Classification of institutional strategies to approach health’s judicialization in Brazil: a scoping systematic review

The judicialization of health deepens inequalities in access to health and disorganizes the institutions involved1. The public administration, driven by pressure to manage these demands, has implemented several strategies to approach the judicialization of health. However, these strategies did not have a classification that explained their modus operandi. Thus, from a scoping systematic review, we categorized and analyzed 78 strategies implemented in Brazilian public institutions in the health and law sectors. We identified nine categories of strategies: Technical Support to the Judiciary, State Health Committee, Organization of Assistance, Compliance with Judicial Resolutions, Computerized Information System, Administrative Proceeding, Defense of Public Authority, Pharmacy and Therapy Committee, and Consensual Dispute Resolution. We observed that the categories reflect recommendations for adequacy and / or good public management practices, and they are strongly related to Brazilian law. We concluded that strategies could only be implemented because there are technical recommendations or legal support.