international

Do International Model Drug Control Laws Provide for Drug Availability?

Citation:

Pain & Policy Studies Group. Do International Model Drug Control Laws Provide for Drug Availability? J Pain Palliat Care Pharmacother 2009;23:145-152.

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Author: 

Pain & Policy Studies Group. Do International Model Drug Control Laws Provide for Drug Availability? J Pain Palliat Care Pharmacother 2009;23:145-152.

A preliminary review of the United Nations Office on Drugs and Crime (UNODC) model drug control laws was conducted by the Pain & Policy Studies Group (PPSG) to determine whether the models provided governments with language they can use to carry out the obligation to ensure adequate availability of opioid analgesics for the relief of pain and suffering, specified in the Single Convention on Narcotic Drugs, 1961 as amended, and as recommended by the International Narcotics Control Board in 1995. The results showed that current model laws lack the drug availability provisions.

Improving opioid availability

Citation:

Joranson DE, Gilson AM, Maurer MA. Improving opioid availability. Indian J Palliat Care 2005;11:60-61.

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Author: 

Joranson DE, Gilson AM, Maurer MA. Improving opioid availability. Indian J Palliat Care 2005;11:60-61.

This is an editorial piece.  No abstract is available.

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Italy reforms national policy for cancer pain relief and opioids

Citation:

Blengini C, Joranson DE, Ryan KM. Italy reforms national policy for cancer pain relief and opioids. Eur J Cancer Care 2003;12:28-34.

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Author: 

Blengini C, Joranson DE, Ryan KM. Italy reforms national policy for cancer pain relief and opioids. Eur J Cancer Care 2003;12:28-34.

Treatment of pain caused by cancer in Italy has been reported to be inadequate for more than a decade. The problem has been documented in the literature by International Narcotics Control Board (INCB) reports that show Italy's low consumption of morphine, and by INCB statements reflecting concern that pain medications are not adequately available to suffering cancer patients. The reasons for undertreatment include lack of physician education, low public awareness about pain management and overly restrictive regulations that inhibit the prescribing of opioid analgesics.

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Improving availability of opioid pain medications: Testing the principle of balance in Latin America

Citation:

Joranson DE. Improving availability of opioid pain medications: Testing the principle of balance in Latin America. Innovations in End-of-Life Care 2003;5.

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Author: 

Joranson DE. Improving availability of opioid pain medications: Testing the principle of balance in Latin America. Innovations in End-of-Life Care 2003;5.

Read the entire issue on the Innovations in End-of-Life Care Website: "A Model for Improving Access to Opioids: The Latin American Experience."  January-February 2003, Vol. 5, No.1. 

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Improving access to opioid analgesics for palliative care in India

Citation:

Joranson DE, Rajagopal MR, Gilson AM. Improving access to opioid analgesics for palliative care in India. J Pain Symptom Manage 2002;24:152-159.

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Author: 

Joranson DE, Rajagopal MR, Gilson AM. Improving access to opioid analgesics for palliative care in India. J Pain Symptom Manage 2002;24:152-159.

No abstract is available.

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Integrating palliative care in public health: The Colombian experience following an International Pain Policy Fellowship

Citation:

Leon MX, Florez S, De Lima L, Ryan K. Integrating palliative care in public health:  The Colombian experience following an International Pain Policy Fellowship. Palliat Med 2011; published on-line 12 January 2011.

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Author: 

Leon MX, Florez S, De Lima L, Ryan K. Integrating palliative care in public health:  The Colombian experience following an International Pain Policy Fellowship. Palliat Med 2011; published on-line 12 January 2011.

Access to palliative care is insufficient in many countries around the world. In an effort to improve access to palliative care services and treatments, a public health approach as suggested by the World Health Organization was implemented in Colombia to improve opioid availability, increase awareness and competences about palliative care for healthcare workers, and to include palliative care as a component of care in legislation.

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Improving the availability and accessibility of opioids for the treatment of pain: The International Pain Policy Fellowship

Citation:

Bosnjak S, Maurer MA, Ryan KM, Leon MX, Madiye G. Improving the availability and accesibility of opioids for the treatment of pain: The International Pain Policy Fellowship. Journal of Supportive Care in Cancer 2011;19:1239-1247.

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Author: 

Bosnjak S, Maurer MA, Ryan KM, Leon MX, Madiye G. Improving the availability and accesibility of opioids for the treatment of pain: The International Pain Policy Fellowship. Journal of Supportive Care in Cancer 2011;19:1239-1247.

Opioid analgesics are simultaneously indispensable medicines for the treatment of moderate to severe pain and harmful when abused. The challenge for governments is to balance the obligation to prevent diversion, trafficking and abuse of opioids with the equally important obligation to ensure their availability and accessibility for the relief of pain and suffering. Over the last 30 years, significant progress has been made toward improving access to opioids as measured by increasing global medical opioid consumption.

Improving Availability of and Access to Opioids in Colombia: Description and Preliminary Results of an Action Plan for the Country

Citation:

Leon MX, De Lima L, Florez S et al. Improving availability of and access to opioids in Colombia: description and preliminary results of an action plan for the country. J Pain Symptom Manage 2009;38:758-766. http://dx.doi.org/10.1016/j.jpainsymman.2009.03.007

Abstract:
Author: 

Leon MX, De Lima L, Florez S et al. Improving availability of and access to opioids in Colombia: description and preliminary results of an action plan for the country. J Pain Symptom Manage 2009;38:758-766. http://dx.doi.org/10.1016/j.jpainsymman.2009.03.007

Latin America consumes less than 2.7% of the morphine in the world, as reported by the governments to the International Narcotics Control Board. Methods to improve access to opioids for the treatment of pain have been developed by the Pain & Policy Studies Group (PPSG), a World Health Organization Collaborating Center at the University of Wisconsin. This article describes the preparation and implementation of an action plan in Colombia as a part of an international fellowship program on opioid policy developed by the PPSG and funded by the Open Society Institute.

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