient?ficas de efic?cia, efetividade e efici?ncia dos medicamentos oncol?gicos, quando em compara??o aos tratamentos oferecidos pelo SUS

Made available in DSpace on 2014-12-17T15:24:27Z (GMT). No. of bitstreams: 1 MarciaFSMG_DISSERT.pdf: 1220837 bytes, checksum: 2bcd5e3e81b44a0ae1af28ed864c44bd (MD5) Previous issue date: 2013-12-11 / The present study aimed to evaluate the inclusion of the principles of the National Medicines Policy - PNM and the Pharmaceutical assistance - PNAF in the prosecution of lawsuits involving medicines. To fulfill this necessity , data collection was performed on the website by the Tribunal Rio Grande do Norte - TJ RN ( Rio Grande do Norte Court) , in 2012 . It was obtained 115 judgments, which were analyzed in order to generate Monitoring Indicators from lawsuits and conduct content analysis proposed by Bardin (2006). The results showed that : a) 100 % of the decisions were favorable to the author , b) 76 % of decisions were requests by the trade name of the drug , c) only one drug (eculizumabe) had not granted by ANVISA , d) 36 % of drugs were present in the list of standard medicines in SUS , 16 % of primary care block and 20 % of specialized component , e) 76 % of the decisions presented the request of at least 01 non-standard medicine. With regard to decentralization of PNM and PNAF we observed a commitment to this principle at judicial decisions, to see that municipalities and states are often forced to buy medicines of responsibility from another federal entity or other tertiary units as CACONs and UNACONS. The content analysis revealed that the argument from the judges used when you utter their decisions was that the right to health is recognized by Brazilian law as a fundamental right and should be guaranteed by the State for all its citizens. So, health is more than budgetary constraints of federal entities, which are severally liable for lawsuits , regardless the medication requested belongs or not to a particular block of a pharmaceutical assistance funding. Given these data, it is observed that there are gaps in the judgment when it comes to the insertion of the words and principles of PNM and PNAF, creating then the need for greater dialogue between the executive and judicial, so that they may consider relevant the effectiveness and application of such principles to minimize the negative consequences of the phenomenon of health judicialisation. Keywords: Judicialisation, Medicines, Public Policy, Pharmaceutical Care / O presente estudo objetivou avaliar a inser??o dos princ?pios das Pol?ticas Nacionais de Medicamentos-PNM e da Assist?ncia Farmac?utica-PNAF no julgamento de a??es judiciais envolvendo medicamentos. Para atender tal anseio, a coleta dos dados foi realizada no s?tio eletr?nico do Tribunal de Justi?a do Rio Grande do Norte-TJ-RN, no ano de 2012. Obteve-se 115 decis?es judiciais, as quais foram analisadas, a fim de calcular os Indicadores de Monitoramento de demandas judiciais e realizar a an?lise de conte?do proposta por Bardin (2006). Os resultados demonstraram que: a) 100% das decis?es foram favor?veis ao autor, b) 76% das decis?es tinham solicita??es pelo nome comercial do medicamento, c) apenas um medicamento (eculizumabe) n?o tinha registro na ANVISA, d) 36% dos medicamentos estavam presentes na lista de medicamentos padronizados no SUS, sendo 16% do bloco de aten??o b?sica e 20% do componente especializado, e) 76% das decis?es apresentavam a solicita??o de pelo menos 01 medicamento n?o padronizado. Com rela??o ao processo de descentraliza??o da PNM e da PNAF observa-se comprometimento desse princ?pio no momento das decis?es judiciais, por constatar que munic?pios e estados s?o frequentemente obrigados a adquirir medicamentos de responsabilidade de outro ente federativo ou de outras unidades terci?rias como CACONS e UNACONS. A an?lise de conte?do revelou que o argumento dos ju?zes mais utilizados no momento de proferirem suas decis?es foi o de que o direito a sa?de ? reconhecido pela legisla??o brasileira como um direito fundamental, devendo ser garantido pelo Estado a todos os seus cidad?os. Dessa forma, a sa?de ? superior a restri??es or?ament?rias dos entes federativos, os quais s?o solidariamente respons?veis pelas demandas judiciais, independente do medicamento solicitado pertencer ou n?o a um bloco de financiamento espec?fico da assist?ncia farmac?utica. Diante de tais dados, observa-se que h? lacunas na decis?o judicial no que diz respeito ? inser??o e men??o dos princ?pios da PNM e da PNAF, gerando, portanto necessidade de um maior di?logo entre os poderes executivo e judici?rio a fim de que possam considerar relevante a efetividade e aplica??o de tais princ?pios para minimiza??o das conseq??ncias negativas do fen?meno da judicializa??o da sa?de

