"#$%& '()*+,- .

/++0(+1 02 2/3*2/4
4(5014/3*2 /26 7*8 ,* *9(+:*;( ,7(;

<(2(9/= >80,?(+4/26= @A
,7
%/B CD@E

%/+0(FGH4I2( >:7J,K(21, Mar[oleln vranken, Auk[e ManLel,
uttecbt losutote fot lbotmoceoucol 5cleoces, ulvlsloo of lbotmocoeplJemloloqy & cllolcol
lbotmocoloqy, uttecbt uolvetslty, uttecbt, tbe NetbetlooJs




1be teseotcb leoJloq to tbese tesolts bos tecelveJ fooJloq ftom tbe otopeoo
commooltys 5eveotb ltomewotk ltoqtomme jll7/2007-201J] ooJet qtoot
oqteemeot o 222994 wltb tbe ovetoll olm to lmptove tbe occess to oplolJ
meJlcouoo lo otope.


"0;1 /26 ;(,7*61


Alms:
1o ldenufy legal barrlers Lo accesslng
oplolds ln 12 LasLern-Luropean counLrles and
make recommendauons for lmprovemenL


MeLhods:
An exLernal analysls on nauonal leglslauon
uslng a LemplaLe based on Lhe WPC ollcy
Culdellnes and lnvolvlng 3 revlewers.


'(1J4,1- ./++0(+1 06(23L(6 02 ,7( 202(
:/,(5*+0(1 M@@ :*J2,+0(1N


$))*+,J203(1 O*+ 0;)+*9025 /::(11


P+(1:+0.025
auLhorlsauon Lo prescrlbe ls
resLrlcLed / permlL or llcense needed
Lo prescrlbe
speclal prescrlpuon forms requlred /
muuple coples requlred
llmlLed valldlLy of prescrlpuons /
llmlLed LreaLmenL perlod per
prescrlpuon/ llmlLauons on dally
dosage
Q01)(21025
llmlLauons on dlspenslng prlvlleges:
speclal permlL llcense requlred / only
deslgnaLed pharmacles are allowed
Lo dlspense oplold medlclnes
sLrlcL requlremenLs for sLorage
admlnlsLrauve requlremenLs for
dlspenslng

$))*+,J203(1 O*+ 0;)+*9025 /::(11


R1/5(
resLrlcuons regardlng Lhe
possesslon of conLrolled
medlclnes by pauenLs
sLrlcL requlremenLs for
accesslng dependence
LreaLmenL
vlolauon of prlvacy
S/25J/5(
lncorrecL use of denluons and Lermlnology:
abuse vs long Lerm medlcal use / mlsuse vs long
Lerm medlcal use /medlcal use vs abuse /
physlcal / psychologlcal dependence / Lolerance
sugmauslng language: addlcLs / addlcuon /
persons addlcLed /narcouc drugs vs oplold
analgeslcs /dangerous / addlcuve drugs, polsons
unclear language

T(1, )+/:3:( (U/;)4(1
lmprovemenLs LhaL have been made ln nauonal leglslauon durlng Lhe A1CML pro[ecL

&1,*20/ ! legal requlremenL for pharmacles Lo obLaln a llcense/permlL Lo be able Lo
dlspense conLrolled medlclnes Lo pauenLs has recenLly been removed.

S0,7J/20/ ! proposal made Lhls year Lo:
1. allow for a physlclan Lo have 20 blank prescrlpuons for oplold medlclnes lnsLead of 10.
2. Lo slgnlcanLly lncrease Lhe amounL of oplold medlcauons whlch wlll be allowed Lo be
sLored ln healLh care faclllues from 7 Lo 60 days of supplles.






T(1, )+/:3:( (U/;)4(1


lmprovemenLs LhaL have been made ln nauonal leglslauon durlng Lhe A1CML pro[ecL


>(+.0/ ! uecember 2013 CovernmenL adopLed a new law on healLh care whlch enables
nCCs Lo provlde palllauve care omclally and prescrlbe all medlcauons ln Lhe same way as
ln publlc or prlvaLe lnsuLuuons

GJ25/+B ! uecember 2013. 1he requlremenL Lo prescrlbe oplold medlclnes ln muluple
coples was removed
Conclusion and discussion

" All eleven counLrles: poLenual barrlers ldenued
" keseotcb M. vtookeo. poteouol bottlets foooJ lo tbe NetbetlooJs
" Slmllar resulLs ln your nauonal leglslauon?
" loteouol barrlers ldenued: lmpacL ln pracuce unknown
" ulerence beLween Lhe percepuon of barrlers beLween pollcy makers
and healLh care professlonals?
" Some recommendauons for lmprovemenL have been lmplemenLed
durlng Lhe A1CML pro[ecL
" Lessons learned and key messages