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

Détails

Ressource 1Télécharger: ijerph-18-10155-v2.pdf (247.12 [Ko])
Etat: Public
Version: de l'auteur
Licence: CC BY 4.0
ID Serval
serval:BIB_88C24CEF48D9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Agonist Treatment for Opioid Dependence Syndrome: The Impact of Current Understanding upon Recommendations for Policy Initiatives.
Périodique
International journal of environmental research and public health
Auteur(s)
Dickson C., Junod V., Stamm R., Jeannot E., Hämmig R., Scholten W., Simon O.
ISSN
1660-4601 (Electronic)
ISSN-L
1660-4601
Statut éditorial
Publié
Date de publication
27/09/2021
Peer-reviewed
Oui
Volume
18
Numéro
19
Pages
10155
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
28/09/2021 9:01
Dernière modification de la notice
30/10/2021 5:36
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