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
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/144913
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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 Técnicas2025-09-29T10:45:39Zoai: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:34982025-09-29 10:45:39.955CONICET 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 |
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reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas |
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CONICET Digital (CONICET) |
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CONICET Digital (CONICET) |
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Consejo Nacional de Investigaciones Científicas y Técnicas |
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CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
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dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
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