Universität zu Köln

Vranken, Marjolein J. M., Mantel-Teeuwisse, Aukje K., Schutjens, Marie-Helene D. B., Scholten, Willem K., Juenger, Saskia and Leufkens, Hubert G. M. (2018). Access to Strong Opioid Analgesics in the Context of Legal and Regulatory Barriers in Eleven Central and Eastern European Countries. J. Palliat. Med., 21 (7). S. 963 - 970. NEW ROCHELLE: MARY ANN LIEBERT, INC. ISSN 1557-7740

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Abstract

Background: In 2011-2013, >95% of the global opioid analgesics consumption occurred in three regions, accounting for 15% of the world population. Despite abundant literature on barriers to access, little is known on the correlation between actual access to opioid analgesics and barriers to access, including legal and regulatory barriers. Objective: This study aimed to evaluate the correlation between access to strong opioid analgesics and barriers to access in national legislation and regulations in 11 central and eastern European countries that participated in the Access to Opioid Medication in Europe (ATOME) project. Design: Two variables were contrasted to assess their correlation: the country level of access to strong opioid analgesics indicated by the Adequacy of Consumption Measure (ACM) and the number of potential legal and regulatory barriers identified by an external review of legislation and regulations. Measurements: A linear correlation was evaluated using a squared linear correlation coefficient. Results: Evaluation of the correlation between the ACM and the number of potential barriers produces an R-2 value of 0.023 and a correlation plot trend line gradient of -0.075, indicating no correlation between access to strong opioid analgesics and the number of potential barriers in national legislation and regulations in the countries studied. Conclusions: No correlation was found, which indicates that other factors besides potential legal and regulatory barriers play a critical role in withholding prescribers and patients essential pain medication in the studied countries. More research is needed toward better understanding of the complex interplay of factors that determine access to strong opioid analgesics.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Vranken, Marjolein J. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mantel-Teeuwisse, Aukje K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schutjens, Marie-Helene D. B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Scholten, Willem K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Juenger, Saskia UNSPECIFIED UNSPECIFIED UNSPECIFIED Leufkens, Hubert G. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-189611
DOI:	10.1089/jpm.2017.0595
Journal or Publication Title:	J. Palliat. Med.
Volume:	21
Number:	7
Page Range:	S. 963 - 970
Date:	2018
Publisher:	MARY ANN LIEBERT, INC
Place of Publication:	NEW ROCHELLE
ISSN:	1557-7740
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CANCER PAIN; AVAILABILITY; ACCESSIBILITY; MANAGEMENT; RECOMMENDATIONS; CONSUMPTION; MEDICINES; WORLDWIDE Multiple languages Health Care Sciences & Services Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18961