Litigation for health technology accessibility: A tool for inequality? Reflections based on case study analysis

Autores
Marin, Gustavo Horacio; Marin, Lupe; Aguero, Daniel Alberto; Marin, Gina; Pagnotta, Mariana; Blanco, Luis
Año de publicación
2020
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
INTRODUCTION: The objective of this work is to analyze the characteristics of litigation for access to health’s goods and services in the Social Health Insurance (SHI) of Buenos Aires, Argentina. METHOD: Descriptive study with analytical stage, performed in SHI, analyzing litigation done by beneficiaries along 15-years period to obtain goods or service from health managers. Variables explored were: Reason for litigation, delay time in case resolution, final result of judicial sentence, judges, lawyers and intervening professionals, income level of beneficiaries who started the litigation. RESULT: 825 cases were analyzed during the study period according the method described. Demands increased 29.2 ±% per year. Medicines were the goods that most requested legal protection resources (32.5%). 51.9% of these litigations were due to medicines that have less than 24 months of registration by the National Regulatory Agency. The average delay for the final resolution of the procedure was 3.7 months. Judge's sentence was favorable to the beneficiaries in 97.4%. Although there are 27 judicial departments and many courts in each one; cases were concentrated in 47.4% only 2 very few courts. Litigation cases promoted by 112 out of the 15000 doctors that provides services to the SHI. In 73.7% of the cases, beneficiaries that litigated had a salary that exceed 4 times the minimum wage, and only 3.2% of them had low income. CONCLUSION: We show how legal appeals might be working as an inverse strategy to the one desired, transferring collective resources belonging to the entire population, towards an specific demand from the most economically wealthy sector of society. As long as access to health care litigation maintains its current individualistic pattern, it will hardly be able to develop its full potential to guarantee effective respect for the collective right to access to goods that beneficiary the whole community.
Fil: Marin, Gustavo Horacio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentina. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; Argentina
Fil: Marin, Lupe. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; Argentina. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas; Argentina
Fil: Aguero, Daniel Alberto. Universidad Nacional Arturo Jauretche; Argentina
Fil: Marin, Gina. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; Argentina
Fil: Pagnotta, Mariana. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; Argentina
Fil: Blanco, Luis. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; Argentina
Materia
LITIGATION
HEALTH
MEDICINES
INEQUALITY
TECHNOLOGIES
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/144913
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/144913
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Litigation for health technology accessibility: A tool for inequality? Reflections based on case study analysisMarin, Gustavo HoracioMarin, LupeAguero, Daniel AlbertoMarin, GinaPagnotta, MarianaBlanco, LuisLITIGATIONHEALTHMEDICINESINEQUALITYTECHNOLOGIEShttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3INTRODUCTION: The objective of this work is to analyze the characteristics of litigation for access to health’s goods and services in the Social Health Insurance (SHI) of Buenos Aires, Argentina. METHOD: Descriptive study with analytical stage, performed in SHI, analyzing litigation done by beneficiaries along 15-years period to obtain goods or service from health managers. Variables explored were: Reason for litigation, delay time in case resolution, final result of judicial sentence, judges, lawyers and intervening professionals, income level of beneficiaries who started the litigation. RESULT: 825 cases were analyzed during the study period according the method described. Demands increased 29.2 ±% per year. Medicines were the goods that most requested legal protection resources (32.5%). 51.9% of these litigations were due to medicines that have less than 24 months of registration by the National Regulatory Agency. The average delay for the final resolution of the procedure was 3.7 months. Judge's sentence was favorable to the beneficiaries in 97.4%. Although there are 27 judicial departments and many courts in each one; cases were concentrated in 47.4% only 2 very few courts. Litigation cases promoted by 112 out of the 15000 doctors that provides services to the SHI. In 73.7% of the cases, beneficiaries that litigated had a salary that exceed 4 times the minimum wage, and only 3.2% of them had low income. CONCLUSION: We show how legal appeals might be working as an inverse strategy to the one desired, transferring collective resources belonging to the entire population, towards an specific demand from the most economically wealthy sector of society. As long as access to health care litigation maintains its current individualistic pattern, it will hardly be able to develop its full potential to guarantee effective respect for the collective right to access to goods that beneficiary the whole community.Fil: Marin, Gustavo Horacio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentina. