The problems of opioid analgesics provision. The subservice part of the iceberg

Abstract

The provision of opioid analgesics for patients suffering from severe chronic pain is still a serious problem. The authors focus on the legislative, service organization and financial problems that impede the adequate provision of opioid analgesics (OA). The problem’s complexity increases with the implementation of the benchmarks specified by “The Russian Government’s Decree on Increasing the Availability of Opioids”. It is stated that there is a clear disbalance between the increasing requirements for OA use and the organizational and financial opportunities for their implementation. The need for introducing at the Federal level some changes in the service organization and financial mechanisms of ensuring patients with OA is emphasized, the one of which should be the allocation of an independent organization/financial programme. In the frame of this programme the provision of OA will be purposefully funded.

Keywords

• опиоидные анальгетики
• обеспечение адекватного обезболивания
• интенсивная хроническая боль
• нормативно-правовые и организационно-финансовые механизмы обеспечения опиоидными анальгетиками
• opioid analgesics
• adequate pain control
• severe chronic pain
• legislative
• service organization and financial mechanisms of ensuring patients with opioid analgesics