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2016-08-25T20:50:25Z No. of bitstreams: 1 Dissertacao Aliana Simoes.pdf: 1387621 bytes, checksum: 87999ce8eadfd38b96c19a1cb2720983 (MD5) / Made available in DSpace on 2016-08-25T20:50:25Z (GMT). No. of bitstreams: 1 Dissertacao Aliana Simoes.pdf: 1387621 bytes, checksum: 87999ce8eadfd38b96c19a1cb2720983 (MD5) Previous issue date: 2013-03-25 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The health system Ensures the 1988 Constitution, the principles of the Unified Health System (SUS), universality, fairness, integrity cared for in the health of Individuals. Thus, the citizen has the right to life and health legitimized Becoming foundation for the realization of the fundamental right to life, human dignity and citizenship. However, the health system is facing gaps is putting its principles. From this perspective, the lawsuits go into this scenario an instrument for the realization of these rights. The research is Performed to describe the profile of the judicialization of health in the state of Bahia for the access to health technologies in the SUS, in the period from 2005 to 2010, and to discuss access technologies in relation to the demands of health care (drugs, food, admissions, treatments, surgeries and other) and the lawsuits filed by users of SUS. The methodology has two approaches: a quantitative approach, with retrospective descriptive study, from primary sources collected in the database of electronic consultation and free access to the website of the Court of Justice of the State of Bahia, the lawsuits. That demand for access to health technologies in the SUS, in the period from 2005 to 2010. These data comprised the General Headquarters and Analysis Analyzed were using Microsoft Office Excel 2007 for tabulation, build charts and tables for the distribution of absolute and relative frequencies, and the qualitative approach with an exploratory study, descriptive and analytical, using document analysis for the composition Summary Table of the Analysis of Thematic Content Analysis by Defining the Category Analysis. The results obtained by the design of the profile of Legalization of Health in the State of Bahia have 103 lawsuits. That demand for access to technologies in the SUS, in the period from 2005 to 2010. The year 2009 presented significant data entry with 47 stocks (45.6%). 75 actions were recorded (72.8%) Interlocutory Appeal and to the towns of origin, 74 shares (71.8%) were related to the city of Salvador. The drug delivery was more demand pled with 72 (60%). We found 63 cases (61.2%) related to degenerative diseases Chronic and 89, equivalent to 86.4% judgments granting the user access to the SUS. The year 2009 Showed 54 (52.4%) of the cases heard. With the discussion permeated by the Judiciary unveiling a path for access to health technologies in SUS can infer such access that provides the guarantee of the right to life and health to users, because the demands are met pled in almost all the shares. The Civil Society Organizations have great power in the realization of human rights act the key players in the mobilization of the Judiciary for the satisfaction of their rights that have been denied or dissatisfied. For the health system, the demands, especially for drugs by judicial cause great harm to the planning and management of programs and services offered by SUS, and displacement of budget allocations for health to meet the individual lawsuits, the vast Majority. Moreover, there is an excessive medicalization of health care devaluing the relational technologies and the power of the subject active in directing the disease process. Thus, we conclude that traveled this alternative path by the user and allows access to the health system provides citizenship determined by the