Medical Marijuana Policy Reform Reaches Florida: A Scoping Review.

Florida public health review Pub Date : 2019-01-01 Epub Date: 2019-09-21
Khadesia Howell, Alexandria Washington, Paula M Williams, Arlesia L Mathis, John S Luque
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Abstract

Background: Florida became the first state in the U.S. South to legalize the use of medical marijuana to treat a variety of health conditions including chronic pain, epilepsy, and spasticity symptoms from multiple sclerosis. While there are over 200,000 medical marijuana patients in Florida, there remain financial, psychological, and insurance coverage barriers which reduce access for many patients.

Purpose: This scoping review, with a focus on state health policy, first describes some clinical studies examining the therapeutic benefits of medical marijuana. Next, there is a discussion of the Florida regulatory environment and major legislation. Also, the review describes how the current Florida policy landscape presents challenges for physicians and patients.

Methods: A scoping review of the literature was conducted in PubMed and Google Scholar using the search terms, "medical marijuana" and "medical cannabis" to identify research articles, newspaper reports, and government documents. The purpose of the review was to identify research investigating the therapeutic efficacy of medical marijuana and state policies affecting physician practice.

Results: The review concluded there was general scientific consensus of therapeutic benefits for patients, especially for chronic pain, from the use of medical marijuana. The review also identified several barriers for physicians and patients around cost, stigma, and lack of insurance coverage which constrains use and access.

Discussion: The review discusses several directions for future medical marijuana policy and research with the aim to improve therapeutic benefits for Florida patients.

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药用大麻政策改革到达佛罗里达州:范围审查。
背景:佛罗里达州成为美国南部第一个将医用大麻用于治疗多种健康状况(包括慢性疼痛、癫痫和多发性硬化症引起的痉挛症状)合法化的州。虽然佛罗里达州有20多万医用大麻患者,但仍然存在经济、心理和保险方面的障碍,使许多患者无法获得大麻。目的:这篇范围审查,重点是国家卫生政策,首先描述了一些临床研究,检查医用大麻的治疗效益。接下来,将讨论佛罗里达州的监管环境和主要立法。此外,该评论还描述了当前佛罗里达州的政策如何给医生和患者带来挑战。方法:在PubMed和Google Scholar中使用搜索词“医用大麻”和“医用大麻”对文献进行范围审查,以确定研究文章、报纸报道和政府文件。该综述的目的是确定调查医用大麻治疗效果和影响医生实践的国家政策的研究。结果:该综述得出结论,普遍的科学共识是,使用医用大麻对患者的治疗有益,特别是对慢性疼痛。该审查还确定了医生和患者在费用、污名和缺乏保险覆盖方面的几个障碍,这些障碍限制了使用和获取。讨论:本综述讨论了未来医用大麻政策和研究的几个方向,旨在提高佛罗里达州患者的治疗效益。
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