Department of Neurological Sciences, University of Bologna, UOC Clinica Neurologica, Via U. Foscolo 7, 40123 Bologna, Italy.
Neurol Sci. 2011 May;32 Suppl 1:S77-9. doi: 10.1007/s10072-011-0550-3.
The Italian Law 38/2010 assures the citizens' right to have access to palliative care and to antalgic centres in case of either oncologic or non-oncologic pain. It represents an opportunity for headaches' managements in Italy, promoting the creation of regional and national networks of headache centres and local diagnostic and therapeutic clinical pathways for patient affected with headache. This law should also support collaborations between both antalgic and headache centres networks in order to promote innovative or experimental procedures for chronic and refractory headaches. Moreover, art. 10 of the Law 38/2010 may facilitate the prescription of many headache prophylactic drugs but it may be a risk for opioids overuse headache. Educational programs and the Continuous Professional Development for physicians and all different healthcare professionals in headache area are warranted.
意大利法律 38/2010 确保了公民在患有肿瘤或非肿瘤性疼痛时获得姑息治疗和镇痛中心的权利。它为意大利的头痛管理提供了机会,促进了头痛中心的区域和国家网络以及针对头痛患者的本地诊断和治疗临床路径的创建。该法律还应支持镇痛和头痛中心网络之间的合作,以促进慢性和难治性头痛的创新或实验性治疗方法。此外,意大利法律 38/2010 的第 10 条可能会促进许多头痛预防性药物的处方,但这可能会导致阿片类药物过度使用性头痛的风险增加。需要为头痛领域的医生和所有不同的医疗保健专业人员提供教育计划和持续的专业发展。