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土耳其用于癌症疼痛的阿片类药物:可及性、可获得性及监管障碍与Pallia-Turk项目

Opioids for cancer pain: availability, accessibility, and regulatory barriers in Turkey and Pallia-Turk Project.

作者信息

Ozgul Nejat, Koc Orhan, Gultekin Murat, Goksel Fatih, Kerman Saim, Tanyeri Pelin, Ekinci Halil, Tuncer Murat A, Sencan Irfan

机构信息

Cancer Control Department, Turkish Ministry of Health, Turkey.

出版信息

J Pediatr Hematol Oncol. 2011 Apr;33 Suppl 1:S29-32. doi: 10.1097/MPH.0b013e3182121bd9.

Abstract

Palliative care is an emerging topic in Turkey within recent years. Currently, there are only few number of palliative care services across the country and majority of the centers are pain control units. Morphine consumption rate per capita is low, accessibility and availability of morphine products are also limited. One of the main headings of Turkish Cancer Control Programme 2009-2015 is palliative care and a serial palliative care unit implementation with continuous training programmes is planned to be finalized until 2015. This article reviews the current palliative care situation in Turkey, opioid availability in Turkey and also briefly summarizes Pallia-Turk Project which is unique with respect to many different aspects for implementation, and can be a good model for many other countries that still did not have such an implemented palliative care program.

摘要

近年来,姑息治疗在土耳其成为一个新兴话题。目前,全国范围内仅有少数姑息治疗服务机构,且大多数中心都是疼痛控制单元。人均吗啡消费量较低,吗啡产品的可及性和可得性也有限。2009 - 2015年土耳其癌症控制计划的主要主题之一是姑息治疗,计划在2015年前完成一系列姑息治疗单元的实施并开展持续培训项目。本文回顾了土耳其目前的姑息治疗状况、土耳其的阿片类药物可得性,还简要总结了Pallia - Turk项目,该项目在实施的许多不同方面都独具特色,可为许多尚未实施此类姑息治疗项目的其他国家提供一个良好范例。

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