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; ArgentinaFil: Marin, Lupe. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; Argentina. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas; ArgentinaFil: Aguero, Daniel Alberto. Universidad Nacional Arturo Jauretche; ArgentinaFil: Marin, Gina. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; ArgentinaFil: Pagnotta, Mariana. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; ArgentinaFil: Blanco, Luis. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; ArgentinaTridha Scholars2020-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/144913Marin, Gustavo Horacio; Marin, Lupe; Aguero, Daniel Alberto; Marin, Gina; Pagnotta, Mariana; et al.; Litigation for health technology accessibility: A tool for inequality? Reflections based on case study analysis; Tridha Scholars; Journal of Clinical Cases & Reports; 3; S3; 10-2020; 14-192582-0435CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/http://www.tridhascholars.org/journal-of-clinical-cases-reports-articles.php?si_id=14info:eu-repo/semantics/altIdentifier/doi/10.46619/joccr.2020.3.S3-1004info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-22T12:18:58Zoai:ri.conicet.gov.ar:11336/144913instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-22 12:18:58.82CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Litigation for health technology accessibility: A tool for inequality? Reflections based on case study analysis
title Litigation for health technology accessibility: A tool for inequality? Reflections based on case study analysis
spellingShingle Litigation for health technology accessibility: A tool for inequality? Reflections based on case study analysis
Marin, Gustavo Horacio
LITIGATION
HEALTH
MEDICINES
INEQUALITY
TECHNOLOGIES
title_short Litigation for health technology accessibility: A tool for inequality? Reflections based on case study analysis
title_full Litigation for health technology accessibility: A tool for inequality? Reflections based on case study analysis
title_fullStr Litigation for health technology accessibility: A tool for inequality? Reflections based on case study analysis
title_full_unstemmed Litigation for health technology accessibility: A tool for inequality? Reflections based on case study analysis
title_sort Litigation for health technology accessibility: A tool for inequality? Reflections based on case study analysis
dc.creator.none.fl_str_mv Marin, Gustavo Horacio
Marin, Lupe
Aguero, Daniel Alberto
Marin, Gina
Pagnotta, Mariana
Blanco, Luis
author Marin, Gustavo Horacio
author_facet Marin, Gustavo Horacio
Marin, Lupe
Aguero, Daniel Alberto
Marin, Gina
Pagnotta, Mariana
Blanco, Luis
author_role author
author2 Marin, Lupe
Aguero, Daniel Alberto
Marin, Gina
Pagnotta, Mariana
Blanco, Luis
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv LITIGATION
HEALTH
MEDICINES
INEQUALITY
TECHNOLOGIES
topic LITIGATION
HEALTH
MEDICINES
INEQUALITY
TECHNOLOGIES
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv INTRODUCTION: The objective of this work is to analyze the characteristics of litigation for access to health’s goods and services in the Social Health Insurance (SHI) of Buenos Aires, Argentina. METHOD: Descriptive study with analytical stage, performed in SHI, analyzing litigation done by beneficiaries along 15-years period to obtain goods or service from health managers. Variables explored were: Reason for litigation, delay time in case resolution, final result of judicial sentence, judges, lawyers and intervening professionals, income level of beneficiaries who started the litigation. RESULT: 825 cases were analyzed during the study period according the method described. Demands increased 29.2 ±% per year. Medicines were the goods that most requested legal protection resources (32.5%). 51.9% of these litigations were due to medicines that have less than 24 months of registration by the National Regulatory Agency. The average delay for the final resolution of the procedure was 3.7 months. Judge's sentence was favorable to the beneficiaries in 97.4%. Although there are 27 judicial departments and many courts in each one; cases were concentrated in 47.4% only 2 very few courts. Litigation cases promoted by 112 out of the 15000 doctors that provides services to the SHI. In 73.7% of the cases, beneficiaries that litigated had a salary that exceed 4 times the minimum wage, and only 3.2% of them had low income. CONCLUSION: We show how legal appeals might be working as an inverse strategy to the one desired, transferring collective resources belonging to the entire population, towards an specific demand from the most economically wealthy sector of society. As long as access to health care litigation maintains its current individualistic pattern, it will hardly be able to develop its full potential to guarantee effective respect for the collective right to access to goods that beneficiary the whole community.
