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      O Poder Judiciário e o acesso ao Sistema de Frequência Modulada: uma análise sobre a efetivação das políticas públicas em saúde auditiva Translated title: The Judiciary and access to the Frequency Modulation System: an analysis of the effectiveness of public policies on hearing health

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          Abstract

          RESUMO Objetivo conhecer como se deu o processo de criação de políticas públicas em saúde auditiva no Brasil, bem como a influência do Poder Judiciário na concretização do acesso, pela pessoa com deficiência auditiva, ao Sistema de Frequência Modulada (Sistema FM) e para utilização em ambiente escolar. Métodos estudo qualitativo exploratório, por meio do qual foi realizado, inicialmente, um levantamento normativo nos sítios eletrônicos da Presidência da República, Câmara dos Deputados e Ministério da Saúde, visando identificar, no período compreendido entre outubro de 1988 e outubro de 2019, a existência de normas que versassem sobre a criação de políticas públicas em saúde auditiva. Foi realizado, em complemento, levantamento jurisprudencial nos sítios eletrônicos de Tribunais de Justiça, Tribunais Regionais Federais e Tribunais Superiores, visando identificar, no período compreendido entre janeiro de 2000 e outubro de 2019, a existência de decisões judiciais que versassem sobre acesso ao Sistema FM, via Sistema Único de Saúde (SUS). Resultados foi possível identificar dez instrumentos normativos que tratavam, especificamente, da criação de políticas públicas em saúde auditiva, além de seis decisões judiciais, cujos méritos consistiam, propriamente, no acesso ao Sistema FM, via SUS. Conclusão o Poder Judiciário tem papel fundamental na concretização do acesso ao Sistema FM pela pessoa com deficiência auditiva, uma vez que sua atuação suprime omissões dos outros Poderes e impede que políticas públicas já concebidas contemplem restrições contrárias à Constituição Federal.

          Translated abstract

          ABSTRACT Purpose to know how the process of creating public policies on Hearing Health in Brazil, and the influence of the Judiciary Power for the access by the hearing impaired person and the use in the school environment, concerning the Frequency Modulation (FM) System. Methods an exploratory qualitative study through which a normative survey was initially carried out - on the websites of the Presidency, the Chamber of Deputies and the Ministry of Health - aiming to identify, from October 1988 to October 2019, the existence of norms dealing with the creation of public policies on Hearing Health. Also, a jurisprudential survey was carried out - on the websites of Courts of Justice, Federal Regional Courts, and Superior Court of Justice - to identify the existence of court decisions dealing with access to the FM System via the Unified Health System in the period from January 2000 to October 2019. Results We identified ten normative instruments that dealt specifically with the creation of public policies on Hearing Health, as well as six court decisions whose merits consisted of access to the FM System via the Unified Health System. Conclusion The Judiciary has a fundamental role in achieving access to the FM System for people with hearing impairment since its performance suppresses omissions provided by other Powers and prevents public policies already designed to contemplate restrictions contrary to the Federal Constitution.

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          Most cited references20

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          Comparison of speech recognition with adaptive digital and FM remote microphone hearing assistance technology by listeners who use hearing aids.

          The purpose of this study was to compare the benefits of 3 types of remote microphone hearing assistance technology (HAT), adaptive digital broadband, adaptive frequency modulation (FM), and fixed FM, through objective and subjective measures of speech recognition in clinical and real-world settings.
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            Benefits of adaptive FM systems on speech recognition in noise for listeners who use hearing aids.

            To compare the benefits of adaptive FM and fixed FM systems through measurement of speech recognition in noise with adults and students in clinical and real-world settings.
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              Frequency Modulation System and speech perception in the classroom: a systematic literature review

              PURPOSE: This review aimed at presenting the benefits regarding the speech perception in noise shown by children who wear hearing aid devices and/or cochlear implants with the Frequency Modulation (FM) System at school. RESEARCH STRATEGY: A bibliographic survey was conducted in an electronic database with standardized search until the year 2012, and a manual search was performed by using specific keywords. SELECTION CRITERIA: For the selection and evaluation of the scientific studies chosen in the search, criteria were established covering the following aspects: type of study, participants, adopted intervention, and evaluation of results. DATA ANALYSIS: The FM system was verified to improve speech perception and speech threshold in noise in all studies. RESULTS: Regarding the performance as to type, the best results were obtained when children used the personal FM system, followed by the table and the sound field systems. CONCLUSION: After extensive review of national and international literature, it was concluded that the studies indicate the need for further research concerning mainly the impact of the FM system on the school performance of children who have sensory devices coupled to the FM system. Findings in the literature with relation to the publications focused on speech perception in noise did not relate educational and auditory aspects.
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                Author and article information

                Journal
                acr
                Audiology - Communication Research
                Audiol., Commun. Res.
                Academia Brasileira de Audiologia (São Paulo, SP, Brazil )
                2317-6431
                2020
                : 25
                : e2252
                Affiliations
                [01] Bauru orgnameUniversidade de São Paulo Brazil
                Article
                S2317-64312020000100309 S2317-6431(20)02500000309
                10.1590/2317-6431-2019-2252
                963b6edf-ef41-42f5-9f81-f4d86f1e32ad

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 27 February 2020
                : 05 October 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 0
                Product

                SciELO Brazil

                Categories
                Artigos Originais

                Perda auditiva,Defesa das pessoas com deficiência,Court rulings,Public health policies,Políticas públicas de saúde,Handicapped advocacy,Direitos humanos,Human rights,Decisões judiciais,Hearing loss

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