Quantitative and qualitative analysis on the legislative production relating to healthcare in passage in the National Congress in the years 2007 and 2008

CONTEXT AND OBJECTIVES: The Federal Constitution of 1988 allowed the National Congress to contribute towards formulation of new public policies. The objective of this study was to analyze the legislative production that dealt with health issues that was in passage in the National Congress between January 2007 and December 2008. DESIGN AND SETTING: Descriptive-exploratory cross-sectional study with quantitative and qualitative approaches, conducted in a federal university. METHODS: The analysis material for the study comprised 144 draft bills that were classified and subsequently randomly evaluated by 155 professionals working within the healthcare system. RESULTS: The analysis showed that the Workers' Party (PT) and Brazilian Democratic Movement Party (PMDB) were the parties that presented the largest proportions of the draft bills (12.5% and 11.1%); 25.4% of the draft bills were presented by congress members with academic qualifications within healthcare and only 1.4% of the draft bills became transformed into legal regulations. In questionnaire responses, 51.5% of the evaluators did not consider the draft bills to be viable, 40.6% did not consider them to be relevant and 52.5% said that if the draft bills were not approved it would not be harmful to Brazilian society. CONCLUSION: In analyzing the data from this study, it was noted that the legislative production relating to healthcare was low and the transformation rate from draft bill to legal regulation was negligible. The results from the evaluation showed that the quality of legislative production was impaired.研究背景与目的：1988年联邦宪法赋予巴西国民议会参与制定新公共政策的职权。本研究旨在分析2007年1月至2008年12月期间，巴西国民议会审议中的卫生相关立法提案。 研究设计与场景：本研究为兼具定量与定性研究方法的描述性探索性横断面研究，实施于某联邦大学。 研究方法：本研究的分析对象为144份法案草案，经分类后由155名医疗卫生系统从业人员随机开展评估。 研究结果：分析结果显示，劳工党（Workers' Party, PT）与巴西民主运动党（Brazilian Democratic Movement Party, PMDB）提交的法案草案占比最高，分别为12.5%与11.1%；25.4%的法案草案由具备医疗卫生学术背景的议员提交，仅1.4%的法案草案最终转化为正式法律法规。在问卷反馈中，51.5%的评估者认为相关法案草案不具备可行性，40.6%认为其不具备相关性，另有52.5%的受访者表示，若此类法案草案未获通过，不会对巴西社会造成危害。 研究结论：通过对本研究数据的分析可见，卫生相关立法产出水平较低，法案草案向正式法律法规的转化率极低。评估结果表明，相关立法产出的质量存在明显缺陷。