University of Stirling, Stirling, Scotland, UK.
University of Edinburgh, Edinburgh, Scotland, UK.
Harm Reduct J. 2022 Aug 29;19(1):98. doi: 10.1186/s12954-022-00680-y.
In Scotland drug policy and consequently the progress of evidence-based treatment options has been struggling for many years. Political inaction is brought about by a complex chain of legal and operational obstructions with local authorities deferring to national Government which in turn is paralysed by international convention. Scotland represents a case study demonstrating the adverse consequences of management by non medical requirements rather than implementation of a clinically proven progressive policy. The difficulty of translating theory and evidence into practice is acknowledged but suggestions are made for pragmatic and humanitarian initiatives.
在苏格兰,药物政策以及相应的循证治疗选择的进展多年来一直举步维艰。由于法律和操作障碍的复杂链条,政治上的无所作为导致地方当局对国家政府的依赖,而国家政府又因国际公约而瘫痪。苏格兰是一个案例研究,它表明了由非医疗要求管理而不是实施经过临床验证的渐进政策的不良后果。人们认识到将理论和证据转化为实践的困难,但也提出了务实和人道主义倡议的建议。