A Systematic Content Analysis of Policy Barriers Impeding Access to Opioid Medication in Central and Eastern Europe: Results of ATOME
| Autor: | Evie Papavasiliou, Lukas Radbruch, Sheila Payne, Willem Scholten, Eugenia Larjow |
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| Rok vydání: | 2015 |
| Předmět: |
Health Knowledge
Attitudes Practice Palliative care Societal attitudes Health Services Accessibility Education 03 medical and health sciences 0302 clinical medicine Nursing Medicine Humans Pain Management 030212 general & internal medicine Formulary General Nursing Health policy Strategic planning Harm reduction business.industry Health Policy Palliative Care World population Analgesics Opioid Europe Anesthesiology and Pain Medicine Content analysis 030220 oncology & carcinogenesis Neurology (clinical) business |
| Zdroj: | Journal of pain and symptom management. 51(1) |
| ISSN: | 1873-6513 |
| Popis: | Context Reliable access to opioid medication is critical to delivering effective pain management, adequate treatment of opioid dependence, and quality palliative care. However, more than 80% of the world population is estimated to be inadequately treated for pain because of difficulties in accessing opioids. Although barriers to opioid access are primarily associated with restrictive laws, regulations, and licensing requirements, a key problem that significantly limits opioid access relates to policy constraints. Objectives To identify and explore policy barriers to opioid access in 12 Eastern and Central European countries involved in the Access to Opioid Medication in Europe project, funded by the European Community's Seventh Framework (FP7/2007–2013, no. 222994) Programme. Methods A systematic content analysis of texts retrieved from documents (e.g., protocols of national problem analyses, strategic planning worksheets, and executive summaries) compiled, reviewed, approved, and submitted by either the Access to Opioid Medication in Europe consortium or the national country teams (comprising experts in pain management, harm reduction, and palliative care) between September 2011 and April 2014 was performed. Results Twenty-five policy barriers were identified (e.g., economic crisis, bureaucratic issues, lack of training initiatives, stigma, and discrimination), classified under four predetermined categories (financial/economic aspects and governmental support, formularies, education and training, and societal attitudes). Key barriers related to issues of funding allocation, affordability, knowledge, and fears associated with opioids. Conclusion Reducing barriers and improving access to opioids require policy reform at the governmental level with a set of action plans being formulated and concurrently implemented and aimed at different levels of social, education, and economic policy change. |
| Databáze: | OpenAIRE |
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