Opioid Therapy for Cancer Pain in Vietnam: Knowledge, Attitudes, and Perceived Barriers Among Health Care Professionals, Policymakers, and Regulators.

Autor:	Nguyen T; Department of Pharmacy, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam.; College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Dam A; Department of Pharmacy, National Geriatric Hospital, Ha Noi, Vietnam., Nguyen D; Department of Pharmacy, Children's Hospital 1, Ho Chi Minh City, Vietnam., Tran P; Department of Pharmacy, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam., Truong NLT; Section for Outcome Research, Center for Medical Data Science, Medical University of Vienna, Vienna, Austria.; Pharmacy Department, School of Medicine, Vietnam National University-Ho Chi Minh City, Binh Duong, Vietnam., Nguyen H; Department of Pharmacy, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam., Le D; Department of Palliative Care, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Department of Geriatrics and Palliative Care, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam., Bui L; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA.; Research Advancement Consortium in Health, Hanoi, Vietnam.; College of Health Sciences, VinUniversity, Hanoi, Vietnam., Than T; Department of Palliative Care, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Department of Geriatrics and Palliative Care, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam., Dang T; Department of Pharmacy, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Department of Pharmacy, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam., Phelan C; College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Krakauer EL; Department of Palliative Care, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, MA.; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA., Pham T; Research Advancement Consortium in Health, Hanoi, Vietnam.; College of Health Sciences, VinUniversity, Hanoi, Vietnam.; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA.; Department of Physiology, Hanoi Medical University, Ha Noi, Vietnam.
Jazyk:	angličtina
Zdroj:	JCO global oncology [JCO Glob Oncol] 2024 May; Vol. 10, pp. e2300463.
DOI:	10.1200/GO.23.00463
Abstrakt:	Purpose: We aimed to assess knowledge, attitudes, and perceived barriers among health care professionals (HCPs), policymakers, and regulators in Vietnam related to opioid therapy for cancer pain. Methods: We conducted a cross-sectional study in Vietnam from June to August 2022. Participants completed a questionnaire on their demographic characteristics, knowledge and attitudes toward opioid therapy, and barriers to accessing opioids for cancer pain. Results: Two hundred seven HCPs and 15 policymakers/regulators completed the questionnaire. Poor knowledge about opioids in cancer pain was found in 63.3% of HCPs and 80.0% of policymakers/regulators. Poor knowledge was associated with a lack of training in cancer pain management or palliative care (PC; prevalence ratio [PR], 1.14 [95% CI, 1.04 to 1.24]). Negative attitudes toward opioid therapy in cancer pain were held by 64.7% of HCPs and 80.0% of policymakers/regulators. Negative attitudes were associated with the unavailability of oral morphine in the workplace (PR, 1.10 [95% CI, 1.01 to 1.20]). The most common major barriers reported were the absence of national policy on pain management and PC (34.7%), inadequate training in opioid use for cancer pain (33.8%), lockdown of health facilities during the COVID-19 pandemic (32.4%), limited opioid availability in local health facilities (32.4%), and excessively restrictive regulation of opioid dispensing in pharmacies (32.4%). Conclusion: This study found a knowledge deficit and negative attitudes toward opioid therapy for cancer pain among HCPs and policymakers/regulators. Improving education and training in opioid therapy is essential. Recognizing major barriers can guide strategies to enhance safe opioid accessibility for cancer pain management in Vietnam.
Databáze:	MEDLINE
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