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Journal articles

Les dispositifs de régulation publique d'un médicament sensible : le cas du Subutex®, traitement de substitution aux opiacés

Abstract : This article aims to analyse the public policies through which Subutex®, the major French pharmaceutical used to treat opiate addiction, is regulated. These are examined within the framework of understanding management models for so-called “sensitive medicine”, or pharmaceuticals prone to misuse or abuse. Drawing on fieldwork that sheds light on the various stages through which this pharmaceutical product has been perceived and managed, this article traces the evolution of regulatory assemblages from 1995, the year that Subutex® was approved for commercialisation, until the present. Focusing since the beginning both on the definition of the narcotic characteristics of this medicine and on the voluntary solicitation of health professionals, the public regulation of Subutex® and its misuse is currently incorporated within a framework of extensive and multi-level surveillance of medical risks. To this, the national health insurance agency has added the use of therapeutic contractual arrangements between patients and professionals, thus individualising the prevention and management of misuse as a means of controlling costs.
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https://hal-cnrs.archives-ouvertes.fr/hal-03476929
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Submitted on : Monday, December 13, 2021 - 11:39:42 AM
Last modification on : Wednesday, December 15, 2021 - 3:09:04 PM

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I Feroni, Anne M Lovell. Les dispositifs de régulation publique d'un médicament sensible : le cas du Subutex®, traitement de substitution aux opiacés. Revue française des affaires sociales, La documentation française, 2007, pp.153-170. ⟨10.3917/rfas.073.0153⟩. ⟨hal-03476929⟩

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