Table 1 Classification of implemented strategies and their components according to institutional level
Institutional level | Classification of strategies | Components |
|---|---|---|
Service organization | Health Technical Information Services | •Specialized multiprofessional teams •Evidence-based rapid response services •Information and communication systems •Educational meetings and training •Elaboration and updating of protocols and therapeutic guidelines of clinical practice •Health technology assessment, selection, and incorporation •Standardized and organized documents and procedures •Interinstitutional agreements |
Information and communication systems | •Use of computers, Internet, and software •Logistic systems with inventory control •Information on lawsuits, plaintiffs, patients, and service provision •Registration of technical information •Online communication •Document upload •Technical and management reports | |
Service qualification | •Educational meetings and training •Standardized and organized documents and procedures •Information and communication systems •Elaboration of statements, care protocols, and therapeutic guidelines •Implementation of specialized services •Audit and monitoring of services | |
Healthcare provision | •Multiprofessional teams •Specialized pharmacies •Centralized control and monitoring of lawsuits, plaintiff information, and products in stock •Standardized and organized documents and procedures •Financial resources to finance individual health care or to deposit a sum of money into the plaintiff’s bank accounts to pay for the claimed health technology •Information and communication systems | |
Nonjudicial approach | Administrative proceedings | •Information and communication systems •Specialized pharmacies •Standardized and organized documents and procedures •Criteria for the provision of services •Citizen orientation and referral to the health unit responsible for the requested care •Health Technical Information Services •Interinstitutional agreements |
Alternative dispute resolutions | •Information and communication systems •Use of mediation or conciliation •Standardized and organized documents and procedures •Criteria for the provision of services •Health Technical Information Services • Interinstitutional agreements | |
Judicial approach | Defense of the health authority | •Attorney or health workers specializing in health or law respectively •Standardized and organized documents and procedures •Information and communication systems •Health Technical Information Services •Interinstitutional agreements |