{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:33:26Z","timestamp":1777552406586,"version":"3.51.4"},"reference-count":63,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,1,13]],"date-time":"2020-01-13T00:00:00Z","timestamp":1578873600000},"content-version":"vor","delay-in-days":1260,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpsmjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pain and Symptom Management"],"published-print":{"date-parts":[[2016,8]]},"DOI":"10.1016\/j.jpainsymman.2016.01.005","type":"journal-article","created":{"date-parts":[[2016,3,14]],"date-time":"2016-03-14T21:33:20Z","timestamp":1457991200000},"page":"272-283","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["A Multifaceted Approach to Improve the Availability and Accessibility of Opioids for the Treatment of Cancer Pain in Serbia: Results From the International Pain Policy Fellowship (2006\u20132012) and Recommendations for Action"],"prefix":"10.1016","volume":"52","author":[{"given":"Snezana M.","family":"Bosnjak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha A.","family":"Maurer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen M.","family":"Ryan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivana","family":"Popovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. Asra","family":"Husain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James F.","family":"Cleary","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Willem","family":"Scholten","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpainsymman.2016.01.005_bib1","series-title":"Cancer registry","year":"2014"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib2","doi-asserted-by":"crossref","first-page":"e58","DOI":"10.1016\/S1470-2045(12)70040-2","article-title":"Use of opioid analgesics in the treatment of cancer pain: evidence-based recommendations from the EAPC","volume":"13","author":"Caraceni","year":"2012","journal-title":"Lancet Oncol"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib3","series-title":"Global state of pain treatment: Access to palliative care as a human right","year":"2011"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib4","unstructured":"Republic of Serbia. Law on patients' rights,\u00a0Belgrade: Official Gazette of the Republic of Serbia, 2013."},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib5","series-title":"National clinical practice guidelines for palliative care in cancer patients","author":"Milicevic","year":"2004"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib6","doi-asserted-by":"crossref","first-page":"vii139","DOI":"10.1093\/annonc\/mds233","article-title":"Management of cancer pain: ESMO clinical practice guidelines","volume":"23","author":"Ripamonti","year":"2012","journal-title":"Ann Oncol"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib7","series-title":"Serbian guideline for diagnosis and treatment of cancer pain","year":"2013"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib8","series-title":"Cancer pain relief: With a guide to opioid availability","year":"1996"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib9","doi-asserted-by":"crossref","first-page":"1662","DOI":"10.1200\/JCO.2013.52.5188","article-title":"Principles of opioid use in cancer pain","volume":"32","author":"Portenoy","year":"2014","journal-title":"J\u00a0Clin Oncol"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib10","series-title":"WHO model list of essential medicines","year":"2015"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib11","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1093\/annonc\/mdl373","article-title":"International Association for Hospice and Palliative Care list of essential medicines for palliative care","volume":"8","author":"De Lima","year":"2007","journal-title":"Ann Oncol"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib12","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1093\/annonc\/mdl073","article-title":"Problems of opioid availability and accessibility across Europe: ESMO tackles the regulatory causes of intolerable and needless suffering","volume":"17","author":"Cherny","year":"2006","journal-title":"Ann Oncol"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib13","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1093\/annonc\/mdp581","article-title":"Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in Europe: a report from the ESMO\/EAPC Opioid Policy Initiative","volume":"21","author":"Cherny","year":"2010","journal-title":"Ann Oncol"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib14","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1093\/annonc\/mdt498","article-title":"The global opioid policy initiative (GOPI) project to evaluate the availability and accessibility of opioids for the management of cancer pain in Africa, Asia, Latin America and the Caribbean, and the middle East: introduction and methodology","volume":"24","author":"Cherny","year":"2013","journal-title":"Ann Oncol"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib15","series-title":"Recommendation (2003) 24 of the committee of ministers to member states on the organisation of palliative care and explanatory memorandum","year":"2003"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib16","series-title":"Report of the International Narcotics Control Board on the availability of internationally controlled drugs: Ensuring adequate access for medical and scientific purposes","year":"2011"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib17","series-title":"Ensuring balance in national policies on controlled substances: Guidance for availability and accessibility of controlled medicines","year":"2011"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib18","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.jpainsymman.2013.03.015","article-title":"Adequacy of opioid analgesic consumption at country, global, and regional levels in 2010, its relationship with development level, and changes compared with 2006","volume":"47","author":"Duthey","year":"2014","journal-title":"J\u00a0Pain Symptom Manage"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib19","doi-asserted-by":"crossref","first-page":"6","DOI":"10.3109\/15360288.2010.536307","article-title":"A\u00a0first