Agonist Treatment for Opioid Dependence Syndrome: The Impact of Current Understanding upon Recommendations for Policy Initiatives.

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License: CC BY 4.0
Serval ID
serval:BIB_88C24CEF48D9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Agonist Treatment for Opioid Dependence Syndrome: The Impact of Current Understanding upon Recommendations for Policy Initiatives.
Journal
International journal of environmental research and public health
Author(s)
Dickson C., Junod V., Stamm R., Jeannot E., Hämmig R., Scholten W., Simon O.
ISSN
1660-4601 (Electronic)
ISSN-L
1660-4601
Publication state
Published
Issued date
27/09/2021
Peer-reviewed
Oui
Volume
18
Number
19
Pages
10155
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
The provision of opioid agonist treatments (OATs), as a standard approach towards opioid dependence syndrome, differs widely between countries. In response to access disparities, in 2014, the Council of Europe's Pompidou Group first brought together an expert group on framework conditions for the treatment of opioid dependence. The group used a Delphi approach to structure their discussions and develop guiding principles for the modernisation of OAT regulations and legislation. The expert group identified some 60 guiding principles, which were then the subject of wide public consultation. Endorsed by Pompidou Group member states, the final report identified four key recommendations: (1) Prescription and delivery without prior authorisation schemes; (2) Effective removal of financial barriers to access to care; (3) Coordination and follow-up by a national consultative body; and (4) Neutral, precise and respectful terminology. During meetings, the expert group hypothesised that inequalities in OAT access are likely to be linked to underlying rationales which in theory are contradictory, but in practice co-exist within the different political frameworks. The present article considers the perceived influence upon different regulatory frameworks. Discussion is centred around the potential impact of underlying rationales upon the effective implementation of a modernised framework.
Keywords
Analgesics, Opioid/adverse effects, Humans, Opioid-Related Disorders/drug therapy, Policy, Referral and Consultation, OAT, harm reduction, legislation, opioid agonist treatment, opioid dependence syndrome, policy
Pubmed
Web of science
Open Access
Yes
Create date
28/09/2021 9:01
Last modification date
30/10/2021 5:36
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