Pain

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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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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Opioid Policy, Availability and Access in Developing and Nonindustrialized Countries

Citation:

Joranson DE, Ryan KM, Maurer MA. Opioid policy, availability and access in developing and nonindustrialized countries. In: Fishman SM, Ballantyne JC, Rathmell JP, eds. Bonica's Management of Pain. 4th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2010;194-208.

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Author: 

Joranson DE, Ryan KM, Maurer MA. Opioid policy, availability and access in developing and nonindustrialized countries. In: Fishman SM, Ballantyne JC, Rathmell JP, eds. Bonica's Management of Pain. 4th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2010;194-208.

More than two decades ago, an expert committee of the World Health Organization (WHO) concluded that most pain due to cancer could be relieved if health professionals would use a relatively simple analgesic method and if patients could have access to opioids such as oral morphine.1 The WHO analgesic method also has been endorsed for relief of pain due to HIV/AIDS.2

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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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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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

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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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