Opioids for cancer pain: availability, accessibility, and regulatory barriers in Turkey and Pallia-Turk Project

J Pediatr Hematol Oncol. 2011 Apr:33 Suppl 1:S29-32. doi: 10.1097/MPH.0b013e3182121bd9.

Abstract

Palliative care is an emerging topic in Turkey within recent years. Currently, there are only few number of palliative care services across the country and majority of the centers are pain control units. Morphine consumption rate per capita is low, accessibility and availability of morphine products are also limited. One of the main headings of Turkish Cancer Control Programme 2009-2015 is palliative care and a serial palliative care unit implementation with continuous training programmes is planned to be finalized until 2015. This article reviews the current palliative care situation in Turkey, opioid availability in Turkey and also briefly summarizes Pallia-Turk Project which is unique with respect to many different aspects for implementation, and can be a good model for many other countries that still did not have such an implemented palliative care program.

MeSH terms

  • Analgesics, Opioid / therapeutic use*
  • Education, Medical, Continuing* / legislation & jurisprudence
  • Education, Medical, Continuing* / organization & administration
  • Education, Medical, Continuing* / standards
  • Humans
  • Morphine / therapeutic use*
  • National Health Programs* / legislation & jurisprudence
  • National Health Programs* / organization & administration
  • National Health Programs* / standards
  • Neoplasms / drug therapy*
  • Pain / drug therapy*
  • Palliative Care* / legislation & jurisprudence
  • Palliative Care* / organization & administration
  • Palliative Care* / standards
  • Turkey

Substances

  • Analgesics, Opioid
  • Morphine