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神经病学中的健康差异。

Health disparities in neurology.

作者信息

Budhu Joshua A, Mejia Nicte I, Saadi Altaf

机构信息

Department of Neurology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Department of Neurology, Weill Cornell Medical College, New York, NY, USA.

出版信息

Nat Rev Neurol. 2025 Sep 10. doi: 10.1038/s41582-025-01134-2.

Abstract

Health disparities are preventable differences in health between different populations, and they are endemic throughout medicine owing to social, economic and environmental disadvantages. Neurology is no exception, and health disparities for systematically marginalized groups are present in the prevention, diagnosis, treatment and outcomes of all neurological disorders. The aetiology of these disparities is complex and multifactorial, reflecting the interplay of structural, institutional and individual-level factors. Elimination of these disparities is essential to improve neurological health globally. This issue is particularly timely as the global burden of neurological disorders continues to rise, with widening social inequities and limited access to care exacerbating existing gaps in outcomes. In this Review, we examine the current landscape of neurological health disparities, explore their root causes, and highlight strategies and interventions that can advance equity in neurology.

摘要

健康差异是不同人群之间可预防的健康差异,由于社会、经济和环境方面的不利因素,它们在整个医学领域普遍存在。神经病学也不例外,在所有神经系统疾病的预防、诊断、治疗和预后方面,系统性边缘化群体都存在健康差异。这些差异的病因复杂且多因素,反映了结构、制度和个体层面因素的相互作用。消除这些差异对于改善全球神经系统健康至关重要。随着全球神经系统疾病负担持续上升,社会不平等加剧,获得医疗服务的机会有限,这使得现有的预后差距进一步扩大,这个问题变得尤为紧迫。在本综述中,我们审视了神经系统健康差异的现状,探讨了其根本原因,并强调了可促进神经病学公平性的策略和干预措施。

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