Expenditures on compulsory hospitalizations due to drug use in the state of Espírito Santo

Leal, Fabiola Xavier; Garcia, Maria Lúcia Teixeira; Denadai, Mirian Cátia Vieira Basílio; Campanharo, Lara da Silva

doi:10.1590/0103-1104202112910I

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ORIGINAL ARTICLE • Saúde debate 45 (129) • Apr-Jun 2021 • https://doi.org/10.1590/0103-1104202112910I copy

Expenditures on compulsory hospitalizations due to drug use in the state of Espírito Santo

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Compulsory hospitalization due to drug use has been questioned in the Mental Health Policy and expresses the struggle between the principles of Unified Health System (SUS)/Psychiatric Reform versus the private interests about remanicomialization. This paper analyses expenditures on compulsory hospitalizations due to drug use carried out by the State Health Secretariat of Espírito Santo (ES) between 2014 and 2019 and aims to identify its allocation. It outlines brief reflections on the right to health and the disputes over public funds. This is documentary research with data gathered from the ES Transparency Portal. Descriptive statistical analysis and categoric content analysis were used. The data show disputes over public funds and that this is not a transparent process to society. The struggles between the Executive and the Judiciary over the right of access to health treatment are points that must be discussed.

KEYWORDS:
Mental health; Public expenditures on health; Cost transparency

Document	Year	Government	Content
Sesa Ordinance n^o 237-R32 (revoked by Sesa Ordinance N^o 32-R)²⁸	2010	Paulo Hartung	Establishes that the Health Care Establishments must file the form established by Sesa to apply for the initial or the renewal of Health Licensing.
SESA Ordinance N^o 155-R30 (revoked by SESA Ordinance N^o 59-R, of 31/10/2017)²⁷	2013	Renato Casagrande	Regulates and establishes criteria for the functioning in the state territory of specialized clinics/mixed inpatient units that provide care services to people with biological impairment, mental and behavioral disorders, including those resulting from the use, abuse or dependence of psychoactive substances.
Sesa Ordinance N^o 090-R²⁹	2014	Renato Casagrande	Defines the criteria for the hospitalization of patients in Specialized Clinics in the state of ES.
Sesa Ordinance N^o 32-R²⁸	2015	Renato Casagrande	Provides for the health licensing of establishments/services of interest to health surveillance in the state of ES.
Sesa Ordinance N^o 59-R²⁷	2017	Paulo Hartung	Regulates and establishes criteria for the functioning of specialized inpatient clinics that provide care services to people with mental disorders and needs arising from the use of crack, alcohol, and other drugs in the state territory.
Accreditation Notice Sesa/SASS/Gecorc/NEC/N 006²⁶	2018	Paulo Hartung	Accreditation of private (profit and non-profit) institutions providing health services, interested in participating, in a complementary way, in the SUS of the state of ES (Article 24 of Law N^o 8.080/1990).
Law N^o 10.987²⁴	2019	Renato Casagrande	Regulates procedures to be adopted by doctors and dentists linked to the SUS in the state of ES, in the prescription of medicines and the request for tests, health procedures, and forced hospitalizations that will be provided by Sesa.

Document

Daily rate

Number of beds

Maximum hospitalization time

SESA Ordinance N^o 155-R/201330 (revoked)

Did not establish

Maximum two months

SESA Ordinance N^o 090-R/201429

Does not establish

Maximum two months, with the possibility of a justified extension, for another month, totaling 90 days of hospitalization

NoticeSesa/SASS/Gecorc/NEC/N^o006/201826

^* * Daily hospitalization rate per number of hospitalization days. 1-60 days - R$ 398.00

^* * Daily hospitalization rate per number of hospitalization days. 61-90 days - R$ 318.40

After 60 days of hospitalization, the daily rate will correspond to 80% of the initial value.

Maximum two months, with the possibility of a justified extension, for another month, totaling 90 days of hospitalization

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E-mail: revista@saudeemdebate.org.br

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[1] Collaborators

Leal FX (0000-0003-1309-0909) ^* * Orcid (Open Researcher and Contributor ID). , Garcia MLT (0000-0003-2672-9310) ^* * Orcid (Open Researcher and Contributor ID). , Denadai MCVB (0000-0003-0713-9382) ^* * Orcid (Open Researcher and Contributor ID). and Campanharo LS (0000-0002-9286-5874) equally contributed to the elaboration of the manuscript.