Krakauer Eric L, Wenk Roberto, Buitrago Rosa, Jenkins Philip, Scholten Willem
Department of Medicine, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA.
J Pain Palliat Care Pharmacother. 2010 Sep;24(3):239-43. doi: 10.3109/15360288.2010.501852.
Strong opioids such as morphine are rarely accessible in low- and middle-income countries, even for patients with the most severe pain. The three cases reported here from three diverse countries provide examples of the terrible and unnecessary suffering that occurs everyday when this essential, inexpensive, and safe medication is not adequately accessible by patients in pain. The reasons for this lack of accessibility are explored, and ways to resolve the problem are proposed.
在低收入和中等收入国家，即便对于疼痛最为严重的患者而言，吗啡等强效阿片类药物也很难获取。本文报告的来自三个不同国家的三起案例，展现了疼痛患者无法充分获取这种基本、廉价且安全的药物时，每天都会发生的可怕且不必要的痛苦。本文探讨了难以获取此类药物的原因，并提出了解决该问题的方法。
