Keywords
opioid
barrier
patient
availability
How to Cite
Abstract
Introduction: Opioid consumption is one of the indicators of pain relief in a country. According to data from the International Narcotics Control Board (INCB), Colombia reported a consumption significantly lower than the global average. Problems related with opioid distribution impairs the patient´s access. Therefore it is important to identify the barriers from the patient´s perspective in order to suggest improving initiatives.
Methods: a structured survey was designed to find barriers for opioid analgesics access in an ambulatory chronic pain clinic in Colombia.
Results: 24 patients were surveyed. 67% of the patients reported difficulties to obtain opioid medication; 33% had problems with the health maintenance organizations policies; 33% had problems with the dispensation; 17% had information issues about getting the medication; 17% had trouble with
prescription.
Conclusion: It is necessary to suggest and implement changes that improve opioid access for patiens in pain.
Organización Mundial de la Salud. WHO´s pain ladder. Fecha de consulta: 14 de febrero de 2010. Disponible en: http://www.who.int/cancer/palliative/painladder/en
United Nations. Single Convention on Narcotic Drugs. Fecha de consulta: 2 de marzo de 2010. Disponible en: h t t p : //www.incb.org/pdf/e/conv/convention_1961_en.pdf
International Narcotics Control Board. Availability of opiates for medical needs. Fecha de consulta: 2 de marzo de 2010. Disponible en: http://www.incb.org/pdf/e/ar/1995/suppl1en.pdf
Organización Mundial de la Salud. Estupefacientes y sustancias sicotrópicas: logrando equilibrio en las políticas nacionales de fiscalización de opioides. Fecha de consulta: 2 de marzo de 2010. Disponible en: http://www.painpolicy.wisc.edu/publicat/00whoabi/00whoabi-span.pdf
León M, De Lima L, Flórez S, Torres M, Daza M, Mendoza L, et al. Improving availability of and access to opioids in Colombia: Description and preliminary results, and action plan for the country. J Pain Symptom Manage. 2009;38:758-66.
Pain and Policy Studies Group. Colombia: Opioid consumption trends.
Fecha de consulta: 2 de marzo de 2010. Disponible en: http://www.painpolicy.wisc.edu/internat/AMRO/Colombia/index.htm
Sterjnswärd J, Bruera E, Joranson D, Allende S, Montejo G, Quesada L, et al. Opioid availability in Latin America. The Declaration of Florianapolis. J Pain Symptom Manage. 1995;10:233-336.
De Lima L. Opioid availability in Latin America as a global problem: A new strategy with regional and national effects. J Palliat Med. 2004; 7:97-103.
De Lima L, Bruera E, Joranson D, Vanegas G, Cepeda S, Quesada L, et al. Opioid availability in Latin America: The Santo Domingo Report. J Pain Symptom Manage. 1997;13:213-9.
De Lima L. Opioid availability in Latin America as a global problem: a new strategy with regional and national effects. Fecha de consulta: 17 de marzo de 2010. Disponible en: http://www2.edc.org/lastacts/archives/archivesJan03/editorial.asp
Wenk R, Bertolino M, De Lima L. Analgésicos opioides en Latinoamérica: la barrera de accesibilidad supera la de disponibilidad. Medicina paliativa. 2004;11:148-51.
Organización Mundial de la Salud-Organización Panamericana de la Salud, Comisión honoraria de la lucha contra el cáncer, Uruguay. Primera reunión del Mercosur sobre disponibilidad de opioides y tratamiento paliativos. Montevideo, Uruguay, 20-21 de junio de 2002. Fecha de consulta: 9 de marzo de 2010. Disponible en: http://www.bvsops.org.uy/pdf/PlanBVSOPSURU.pdf
Stjernswärd J, Foley K, Ferris F. The public health strategy for palliative 2007;33: 14. Boynton P. Selecting, designing, and
developing your questionnaire. BMJ. 2004; 328:1312-5.
Joranson D. Improving availability of opioid pain medications: Testing the principle of balance in Latin America. J Palliat Med. 2004;7:105-14.
De Lima L. Los cuidados paliativos en América Latina. Med Pal. 2006;13:1-3.
Velásquez T. Medicina paliativa y terapia del dolor: la realidad hondureña. Rev Med Hondur. 2007;75:147-8.
Ministerio de Protección Social de Colombia, Fondo Nacional de Estupefacientes. Circular 011, febrero 2008. Fecha de consulta: 19 de enero de 2010. Disponible en: http://www.fne.gov.co/INDEX.aspx?Id=13514.
Ministerio de la Protección Social de Colombia, Fondo Nacional de Estupefacientes. Circular 002, febrero 2008. Fecha de consulta: 18 de enero de 2010. Disponible en: http://www.fne.gov.co/INDEX.aspx?Id=13515.
Ministerio de la Protección Social de Colombia. Resolución 001478 de 2006. Fecha de consulta: 18 de enero de 2010. Disponible en: http://www.fne.gov.co/UserResources/Uploads/EditorUser/administrador/Res%201478.pdf.
De Lima L. El uso de medicamentos opioides en el alivio del dolor por cáncer en Latinoamérica. Revista Colombiana de Anestesiología. 2000;28:227-30.
This journal is registered under a Creative Commons Attribution 4.0 International Public License. Thus, this work may be reproduced, distributed, and publicly shared in digital format, as long as the names of the authors and Pontificia Universidad Javeriana are acknowledged. Others are allowed to quote, adapt, transform, auto-archive, republish, and create based on this material, for any purpose (even commercial ones), provided the authorship is duly acknowledged, a link to the original work is provided, and it is specified if changes have been made. Pontificia Universidad Javeriana does not hold the rights of published works and the authors are solely responsible for the contents of their works; they keep the moral, intellectual, privacy, and publicity rights.
Approving the intervention of the work (review, copy-editing, translation, layout) and the following outreach, are granted through an use license and not through an assignment of rights. This means the journal and Pontificia Universidad Javeriana cannot be held responsible for any ethical malpractice by the authors. As a consequence of the protection granted by the use license, the journal is not required to publish recantations or modify information already published, unless the errata stems from the editorial management process. Publishing contents in this journal does not generate royalties for contributors.