comparison between the consumption of and the need for opioid analgesics at country, regional and global level","volume":"25","author":"Seya","year":"2011","journal-title":"J\u00a0Pain Palliat Care Pharmacother"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib20","doi-asserted-by":"crossref","first-page":"8","DOI":"10.2298\/AOO0602008B","article-title":"Palliative care in Serbia and Montenegro: where are we now?","volume":"14","author":"Bosnjak","year":"2006","journal-title":"Arch Oncol"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib21","series-title":"Promoting adequate availability of internationally controlled licit drugs for medical and scientific purposes while preventing their diversion and abuse; resolution 53\/4","year":"2010"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib22","series-title":"Strengthening of palliative care as a component of comprehensive care throughout the life course, WHA67.19","author":"World Health Assembly","year":"2014"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib23","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.1200\/JCO.2013.52.5196","article-title":"Under- or overtreatment of pain in the patient with cancer: how to achieve the proper balance","volume":"32","author":"Paice","year":"2014","journal-title":"J\u00a0Clin Oncol"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib24","first-page":"1239","article-title":"Improving the availability and accessibility of opioids for the treatment of pain: the International Pain Policy Fellowship","volume":"19","author":"Bosnjak","year":"2011","journal-title":"Support Care Cancer"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib25","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1016\/j.jpainsymman.2007.02.016","article-title":"The public health strategy for palliative care","volume":"33","author":"Stjernsw\u00e4rd","year":"2007","journal-title":"J\u00a0Pain Symptom Manage"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib26","series-title":"Ensuring balance in national policies on controlled substances: guidance for availability and accessibility of controlled medicines","year":"2011"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib27","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/0885-3924(93)90052-W","article-title":"Availability of opioids for cancer pain: recent trends, assessment of system barriers, new World Health Organization guidelines, and the risk of diversion","volume":"8","author":"Joranson","year":"1993","journal-title":"J\u00a0Pain Symptom Manage"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib28","series-title":"Essential medicines\u2014WHO model list","year":"2005"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib29","series-title":"Achieving balance in national opioids control policy: Guidelines for assessment","year":"2000"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib30","doi-asserted-by":"crossref","first-page":"2110","DOI":"10.1016\/S0140-6736(06)68482-1","article-title":"Reforming drug control policy for palliative care in Romania","volume":"367","author":"Mosoiu","year":"2006","journal-title":"Lancet"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib31","series-title":"Pharmacotherapy protocols","year":"2014"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib32","article-title":"Pharmacotherapy of cancer pain","volume":"1","author":"Bosnjak","year":"2007","journal-title":"Monografije naucnih skupova [Monograph of Scientific Events] AMN SLD, serija B"},{"issue":"Suppl 3","key":"10.1016\/j.jpainsymman.2016.01.005_bib33","first-page":"S144","article-title":"Barriers relating to knowledge and attitudes about opioids among healthcare professionals in Serbia","volume":"18","author":"Bosnjak","year":"2010","journal-title":"Support Care Cancer"},{"issue":"Suppl 1","key":"10.1016\/j.jpainsymman.2016.01.005_bib34","first-page":"S101","article-title":"Reluctance to use morphine among patients at the Institute for Oncology and Radiology of Serbia","volume":"20","author":"Bosnjak","year":"2012","journal-title":"Support Care Cancer"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib35","unstructured":"Vreme Zdravlja. Opiofobija ne leci bol, Interviju: Dr. Snezana Bosnjak. Vreme October 15, 2009;32\u201333. Available at: http:\/\/www.vreme.com\/download.php\/system\/storage\/pdf\/980zdrav3.pdf. Accessed January 7,\u00a02016."},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib36","unstructured":"Bosnjak S. Supportive oncology (Suportivna onkologija). 2014. Belgrade, Serbia, Onkonet. Available at: http:\/\/onkonet.rs\/suportivna-onkologija.html. Accessed January 7,\u00a02016."},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib37","unstructured":"Bosnjak S. Palijativno zbrinjavanje pacijenata. Belgrade, Serbia: B92. March 7, 2010. Available at: http:\/\/www.b92.net\/info\/vesti\/index.php?yyyy=2010&mm=03&dd=07&nav_category=12&nav_id=416125. Accessed January 7,\u00a02016."},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib38","unstructured":"Bosnjak S, Milicevic N, Saranovic D, Perduv L. When will palliative care in Serbia come to life? Belgrade, Serbia: B92. January 27, 2010. Available at: http:\/\/www.b92.net\/video\/videos.php?nav_category=908&yyyy=2010&mm=02&dd=08&nav_id=409597. Accessed January 7,\u00a02016."},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib39","unstructured":"Bosnjak S. Pulse of the nation: To live without pain is a\u00a0human right. Belgrade, Serbia: B92. May 21, 2012. Available at: http:\/\/www.b92.net\/zdravlje\/vesti.php?yyyy=2012&mm=05&nav_id=611134. Accessed January 7,\u00a02016."