Improving availability of and access to opioids in Colombia: Description and preliminary results of an action plan for the country

9 páginas

Autores:
León Delgado, Marta Ximena
De Lima, Liliana
Flórez Rojas, Sandra Patricia
Torres, Marcela
Daza Calero, Marcela
Mendoza, Lina
Agudelo Muñetón, Natalia
Guerra, Laura C.
Ryan, Karen
Tipo de recurso:
Fecha de publicación:
2009
Institución:
Universidad de la Sabana
Repositorio:
Repositorio Universidad de la Sabana
Idioma:
eng
OAI Identifier:
oai:intellectum.unisabana.edu.co:10818/27314
Acceso en línea:
http://www.sciencedirect.com/science/article/pii/S0885392409007052
http://hdl.handle.net/10818/27314
Palabra clave:
Opioid analgesics
Drug availability
Barriers
Opioid legislation
Education
Colombia
Rights
License
Attribution-NonCommercial-NoDerivatives 4.0 International
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network_name_str Repositorio Universidad de la Sabana
repository_id_str
dc.title.es_CO.fl_str_mv Improving availability of and access to opioids in Colombia: Description and preliminary results of an action plan for the country
title Improving availability of and access to opioids in Colombia: Description and preliminary results of an action plan for the country
spellingShingle Improving availability of and access to opioids in Colombia: Description and preliminary results of an action plan for the country
Opioid analgesics
Drug availability
Barriers
Opioid legislation
Education
Colombia
title_short Improving availability of and access to opioids in Colombia: Description and preliminary results of an action plan for the country
title_full Improving availability of and access to opioids in Colombia: Description and preliminary results of an action plan for the country
title_fullStr Improving availability of and access to opioids in Colombia: Description and preliminary results of an action plan for the country
title_full_unstemmed Improving availability of and access to opioids in Colombia: Description and preliminary results of an action plan for the country
title_sort Improving availability of and access to opioids in Colombia: Description and preliminary results of an action plan for the country
dc.creator.fl_str_mv León Delgado, Marta Ximena
De Lima, Liliana
Flórez Rojas, Sandra Patricia
Torres, Marcela
Daza Calero, Marcela
Mendoza, Lina
Agudelo Muñetón, Natalia
Guerra, Laura C.
Ryan, Karen
dc.contributor.author.none.fl_str_mv León Delgado, Marta Ximena
De Lima, Liliana
Flórez Rojas, Sandra Patricia
Torres, Marcela
Daza Calero, Marcela
Mendoza, Lina
Agudelo Muñetón, Natalia
Guerra, Laura C.
Ryan, Karen
dc.subject.none.fl_str_mv Opioid analgesics
Drug availability
Barriers
Opioid legislation
Education
Colombia
topic Opioid analgesics
Drug availability
Barriers
Opioid legislation
Education
Colombia
description 9 páginas
publishDate 2009
dc.date.accessioned.none.fl_str_mv 10/7/2016 16:21
dc.date.issued.none.fl_str_mv 2009-04-01
dc.date.available.none.fl_str_mv 2016-10-07T21:21:19Z
dc.type.en.fl_str_mv article
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dc.type.hasVersion.es_CO.fl_str_mv publishedVersion
dc.identifier.citation.es_CO.fl_str_mv M. X. Leon, et al./J Pain Symptom Manage 2009;38:758 e 766
dc.identifier.issn.none.fl_str_mv 0885-3924
dc.identifier.other.none.fl_str_mv http://www.sciencedirect.com/science/article/pii/S0885392409007052
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10818/27314
dc.identifier.doi.none.fl_str_mv 10.1016/j.jpainsymman.2009.03.007
identifier_str_mv M. X. Leon, et al./J Pain Symptom Manage 2009;38:758 e 766
0885-3924
10.1016/j.jpainsymman.2009.03.007
url http://www.sciencedirect.com/science/article/pii/S0885392409007052
http://hdl.handle.net/10818/27314
dc.language.iso.es_CO.fl_str_mv eng
language eng
dc.relation.ispartofseries.none.fl_str_mv Journal of Pain and Symptom Management Volume 38, Issue 5, November 2009, Pages 758-766
dc.rights.*.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
http://purl.org/coar/access_right/c_abf2
dc.format.es_CO.fl_str_mv application/pdf
dc.publisher.es_CO.fl_str_mv Journal of Pain and Symptom Management
dc.source.es_CO.fl_str_mv Universidad de La Sabana
Intellectum Repositorio Universidad de La Sabana
institution Universidad de la Sabana
bitstream.url.fl_str_mv https://intellectum.unisabana.edu.co/bitstream/10818/27314/3/license.txt
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spelling León Delgado, Marta XimenaDe Lima, LilianaFlórez Rojas, Sandra PatriciaTorres, MarcelaDaza Calero, MarcelaMendoza, LinaAgudelo Muñetón, NataliaGuerra, Laura C.Ryan, Karen10/7/2016 16:212016-10-07T21:21:19Z2009-04-01M. X. Leon, et al./J Pain Symptom Manage 2009;38:758 e 7660885-3924http://www.sciencedirect.com/science/article/pii/S0885392409007052http://hdl.handle.net/10818/2731410.1016/j.jpainsymman.2009.03.0079 páginasLatin 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. The action plan for Colombia included three steps: 1) a survey of regulators and health care providers to identify the current situation and their perceptions of opioid availability in the regions of the country; 2) a workshop with representatives of the Ministry of Health, the national and state competent authorities, pain and palliative care physicians, and international leaders; and 3) implementation workshops at the local level throughout the country. For the survey, response rates of 47% and 96% were registered among physicians and competent authorities, respectively. The survey identified significant regional differences in perceived opioid availability between physicians and regulators. Focus group discussions during the workshop identified several reasons leading to limited availability of opioids in the country, including deficiencies in the procurement process, insufficient human resources, excessive bureaucratic tasks, insufficient number of pharmacies authorized to dispense controlled medications in the country, lack of training in the health care professions, and overly restrictive laws and regulations governing opioid availability. The third step of the action plan has not been implemented. Additional and continuous monitoring needs to be implemented to measure the progress of this project.application/pdfengJournal of Pain and Symptom ManagementJournal of Pain and Symptom Management Volume 38, Issue 5, November 2009, Pages 758-766Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2Universidad de La SabanaIntellectum Repositorio Universidad de La SabanaOpioid analgesicsDrug availabilityBarriersOpioid legislationEducationColombiaImproving availability of and access to opioids in Colombia: Description and preliminary results of an action plan for the countryarticlepublishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501LICENSElicense.txtlicense.txttext/plain; charset=utf-8498https://intellectum.unisabana.edu.co/bitstream/10818/27314/3/license.txtf52a2cfd4df262e08e9b300d62c85cabMD53CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-81223https://intellectum.unisabana.edu.co/bitstream/10818/27314/2/license_rdf7c9ab7f006165862d8ce9ac5eac01552MD5210818/27314oai:intellectum.unisabana.edu.co:10818/273142022-05-10 05:16:18.657Intellectum Universidad de la Sabanacontactointellectum@unisabana.edu.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