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51 - PERFIL DOS PROCESSOS JUDICIAIS EM SAÚDE PÚBLICA REGISTRADOS PELO CONSELHO NACIONAL DE JUSTIÇA EM PERNAMBUCO ENTRE 2020 E 2025

Doi: 10.47094/ICOLUBRAPECI.2026/RS-2

PALAVRAS CHAVE: Saúde pública. Processos judiciais. Judicialização.

KEYWORDS: Public health. Lawsuits. Judicialization.

ABSTRACT:
Introduction: The judicialization of health seeks access to health goods and services not guaranteed by public policies. This movement has grown since the 2000s, with primary demands concerning medications, healthcare services, and medical supplies. Despite the existence of a legal framework, a service network, and funding mechanisms for universal health access, actual effectiveness is not guaranteed. Currently, the judicialization of health represents a major bottleneck for SUS (Unified Health System) management, necessitating strategies to mitigate the impact of these lawsuits on public administration. Objective: To describe the profile of public health-related lawsuits filed in the state of Pernambuco between 2020 and 2025. Method: This is a descriptive, quantitative study using secondary data from the National Council of Justice’s "Right to Health Procedural Statistics Dashboard," focusing on the state of Pernambuco (PE) from 2020 to 2025. New public health lawsuits (excluding supplementary/private health) were analyzed. The data are in the public domain, requiring no Research Ethics Committee (CEP) approval. Results: Pernambuco accounts for 2% (37,744) of the total new public health lawsuits filed in Brazil between 2020 and 2025. The year 2024 saw the highest number of new cases in PE, exceeding 9,000 lawsuits, followed by 2025 with 8,918. Regarding the subject matter, oncology-related cases, consultations, and emergency care were the most significant, collectively representing nearly 40% of all new public health lawsuits in Pernambuco over this six-year period. The average waiting time for the initial ruling was 319 days, influencing the state's average case congestion rate, which stood at 68.63%—8.6% higher than the national average. Conclusion: The data reveal significant judicialization of public health in Pernambuco and a high volume of pending lawsuits, highlighting gaps in care, a backlog of legal claims, and an impact on the sustainability of the SUS. Interventions are required to advance interoperability between the judiciary and health departments and to improve the efficiency of SUS health services in order to reduce judicialization.

Autores

  • Ana Beatriz Campelo de Paula

  • Fábio Henrique Cavalcanti de Oliveira

  • Georgia Cybelle dos Santos Silva Barros

  • Joana Cristina Bonfim Lacerda de Vasconcelos

  • Luana Maria Martins Cabral

  • Pauliana Valéria Machado Galvão

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