Abstract

http://ssrn.com/abstract=1356769
 


 



Closing the Gap: Case Studies of Opioid Access Reform in China, India, Romania & Vietnam


Evan D. Anderson


Center for Public Health Initiatives, University of Pennsylvania; Temple University - James E. Beasley School of Law

Leo Beletsky


Northeastern University - School of Law; Northeastern University - Bouvé College of Health Sciences

Scott Burris


Temple University - James E. Beasley School of Law

Corey S. Davis


Network for Public Health Law

Thomas F. Kresina


Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration

March 10, 2009

Temple University Legal Studies Research Paper No. 2009-25

Abstract:     
Millions of people with cancer, HIV/AIDS and other conditions do not receive the opiod analgesics that would relieve their pain. Millions of others, dependent on illicit opiods, have no access to medication-assisted therapy with methadone or buprenorphine, which has been shown to be effective in treating dependence - and in reducing the risks of HIV infection. There are many reasons for this unfortunate and paradoxical state of affairs, but policy is a crucial factor. In countries throughout the world, drug control policies and outmoded ideas have helped perpetuate negative attitudes about opioids, prevented health care professionals from getting experience in their use, and erected often insurmountable regulatory barriers to their availability. Yet there are numerous stories of successful reduction in policy barriers. With help from the international community, many countries have succeeded in striking a better balance in their drug control laws between law enforcement and good medicine. This report, funded by the U.K. Department for International Development, describes the reform process in four countries - China, India, Romania and Vietnam - highlighting the tactics that international donors, UN agencies and technical experts used to support policy reform.

Number of Pages in PDF File: 89

Keywords: pain, palliative care, drug treatment, morphine, policy

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Date posted: March 12, 2009 ; Last revised: March 12, 2012

Suggested Citation

Anderson, Evan D. and Beletsky, Leo and Burris, Scott and Davis, Corey S. and Kresina, Thomas F., Closing the Gap: Case Studies of Opioid Access Reform in China, India, Romania & Vietnam (March 10, 2009). Temple University Legal Studies Research Paper No. 2009-25. Available at SSRN: http://ssrn.com/abstract=1356769 or http://dx.doi.org/10.2139/ssrn.1356769

Contact Information

Evan D. Anderson
Center for Public Health Initiatives, University of Pennsylvania ( email )
Philadelphia, PA 19104
United States
2159000359 (Phone)
Temple University - James E. Beasley School of Law ( email )
1719 N. Broad Street
Philadelphia, PA 19122
United States
Leo Beletsky
Northeastern University - School of Law; Northeastern University - Bouvé College of Health Sciences ( email )
400 Huntington Ave.
Boston, MA 02115
United States
617-373-5540 (Phone)
Scott C. Burris (Contact Author)
Temple University - James E. Beasley School of Law ( email )
1719 N. Broad Street
Philadelphia, PA 19122
United States
215-204-6576 (Phone)
215-204-1185 (Fax)
HOME PAGE: http://www.temple.edu/lawschool/phrhcs/index.html
Corey S. Davis
Network for Public Health Law ( email )
Saint Paul, MN
United States
Thomas F. Kresina
Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration ( email )
1 Choke Cherry Rd
Rockville, MD 20857
United States
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