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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Ensuring and Restoring Balance on Access to Controlled Substances for Medical and Scientific Purposes: Joint Statement from Palliative Care Organizations
Journal of Pain and Palliative Care Pharmacotherapy, Volume 32, No. 2-3, Year 2018
Notification
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Description
The central principle of “balance” represents the dual obligation of governments to establish a system of control that ensures the adequate availability of controlled substances for medical and scientific purposes while simultaneously preventing their nonmedical use, diversion, and trafficking, two primary goals of the international control system. On the one hand, although strong opioids, including morphine, are absolutely necessary for the relief of severe pain, legitimate access to opioids for pain treatment and palliative care is lacking in the majority of the world’s countries. On the other hand, in a few high-income countries with higher consumption of prescription opioids, diversion and nonmedical use are increasingly prevalent. This report presents examples of unbalanced systems and a joint statement from global and regional palliative care organizations to promote development of balanced systems for optimal public health outcomes. Although nonmedical use of controlled substances poses a risk to society, the system of control is not intended to be a barrier to their availability for medical and scientific purposes, nor to interfere in their legitimate medical use for patient care. As representatives of palliative care organizations, we urge heads of state to act and to take measures to ensure and restore balanced systems in their countries and call on public health leaders and regulators to work together. © 2018, © 2018 Taylor & Francis Group, LLC.
Authors & Co-Authors
Pettus, Katherine Irene
Unknown Affiliation
De Lima, Liliana
Unknown Affiliation
Connor, Stephen R.
Unknown Affiliation
Torode, Julie S.
Unknown Affiliation
Ling, Julie
Unknown Affiliation
Downing, Julia D.
Unknown Affiliation
Rajagopal, M. R.
Unknown Affiliation
Radbruch, Lukas
Unknown Affiliation
Pastrana, Tania
Unknown Affiliation
Luyirika, Emmanuel B.K.
Unknown Affiliation
Goh, Cynthia Ruth
Unknown Affiliation
Marston, Joan Mary
Unknown Affiliation
Cleary, James Francis
Unknown Affiliation
Statistics
Citations: 5
Authors: 13
Identifiers
Doi:
10.1080/15360288.2018.1488792
ISSN:
15360288
Research Areas
Health System And Policy