Fazeny B, Muhm M, Berzlanovich A, Wenzel C, Hagmeister H, Marosi C
Universitätsklinik für Innere Medizin I/Onkologie, Wien, Osterreich.
Wien Klin Wochenschr. 2000 Apr 21;112(8):372-5.
Although the WHO edited guidelines for pain treatment as early as 1986, practical management has frequently remained inadequate, especially in cancer patients. Traditional adherence to restrictions from the former Austrian Controlled Drug Act which have resulted in ongoing limitations in the prescription of opioids as well as complicated formal regulations in the current law represent two major obstacles. As a consequence, recent legislation of a "state of the art" pain management in Austria facilitates adequate provision of analgesics on the one hand, and may, on the other, even result in claims for indemnity should these be withhold.
尽管世界卫生组织早在1986年就编辑了疼痛治疗指南,但实际管理往往仍不充分,尤其是在癌症患者中。传统上遵循前奥地利《管制药品法》的限制,这导致阿片类药物处方持续受限,以及现行法律中复杂的形式规定,这是两个主要障碍。因此,奥地利最近关于“最新”疼痛管理的立法一方面有助于充分提供镇痛药,另一方面,如果镇痛药供应被扣留,甚至可能导致赔偿要求。