Evidence map›Paper›PMID 39930887›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2025

Medicinal Cannabis and Consumer Vulnerability in Australia: A Nexus of Policy and Market Factors.

Katrina Gething, Daniel Erku, Paul Scuffham

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Katrina GethingCentre for Applied Health Economics, School of Medicine and Dentistry, Griffith University, Brisbane, Queensland, Australia.ORCID 0000-0002-7495-0792
Daniel ErkuCentre for Applied Health Economics, School of Medicine and Dentistry, Griffith University, Brisbane, Queensland, Australia.ORCID 0000-0002-8878-0317
Paul ScuffhamCentre for Applied Health Economics, School of Medicine and Dentistry, Griffith University, Brisbane, Queensland, Australia.ORCID 0000-0001-5931-642X

Funding

This study was funded by National Health and Medical Research Council (1135054, 1136923).
6 · The paper itself

Abstract

introductionFollowing the 2016 legalization of medicinal cannabis (MC) in Australia, significant barriers have led patients to seek unregulated cannabis for therapeutic use. This study examines consumer (patient, carer and family) submissions to a senate inquiry on these barriers to understand how future policy might better reflect patient needs and facilitate access to regulated MC.

methodsSixty submissions from patients (n = 44), their caregivers or family members (n = 16) were coded using NVivo 12 software and thematically analysed. The findings were presented narratively using a consumer vulnerability framework.

resultsThe analysis identified three primary barriers to accessing regulated MC: (1) Health practitioners' reluctance to prescribe MC, hindering prescription access, (2) High costs associated with MC and its access process, disproportionately affecting low-income consumers and (3) Dependence on imported MC products, leading to shortages and necessitating product substitutions that incur additional costs and bureaucratic hurdles. Despite these barriers, consumers demonstrated resilience by educating themselves about MC, planning for prescription needs and forming support networks. Patients also turned to illicit MC markets.

conclusionThe study reveals significant barriers to regulated MC access in Australia, highlighting the complex challenges consumers face. The reliance on unregulated sources of MC not only poses legal and health risks but also underscores the urgent need for policy reforms. By addressing the identified barriers, such as alleviating the costs associated with MC and improving approval processes and ensuring product availability, policymakers can better meet consumer needs and facilitate safer access to regulated MC. PATIENT OR PUBLIC CONTRIBUTION: The materials of this document analysis were patient and public submissions to a government enquiry into barriers to a health technology. By providing submissions, both patients and the public were actively engaging in the development of health policy.

Indexed as

Health PolicyHealth Services AccessibilityMedical MarijuanaAdultAustraliaCaregiversFemaleHumansMaleMiddle AgedMedical Marijuanaconsumer vulnerabilitymedicinal cannabismedicinal cannabis policy

Identifiers

PMID39930887
PMCPMC11811393

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.