Improving the capacity and quality of anesthesia care in low- and middle-income countries requires attention to improving access to controlled medicines. Anesthesiologists and others involved in global health work should collaborate with policymakers and others to improve national and international drug control legislation to ensure that attempts to thwart illicit drug trafficking and use do not compromise availability of controlled medicines.
Patients previously considered non-responsive to treatment appear to have similar treatment expectations and aspirations as other drug users in treatment. Supervised injectable opioid treatment patients consistently reported treatment satisfaction but also that more could be done to optimise aspects of current arrangement. This raised the challenging issue of the extent to which opinions of patients need to be taken into consideration in shaping future treatment provision. Future research may need to examine the extent of expectations 'fit' and the relationship between treatment sought and received.
Chapter 3 presents more recent tensions around the policy direction that the so-called Vienna consensus entailed. The chapter explores the specific set of interwoven and interrelated themes that have challenged the International Drug Control Regime. It explains the regulatory architecture of the International Drug Control Regime, including the main stakeholders in the system and their interests, as well as the broader trends in the architecture. It argues that there are political differences among the various stakeholders that increasingly fracture the regime: while some states push for some type of reform, others resist change. The chapter concludes that there will be a turning point that is likely to either fragment or reconfigure the system.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.