Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage: the Lancet Commission report

@article{Knaul2017AlleviatingTA,
  title={Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage: the Lancet Commission report},
  author={Felicia Marie Knaul and Paul Farmer and Eric L Krakauer and Liliana de Lima and Afsan Bhadelia and Xiaoxiao Jiang Kwete and H{\'e}ctor Arreola-Ornelas and Octavio G{\'o}mez-Dant{\'e}s and Natalia M. Rodriguez and George A. O. Alleyne and Stephen R Connor and David J. Hunter and Diederik Lohman and Lukas Radbruch and Mar{\'i}a del Roc{\'i}o S{\'a}enz Madrigal and Rifat A. Atun and Kathleen M Foley and Julio Frenk and Dean T Jamison and M R Rajagopal and Huda Abu-Saad Huijer and Agnes Binagwaho and Sne{\vz}ana M. Bo{\vs}njak and David Clark and James F. Cleary and J. R. Diaz and Cynthia Ruth Goh and Pascal J. Goldschmidt-Clermont and Mary Gospodarowicz and Liz Gwyther and Irene J. Higginson and Thomas Hughes-Hallett and Emmanuel B K Luyirika and Maria-Elena Medina Mora and Faith N. Mwangi-Powell and Sania Nishtar and Megan E O'Brien and K. Srinath Reddy and Judith A. Salerno and Silvia Allende and Nahid Bhadelia and Mariana Rosales Calder{\'o}n and Victoria Y. Fan and Jorge Jimenez and Christian R. Ntizimira and Pedro Emilio Perez-Cruz and Isa{\'i}as Salas-Herrera and Dingle Spence and Mark R. Steedman and St{\'e}phane Verguet and Julia Downing and Bishnu Datta Paudel and Maia Elsner and James A. Gillespie and Karen J Hofman and Quach Thanh Khanh and Karl A Lorenz and Oscar M{\'e}ndez Carniado and Rachel A Nugent and Emily B Wroe and Camilla Zimmerman},
  journal={The Lancet},
  year={2017},
  volume={391},
  pages={1391-1454}
}
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References

SHOWING 1-10 OF 295 REFERENCES

Pain Control in the African Context: the Ugandan introduction of affordable morphine to relieve suffering at the end of life

An example of a highly effective and cost efficient model of care that has transformed the ability to humanely manage the problems of those with terminal illness, and to offer a culturally appropriate "good death" is offered, to complete the ethical circle of care in resource poor circumstances.

Opioid availability and palliative care in Nepal: influence of an international pain policy fellowship.

An evaluation of a morphine public health programme for cancer and AIDS pain relief in Sub-Saharan Africa

The Ugandan programme for roll-out has proved a useful model to expand opioid availability as the first step in improving patient care, and may prove a useful template for other Sub-Saharan African countries.

Palliative care in humanitarian crises: always something to offer

Improving access to analgesic drugs for patients with cancer in sub-Saharan Africa.

Closing the divide: the Harvard Global Equity Initiative–Lancet Commission on global access to pain control and palliative care

Improving the availability and accessibility of opioids for the treatment of pain: The International Pain Policy Fellowship

The fellows from each country were successful at initiating collaboration with relevant governmental bodies, national authorities, and professional societies, which resulted in a new supply of oral opioids in Sierra Leone and Serbia, and improvements in the distribution of already available opioids in Colombia.

Connecting the Dots: A Comparative Global Multi-Institutional Study of Prohibitive Factors Affecting Cancer Pain Management

There are significant differences in perceived barriers and degree of prohibitive factors to cancer pain management among trainee physicians in low- vs high-resource environments.

Just palliative care: responding responsibly to the suffering of the poor.

  • E. Krakauer
  • Medicine
    Journal of pain and symptom management
  • 2008

Unlikely way to cut hospital costs: comfort the dying. Palliative-care unit offers painkillers and support; fewer tests, treatments.

  • G. Naik
  • Medicine
    Wall Street journal
  • 2004
Though palliative care is standard practice in some countries, especially in Britain, it has been slow to catch on in the U.S., where many doctors prefer to use the latest technology or drug to prolong a patient's life, if only for a few months.
...