Supporting evidence-based judicial decisions in Brazil: a case study

Date & Time
Wednesday, September 6, 2023, 12:30 PM - 2:00 PM
Location Name
Pickwick
Session Type
Poster
Category
Engaging stakeholders and building partnerships
Authors
Riera R1, Martimbianco AL1, Latorraca C1, Padovez R1, Pacheco R1
1Núcleo de Avaliação de Tecnologias em Saúde, Hospital Sírio-Libanês, Brazil
Description

Background: Judicial demands related to healthcare increased by 130% in Brazil between 2008 and 2017 [1]. In 2016, the 10 most burdening drugs that were demanded comprised 91% of the resources guaranteed for the acquisition of technologies by the Brazilian Government. From 2018 to 2020, the Health Technology Center of the Hospital Sírio-Libanês conducted an innovative project that capacitated over 400 researchers working in the judiciary system, published 80 research syntheses, and hosted other educational initiatives [2]. Despite the advances in introducing core concepts of evidence-based medicine in judiciary decisions, further work is needed to continue the much-needed improvement in this area.
Objectives: To report the implementation and expected results of the project “Supporting Health Related Judicial Decision in Brasil” an initiative from Hospital Sírio-Libanês, conducted from 2022 to 2023, funded by the Brazilian Ministry of Health initiative (PROADI-SUS) and in partnership with the Brazilian National Justice Council.
Methods: A case study conducted at Health Technology Center, Hospital Sírio-Libanês, São Paulo, Brazil.
Results: From 2022 to 2023, the following activities and main products are expected to be completed: two courses in critical appraisal of primary and secondary studies, 11 regional workshops and chat-based tutoring for health professionals who provide technical support to the judiciary, 10 research syntheses of widely demanded technologies, one nationwide event to promote the topic, and a weekly blog with three informative posts per week. Another innovative product of the project is to develop a digital platform that will offer updated evidence-based information and tutoring to judges across Brazil.
Conclusions: The project was designed to increase the efficiency of judicial decisions in health-related demands. The activities and products will act in the short- and long-term in the system already structured to help judges while deciding on a judicial demand. By adopting evidence-based medicine and research synthesis core concepts in its objectives, the project supports not only a better decision-making process in the judiciary system but also a better healthcare system in Brazil. Patient, public, and/or healthcare consumer involvement: The actions developed in this project are structured to contribute to the efficiency of the Brazilian health system.