title: Impact of court rulings on health care coverage: the case of HIV/AIDS in Colombia.
abstract: This article addresses an emerging issue in health care systems: the impact of judicial rulings on public policy regarding financing and delivery of health care services, and the attendant tensions, contradictions and questions. In Colombia, HIV/AIDS patients' use of a legal instrument called tutela, or writ of protection, has produced abundant jurisprudence and prompted health authorities to respond with decisions about HIV/AIDS service coverage that do not consider epidemiologic criteria and sustainability, introducing distortions in the health care system with respect to financing, priority-setting and universality.
authors.affiliation: State and Society Studies Center, Buenos Aires, Argentina. acgonzalez@adinet.com.uy
authors.forename: Ana Cristina
authors.initials: AC
authors.lastname: González
authors.forename: Juanita
authors.initials: J
authors.lastname: Durán
mesh_terms: D003105:Colombia; D015658:HIV Infections / Q000191:economics / Q000628:therapy; D006297:Health Services Accessibility / Q000331:legislation & jurisprudence*; D006801:Humans; D019458:Insurance Coverage / Q000331:legislation & jurisprudence*; D007348:Insurance, Health / Q000331:legislation & jurisprudence*; D028701:Patient Rights / Q000331:legislation & jurisprudence*