},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib40","series-title":"National palliative care strategy","year":"2009"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib41","series-title":"Law on psychoactive controlled substances","year":"2011"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib42","series-title":"Disease control priorities in developing countries","first-page":"981","article-title":"Pain control for people with cancer and AIDS","author":"Foley","year":"2006"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib43","series-title":"The 7 habits of highly effective people: powerful lessons in personal change","author":"Covey","year":"2004"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib44","series-title":"Switch: How to change things when change is hard","author":"Heath","year":"2010"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib45","series-title":"Symptom relief in terminal illness","year":"1998"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib46","first-page":"950","article-title":"International Pain Policy Fellowship: improving the availability and accessibility of opioids in Serbia","volume":"17","author":"Bosnjak","year":"2009","journal-title":"Support Care Cancer"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib47","series-title":"Improving access to opioids: have we made progress?","author":"Bosnjak","year":"2010"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib48","first-page":"119","article-title":"Improving the availability and accessibility of opioids in Serbia: an update","volume":"11","author":"Bosnjak","year":"2009","journal-title":"Eur J Palliat Care"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib49","first-page":"9","article-title":"Assessment of patient with cancer pain","volume":"66","author":"Bosnjak","year":"2007","journal-title":"J\u00a0Serb Soc Fight Against Cancer"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib50","first-page":"5","article-title":"Opiophobia","volume":"74","author":"Dimitrijevic","year":"2009","journal-title":"J\u00a0Serb Soc Fight Against Cancer"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib51","series-title":"\u0160ta Pla\u0161i Bolesnika I Porodicu?","author":"Bosnjak","year":"2009"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib52","series-title":"\u0160ta pla\u0161i zdravstvene radnike","author":"Bosnjak","year":"2009"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib53","series-title":"Alleviating pain is the work of the divine","author":"Bosnjak","year":"2009"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib54","series-title":"Single convention on narcotic drugs, 1961, as amended by the 1972 protocol amending the single convention on narcotic drugs, 1961","year":"1972"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib55","doi-asserted-by":"crossref","first-page":"44","DOI":"10.3109\/15360288.2014.997855","article-title":"Make your words support your message","volume":"29","author":"Scholten","year":"2015","journal-title":"J\u00a0Pain Palliat Care Pharmacother"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib56","unstructured":"World Health Organization Collaborating Centre for Drug Statistics Methodology. Anatomical therapeutic chemical\/defined daily dose. Oslo, Norway: Norwegian Institute of Public Health. Available at: http:\/\/www.whocc.no\/ddd\/definition_and_general_considera\/. Accessed January 7,\u00a02016."},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib57","series-title":"Opioid consumption per hospitalized patient","year":"2014"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib58","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1016\/j.jpainsymman.2014.10.012","article-title":"Toward safe accessibility of opioid pain medicines in Vietnam and other developing countries: a balanced policy method","volume":"49","author":"Krakauer","year":"2015","journal-title":"J\u00a0Pain Symptom Manage"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib59","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.jpainsymman.2014.02.011","article-title":"Opioid availability and palliative care in Nepal: influence of an International Pain Policy Fellowship","volume":"49","author":"Paudel","year":"2015","journal-title":"J\u00a0Pain Symptom Manage"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib60","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1177\/0269216310385369","article-title":"Integrating palliative care in public health: the Colombian experience following an International Pain Policy Fellowship","volume":"25","author":"Leon","year":"2011","journal-title":"Palliat Med"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib61","doi-asserted-by":"crossref","first-page":"200","DOI":"10.3109\/15360288.2012.676614","article-title":"Letter to the editor","volume":"26","author":"Radbruch","year":"2012","journal-title":"J\u00a0Pain Palliat Care Pharmacother"},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib62","unstructured":"International Palliative Care Resource Center. International Palliative Care Leadership Development Initiative, Available at: http:\/\/www.ipcrc.net\/news\/category\/international-leaders\/. Accessed March 30, 2016."},{"key":"10.1016\/j.jpainsymman.2016.01.005_bib63","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1200\/JCO.2011.38.5161","article-title":"American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care","volume":"30","author":"Smith","year":"2012","journal-title":"J\u00a0Clin Oncol"}],"container-title":["Journal of Pain and Symptom Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0885392416001202?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0885392416001202?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:17:11Z","timestamp":1760131031000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0885392416001202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8]]},"references-count":63,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,8]]}},"alternative-id":["S0885392416001202"],"URL":"https:\/\/doi.org\/10.1016\/j.jpainsymman.2016.01.005","relation":{},"ISSN":["0885-3924"],"issn-type":[{"value":"0885-3924","type":"print"}],"subject":[],"published":{"date-parts":[[2016,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A Multifaceted Approach to Improve the Availability and Accessibility of Opioids for the Treatment of Cancer Pain in Serbia: Results From the International Pain Policy Fellowship (2006\u20132012) and Recommendations for Action","name":"articletitle","label":"Article Title"},{"value":"Journal of Pain and Symptom Management","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpainsymman.2016.01.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}