Background In recent decades, several political, legislative, judicial, consumer, and commercial processes around the world have advanced legalization efforts for the use of medical cannabis (MC). As the use of MC evolves through legislative reform, with an increase in public acceptance and therapeutic potential, a need exists to further investigate the facilitators and barriers to MC regulation. Methods A scoping review was conducted to identify the facilitators and barriers associated with the implementation of MC regulations. MEDLINE, EMBASE, AMED and PsycINFO databases were systematically searched; no restrictions were placed on geographic location/jurisdiction. Eligible articles included those that evaluated the MC regulatory framework of one or more countries. Results Twenty-two articles were deemed eligible and included in this review. Themes identified include: (1) effects of conflicts, mindset, and ideology of state population, (2) the use of comparisons to analyze MC regulation, and (3) the need for more knowledge, advice, and empirical/clinical evidence to inform future MC policies. Conclusion Policymakers should be aware of facilitators to the MC regulation implementation process, such as the influence of state and federal congruence, increased transparency, and the incorporation of stakeholder concerns, in order to effectively respond to a growing societal acceptance of MC and its use among patients. Given a comprehensive understanding of these influential factors, policymakers may be better equipped to meet the consumer and commercial demands of a rapidly evolving MC regulatory environment.
Background: In recent decades, several political, legislative, and judicial processes around the world have advanced legalization efforts for the use of medical cannabis (MC). As MC usage evolves through legislative reform, with an increase in public acceptance and therapeutic potential, a need exists to further investigate the facilitators and barriers to MC regulation.Methods: A scoping review was conducted to identify the facilitators and barriers associated with the implementation of international MC regulations. MEDLINE, EMBASE, AMED and PsycINFO databases were systematically searched. Eligible articles included primary studies that evaluated the MC regulatory framework of one or more countries globally.Results: Twenty-two articles were deemed eligible and included in this review. Themes identified include: (1) effects of conflicts, mindset and ideology of state population, (2) the use of comparisons to analyze MC regulation, and (3) the need for more knowledge, advice and empirical/clinical evidence to inform future MC policies.Conclusion: We identified a number of facilitators and barriers to MC regulation and provide a holistic overview of what factors are proposed to affect MC regulation. In recognizing that the evidence-base surrounding MC, MC usage among patients, and general societal acceptance of MC are all increasing across many parts of the globe, our review allows for relevant stakeholders to better understand these facilitators and barriers to inform future MC policy making.
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