participation of the individual as a citizen who sections the fulfillment of their social rights established in the Constitution of 1988. However, we envision the need for a strong body of technical professionals in the health field to work together with the Judicial Authorities in the resourcefulness of actions. That require instructions for their acts embrasure decision-making glimpsing consistent and fair to all Involved in the search for a society with social justice. / O sistema de sa?de assegura na Constitui??o de 1988, pelos princ?pios do Sistema ?nico de Sa?de (SUS), a universalidade, equidade, integralidade no cuidado ? sa?de dos indiv?duos. Desta forma, o cidad?o possui seu direito ? vida e ? sa?de legitimado, constituindo-se como alicerce para efetiva??o do direito fundamental ? vida, dignidade humana e ? cidadania. Entretanto, o sistema de sa?de vem enfrentando lacunas para efetiva??o de seus princ?pios. As demandas judiciais entram nesse cen?rio como instrumento para efetiva??o desses direitos. Os objetivos s?o: descrever o perfil da judicializa??o da sa?de no Estado da Bahia para o acesso ?s tecnologias de sa?de no SUS, no per?odo de 2005 a 2010; e discutir o acesso ?s tecnologias em rela??o ?s demandas de aten??o ? sa?de (medicamentos, alimentos, internamentos, tratamentos, cirurgias e outras) e as a??es judiciais movidas pelos usu?rios do SUS. O caminho metodol?gico ? orientado pelas abordagens, quantitativa e qualitativa: a primeira trata de um estudo descritivo e retrospectivo, utilizando fontes prim?rias como base de dados por meio da consulta eletr?nica e de livre acesso, no s?tio do Tribunal de Justi?a do Estado da Bahia, dos processos judiciais que demandavam por acesso ?s tecnologias de sa?de no SUS. Estes dados compuseram as Matrizes Gerais de An?lise atrav?s do software Microsoft Office Excel 2007 para a tabula??o, constru??o de gr?ficos e tabelas. A an?lise descritiva foi baseada na distribui??o de frequ?ncias simples e relativas; e a segunda com estudo de natureza explorat?ria que utiliza como fonte de dados, documentos dos processos judiciais para a composi??o da An?lise de Conte?do Tem?tica. Os resultados obtidos pelo delineamento do perfil da Judicializa??o da Sa?de no Estado da Bahia apresentam 103 processos judiciais que demandavam por acesso ?s tecnologias no SUS, no per?odo de 2005 a 2010. O ano de 2009 apresentou dados significativos, com entrada de 47 a??es (45,6%). Foram registradas 75 a??es (72,8%) como Agravo de Instrumento e com rela??o ?s cidades de origem, 74 a??es (71,8%) estavam relacionadas ao munic?pio de Salvador. O fornecimento de medicamentos foi a demanda mais pleiteada com 72 (60%). Foram encontrados 63 casos (61,2%) relacionados a agravos Cr?nico-degenerativos e, 89, equivalente a 86,4% decis?es proferidas concedendo o acesso do usu?rio ao SUS. O ano de 2009 apresentou 54 (52,4%) dos processos julgados. Com a discuss?o permeada pelo Poder Judici?rio desvelando um caminho para o acesso ?s tecnologias de sa?de no SUS podemos inferir que esse acesso determina a garantia do direito ? vida e ? sa?de aos usu?rios, pois as demandas pleiteadas s?o atendidas em grande parte das a??es. A Sociedade Civil Organizada ? caracterizada por um poder significativo na efetiva??o dos direitos humanos, atuando como atores fundamentais na mobiliza??o do Poder Judici?rio para a satisfa??o de seus direitos que foram negados ou insatisfeitos. Para o sistema de sa?de, as demandas, principalmente, por medicamentos pela via judicial provocam grandes preju?zos ao planejamento e gerenciamento das a??es e servi?os ofertados pelo sistema, al?m de deslocamento das verbas or?ament?rias destinadas ? sa?de para o cumprimento das a??es judiciais individuais, na grande maioria. Ademais, h? uma demasiada medicaliza??o do cuidado ? sa?de desvalorizando as tecnologias relacionais e o poder ativo do sujeito no direcionamento do processo sa?de-doen?a. Assim, conclu?mos que esse caminho alternativo percorrido pelo usu?rio al?m de permitir o acesso ao sistema de sa?de, proporciona o exerc?cio da cidadania determinada pela participa??o desse indiv?duo como cidad?o, que vislumbra o cumprimento de seus direitos sociais estabelecidos na Constitui??o Federal de 1988, na busca da legitimidade de uma sociedade com justi?a social.