{"id":1982,"date":"2017-07-12T08:00:12","date_gmt":"2017-07-12T11:00:12","guid":{"rendered":"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/?p=1982"},"modified":"2017-07-12T09:59:11","modified_gmt":"2017-07-12T12:59:11","slug":"o-que-e-a-judicializacao-da-saude","status":"publish","type":"post","link":"https:\/\/segurosinteligentes.com.br\/oldrh\/o-que-e-a-judicializacao-da-saude\/","title":{"rendered":"O que \u00e9 a judicializa\u00e7\u00e3o da sa\u00fade?"},"content":{"rendered":"

[et_pb_section admin_label=”section” transparent_background=”on” background_color=”#ffffff” allow_player_pause=”off” inner_shadow=”off” parallax=”off” parallax_method=”off” padding_mobile=”on” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” make_equal=”off” use_custom_gutter=”off” custom_padding=”0px||50px|”][et_pb_row admin_label=”row” make_fullwidth=”off” use_custom_width=”on” width_unit=”off” use_custom_gutter=”off” padding_mobile=”on” allow_player_pause=”off” parallax=”off” parallax_method=”off” make_equal=”off” parallax_1=”off” parallax_method_1=”off” parallax_2=”off” parallax_method_2=”off” column_padding_mobile=”on” custom_padding=”50px|35px|50px|35px” background_color=”#ffffff”][et_pb_column type=”2_3″][et_pb_text admin_label=”tag e data” background_layout=”light” text_orientation=”left” text_font=”|on|||” text_font_size=”16″ text_text_color=”#9ec31e” text_line_height=”1.5em” use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_margin=”||0px|”]<\/p>\n

PROCESSOS EM ALTA | 12.JULHO.2017<\/p>\n

[\/et_pb_text][et_pb_text admin_label=”t\u00edtulo” background_layout=”light” text_orientation=”left” text_font=”|on|||” text_font_size=”32″ text_text_color=”#495358″ text_line_height=”1em” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

O que \u00e9 a judicializa\u00e7\u00e3o da sa\u00fade?<\/p>\n

[\/et_pb_text][et_pb_text admin_label=”conte\u00fado” background_layout=”light” text_orientation=”left” text_font=”Open Sans||||” text_font_size=”16″ text_text_color=”#748690″ text_line_height=”1.5em” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

Essa palavra meio complicada representa a tentativa de obter acesso a servi\u00e7os de sa\u00fade, que deveriam ser fornecidos pelo SUS ou plano de sa\u00fade, por meio de a\u00e7\u00f5es judiciais. A judicializa\u00e7\u00e3o surge pela defici\u00eancia de pol\u00edticas p\u00fablicas ou falta de clareza nos contratos de servi\u00e7o, e tem gerado custos crescentes ao sistema suplementar.<\/p>\n

\"judicializacao\"<\/p>\n

Hoje, os processos contra planos de sa\u00fade ocupam o terceiro lugar no n\u00famero de julgamentos da Justi\u00e7a Paulista. Para se ter ideia da dimens\u00e3o do problema, no ano 2016 foram 17.912 decis\u00f5es favor\u00e1veis aos clientes em primeira inst\u00e2ncia, 88% dos processos contra planos. S\u00f3 no primeiro trimestre deste ano j\u00e1 foram 4.775, 117 por dia.<\/p>\n

As leis que orientam essas decis\u00f5es foram formuladas h\u00e1 quase 30 anos. Na \u00e9poca, foi estabelecido um consenso sobre aplica\u00e7\u00e3o direta do direito \u00e0 sa\u00fade, previsto na Constitui\u00e7\u00e3o e um dever do Estado. Mas que se consolidou como modelo tamb\u00e9m para a sa\u00fade privada, impedindo avan\u00e7os para a atualiza\u00e7\u00e3o dos par\u00e2metros de decis\u00e3o utilizados pelos ju\u00edzes.<\/p>\n

Com leis t\u00e3o defasadas, chegamos ao atual excesso de processos. Mesmo servi\u00e7os que n\u00e3o constam nos contratos, s\u00e3o quase sempre deferidos pelo Poder Judici\u00e1rio. Por exemplo, negativas de tratamentos e procedimentos de alto custo ou no exterior, n\u00e3o oferecimento de medicamentos em fase experimental, entre outros. Como n\u00e3o existem leis atualizadas, n\u00e3o h\u00e1 uma an\u00e1lise adequada para o julgamento das reclama\u00e7\u00f5es.<\/p>\n

A tens\u00e3o social entre benefici\u00e1rios, operadoras e judici\u00e1rio \u00e9 complexa e precisa de uma adequa\u00e7\u00e3o na jurisprud\u00eancia para identificar os principais pontos de conflito e encontrar a solu\u00e7\u00e3o mais justa para todos os envolvidos.<\/p>\n

N\u00e3o \u00e9 que o correto \u00e9 sempre negar as reclama\u00e7\u00f5es. Como diz o ditado, toda regra tem sua exce\u00e7\u00e3o. O problema \u00e9 quando a exce\u00e7\u00e3o vira regra.<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_3″][et_pb_sidebar admin_label=”Barra Lateral” global_module=”399″ orientation=”left” area=”sidebar-1″ background_layout=”light” remove_border=”on” body_line_height=”1.5em” custom_css_widget=”margin-bottom: 30px !important;” saved_tabs=”all”]<\/p>\n