Fil: Marin, Gustavo Horacio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentina. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; Argentina
Fil: Marin, Lupe. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; Argentina. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas; Argentina
Fil: Aguero, Daniel Alberto. Universidad Nacional Arturo Jauretche; Argentina
Fil: Marin, Gina. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; Argentina
Fil: Pagnotta, Mariana. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; Argentina
Fil: Blanco, Luis. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; Argentina
description INTRODUCTION: The objective of this work is to analyze the characteristics of litigation for access to health’s goods and services in the Social Health Insurance (SHI) of Buenos Aires, Argentina. METHOD: Descriptive study with analytical stage, performed in SHI, analyzing litigation done by beneficiaries along 15-years period to obtain goods or service from health managers. Variables explored were: Reason for litigation, delay time in case resolution, final result of judicial sentence, judges, lawyers and intervening professionals, income level of beneficiaries who started the litigation. RESULT: 825 cases were analyzed during the study period according the method described. Demands increased 29.2 ±% per year. Medicines were the goods that most requested legal protection resources (32.5%). 51.9% of these litigations were due to medicines that have less than 24 months of registration by the National Regulatory Agency. The average delay for the final resolution of the procedure was 3.7 months. Judge's sentence was favorable to the beneficiaries in 97.4%. Although there are 27 judicial departments and many courts in each one; cases were concentrated in 47.4% only 2 very few courts. Litigation cases promoted by 112 out of the 15000 doctors that provides services to the SHI. In 73.7% of the cases, beneficiaries that litigated had a salary that exceed 4 times the minimum wage, and only 3.2% of them had low income. CONCLUSION: We show how legal appeals might be working as an inverse strategy to the one desired, transferring collective resources belonging to the entire population, towards an specific demand from the most economically wealthy sector of society. As long as access to health care litigation maintains its current individualistic pattern, it will hardly be able to develop its full potential to guarantee effective respect for the collective right to access to goods that beneficiary the whole community.
publishDate 2020
dc.date.none.fl_str_mv 2020-10
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/144913
Marin, Gustavo Horacio; Marin, Lupe; Aguero, Daniel Alberto; Marin, Gina; Pagnotta, Mariana; et al.; Litigation for health technology accessibility: A tool for inequality? Reflections based on case study analysis; Tridha Scholars; Journal of Clinical Cases & Reports; 3; S3; 10-2020; 14-19
2582-0435
CONICET Digital
CONICET
url http://hdl.handle.net/11336/144913
identifier_str_mv Marin, Gustavo Horacio; Marin, Lupe; Aguero, Daniel Alberto; Marin, Gina; Pagnotta, Mariana; et al.; Litigation for health technology accessibility: A tool for inequality? Reflections based on case study analysis; Tridha Scholars; Journal of Clinical Cases & Reports; 3; S3; 10-2020; 14-19
2582-0435
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/http://www.tridhascholars.org/journal-of-clinical-cases-reports-articles.php?si_id=14
info:eu-repo/semantics/altIdentifier/doi/10.46619/joccr.2020.3.S3-1004
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Tridha Scholars
publisher.none.fl_str_mv Tridha Scholars
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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