Prescription opioid use in Israel - the tide has risen, but it's not a tidal wave.

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES Israel Journal of Health Policy Research Pub Date : 2024-10-10 DOI:10.1186/s13584-024-00648-2
Yehuda Neumark, Paola Rosca
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Abstract

The devastating human and financial costs of the ongoing global opioid crisis underscore the need for comprehensive public health strategies, effective treatment programs, and robust policy interventions to mitigate its impact. Regarding Israel, numerous reports highlight a steady increase since 2000 in prescription opioid use and the shift to more potent opioids particularly fentanyl, particularly among more marginalized population groups. In response to growing concern in the country about the rise in prescription opioid use and the consequential risk of opioid use disorder, the Israeli government, together with the country's health service providers, implemented a series of measures to monitor and regulate opioid prescriptions and balance the need for effective pain management with the prevention of opioid abuse and its associated harms. A national opioid data monitoring system is being established, alongside the provision of addiction training for health professionals, the integration of treatment services for opioid use disorder into the nationalized primary healthcare system, and the expansion of harm reduction strategies to mitigate the health risks associated with opioid use. Additional funding for opioid-related research, and for the broader fields of addictions and mental health, is vital. In conclusion, the sum of the evidence suggests that Israel is not facing an "opioid crisis" Continued commitment, resources, and innovative approaches will be crucial to ensure that the rising tide of opioid use in Israel, particularly during and in the aftermath of the ongoing war, will not become a tidal wave.

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以色列的阿片类处方药使用情况--潮水已经上涨,但还未形成浪潮。
当前的全球阿片类药物危机造成了毁灭性的人员和经济损失,这突出表明需要制定全面的公共卫生战略、有效的治疗计划和强有力的政策干预措施,以减轻危机的影响。关于以色列,许多报告都强调,自 2000 年以来,处方类阿片的使用量持续增加,并转向使用药效更强的类阿片,特别是芬太尼,尤其是在更边缘化的人群中。由于国内对处方类阿片使用量的增加以及由此产生的类阿片使用障碍风险日益关切,以色列政府与国内医疗服务提供者一起实施了一系列措施,以监测和规范类阿片处方,并在有效控制疼痛的需要与预防类阿片滥用及其相关危害之间取得平衡。目前正在建立一个全国阿片类药物数据监测系统,同时为卫生专业人员提供成瘾培训,将阿片类药物使用障碍的治疗服务纳入全国初级卫生保健系统,并扩大减少伤害战略,以减轻与阿片类药物使用相关的健康风险。为阿片类药物相关研究以及更广泛的成瘾和心理健康领域提供更多资金至关重要。总之,大量证据表明,以色列并没有面临 "阿片类药物危机"。 继续承诺、提供资源和创新方法对于确保以色列阿片类药物使用的上升趋势(尤其是在持续战争期间和战后)不会成为潮水是至关重要的。
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来源期刊
CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
期刊最新文献
Motivations of Israeli physicians to return, or not, to Israel after their fellowship abroad. Kidnapping-Induced Trauma and secondary stress in armed conflicts: a comparative study among women in hostage families, volunteers, and the General Population. A prediction model of PTSD in the Israeli population in the aftermath of october 7th, 2023, terrorist attack and the Israel-Hamas war. Trends in Israeli clinical trials registration "MyTrial". Prescription opioid use in Israel - the tide has risen, but it's not a tidal wave.
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