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Barriers of Access to Opioid Medicines within the Context of Palliative Care in Latin America: The Perception of Health Professionals.
Vahos, Juanita; Rojas-Cortés, Robin; Daza, Daniela; Osorio-Florez, Luis Camilo; Macías Saint-Gerons, Diego; Pastrana, Tania; Muñoz, Sergio; Fitzgerald, James; Porrás, Analía; Luciani, Silvana; Castro, Jose Luis.
Afiliação
  • Vahos J; Department of Pharmacy, Universidad Nacional de Colombia, Bogotá, Colombia.
  • Rojas-Cortés R; Pan American Health Organization, Washington, DC, USA.
  • Daza D; Pharmaceutical Chemist, MSc Epidemiology, Bogota, Colombia.
  • Osorio-Florez LC; Health Specialist, The World Bank, Washington, DC, USA.
  • Macías Saint-Gerons D; Pan American Health Organization, Washington, DC, USA.
  • Pastrana T; Department of Medicine, University of Valencia, INCLIVA Health Research Institute and CIBERSAM, Valencia, Spain.
  • Muñoz S; Department of Palliative Medicine, Medical Faculty, RWTH Aachen University, Aachen, Germany.
  • Fitzgerald J; Department of Public Health-CIGES, Faculty of Medicine, Universidad de la Frontera, Temuco, Chile.
  • Porrás A; Pan American Health Organization, Washington, DC, USA.
  • Luciani S; Pan American Health Organization, Washington, DC, USA.
  • Castro JL; Pan American Health Organization, Washington, DC, USA.
J Palliat Med ; 26(2): 199-209, 2023 02.
Article em En | MEDLINE | ID: mdl-36040320
Background: Different sets of barriers have been identified to explain the difficulties in the access and availability of opioid analgesics in palliative care, particularly in low- and middle-income countries, including Latin America. Objective: To validate a structured questionnaire for the access to opioid medicines and to investigate the perception of health professionals regarding access barriers to opioid analgesics in 17 countries of the Latin American Region. Design: Survey to identify the domains and barriers of access to opioid medicines according to health professionals, including physicians, nurses, and pharmacists affiliated to institutions that provide palliative care in Latin America between August 2019 and October 2020. Results: We analyzed responses from 426 health professionals. The median age was 44 years old (ranging from 23 to 73 years) with an average experience in palliative care of 10 years (range: 1-35), 71.8% were women, and 49.8% were affiliated to specialized health care facilities of urban areas (94.6%). The main barriers perceived to be extremely relevant by the respondents were "belief that patients can develop addiction" and "financial limitations of patients" for the patient's domain and the "appropriate education, instruction, and training of professionals" for health professional's domain. Conclusions: It is necessary to develop strategies to strengthen less-developed health systems of the region to review legal frameworks, ensure integrated palliative care systems, and deploy multidisciplinary strategies for sensitizing, training, and raising the awareness of patients, caregivers and, particularly, health professionals regarding appropriate prescription and rational use of opioid analgesics.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Analgésicos Opioides Tipo de estudo: Qualitative_research Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Palliat Med Assunto da revista: SERVICOS DE SAUDE Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Analgésicos Opioides Tipo de estudo: Qualitative_research Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Palliat Med Assunto da revista: SERVICOS DE SAUDE Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Estados Unidos