Strategies to approach the judicialization of health in Brazil: an evidence brief

This article seeks to identify and discuss evidence-informed options to address the judicial-ization of health. The Supporting Policy Relevant Reviews and Trials Tools were used to define the problem and the search strategy, which was carried out in the following databases: PubMed, Health Systems Evidence, Campbell, Cochrane Collabo-ration, Rx for Change Database, and PDQ-Evi-dence. Selection and assessment of methodolog-ical quality was performed by two independent reviewers. The results were presented in a narra-tive synthesis. This study selected 19 systematic reviews that pointed out four strategies to address the judicialization of health in Brazil: 1) Rapid re-sponse service, 2) Continuous education program, 3) Mediation service between the parties involved, and 4) Adoption of a computer-based, online de-cision-making support tool and patient-mediated interventions. This study therefore presented and characterized four options that can be considered to address the judicialization of health. The imple-mentation of these options must ensure the par-ticipation of different actors, reflecting on different contexts and the impact on the health system. The availability of human and financial resources and the training of teams are critical points for the suc-cessful implementation of the options.