[\/et_pb_sidebar][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section admin_label=”Se\u00e7\u00e3o” global_module=”93″ fullwidth=”off” specialty=”off” transparent_background=”off” background_color=”#f9f9f9″ allow_player_pause=”off” inner_shadow=”off” parallax=”off” parallax_method=”off” padding_mobile=”on” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” make_equal=”off” use_custom_gutter=”off” custom_padding=”20px||20px|”][et_pb_row global_parent=”93″ admin_label=”Linha” make_fullwidth=”on” use_custom_width=”off” width_unit=”on” use_custom_gutter=”on” gutter_width=”2″ padding_mobile=”off” allow_player_pause=”off” parallax=”off” parallax_method=”off” make_equal=”off” parallax_1=”off” parallax_method_1=”off” parallax_2=”off” parallax_method_2=”off” parallax_3=”off” parallax_method_3=”off” column_padding_mobile=”on” module_class=”footer” module_id_1=”coluna_1″ module_id_2=”coluna_2″ module_id_3=”coluna_3″ module_id=”footer_1″][et_pb_column type=”1_4″][et_pb_text global_parent=”93″ admin_label=”logo it’sseg” background_layout=”light” text_orientation=”left” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

\"logo_itsseg_footer\"<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″][et_pb_text global_parent=”93″ admin_label=”copyright” background_layout=”light” text_orientation=”right” text_line_height=”1.5em” use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_padding=”|||20%” text_font=”Abel||||”]<\/p>\n

PORTAL RH IT\u2019SSEG \u00e9 uma publica\u00e7\u00e3o da It\u2019sSeg Seguros Inteligentes. N\u00e3o \u00e9 permitida a reprodu\u00e7\u00e3o do conte\u00fado, mesmo que parcial, para uso comercial de qualquer natureza.<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_4″][et_pb_text global_parent=”93″ admin_label=”logo portal” background_layout=”light” text_orientation=”right” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

\"logo_portal_footer\"<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row global_parent=”93″ admin_label=”Linha” make_fullwidth=”on” use_custom_width=”off” width_unit=”on” use_custom_gutter=”on” gutter_width=”2″ padding_mobile=”on” allow_player_pause=”off” parallax=”off” parallax_method=”off” make_equal=”off” parallax_1=”off” parallax_method_1=”off” parallax_2=”off” parallax_method_2=”off” parallax_3=”off” parallax_method_3=”off” column_padding_mobile=”on” module_id_2=”coluna_2″ module_id_3=”coluna_3″ module_id=”footer_2″ custom_padding=”||0px|”][et_pb_column type=”4_4″][et_pb_text global_parent=”93″ admin_label=”copyright” background_layout=”light” text_orientation=”center” text_line_height=”1.5em” use_border_color=”off” border_color=”#ffffff” border_style=”solid” text_font=”Abel||||”]<\/p>\n

PORTAL RH IT\u2019SSEG \u00e9 uma publica\u00e7\u00e3o da It\u2019sSeg Seguros Inteligentes. N\u00e3o \u00e9 permitida a reprodu\u00e7\u00e3o do conte\u00fado, mesmo que parcial, para uso comercial de qualquer natureza.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row global_parent=”93″ admin_label=”Linha” make_fullwidth=”on” use_custom_width=”off” width_unit=”on” use_custom_gutter=”on” gutter_width=”2″ padding_mobile=”off” allow_player_pause=”off” parallax=”off” parallax_method=”off” make_equal=”off” parallax_1=”off” parallax_method_1=”off” parallax_2=”off” parallax_method_2=”off” parallax_3=”off” parallax_method_3=”off” column_padding_mobile=”on” module_id_3=”coluna_3″ module_id=”footer_2_2″ custom_padding=”0px|||”][et_pb_column type=”1_2″][et_pb_text global_parent=”93″ admin_label=”logo it’sseg” background_layout=”light” text_orientation=”left” use_border_color=”off” border_color=”#ffffff” border_style=”solid” module_id=”logo_itsseg_footer_1″]<\/p>\n

\"logo_itsseg_footer\"<\/p>\n

[\/et_pb_text][et_pb_text global_parent=”93″ admin_label=”logo it’sseg” background_layout=”light” text_orientation=”center” use_border_color=”off” border_color=”#ffffff” border_style=”solid” module_id=”logo_itsseg_footer_2″]<\/p>\n

\"logo_footer_2\"<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″][et_pb_text global_parent=”93″ admin_label=”logo portal” background_layout=”light” text_orientation=”right” use_border_color=”off” border_color=”#ffffff” border_style=”solid” module_id=”logo_portal_itsseg_footer_2″]<\/p>\n

\"logo_portal_footer\"<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

Excesso de processos contra planos preocupa e custa caro para o sistema de sa\u00fade.<\/p>\n","protected":false},"author":1,"featured_media":1984,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_links_to":"","_links_to_target":""},"categories":[3],"tags":[65],"_links":{"self":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1982"}],"collection":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/comments?post=1982"}],"version-history":[{"count":4,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1982\/revisions"}],"predecessor-version":[{"id":9021,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1982\/revisions\/9021"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media\/1984"}],"wp:attachment":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media?parent=1982"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/categories?post=1982"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/tags?post=1982"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}