The World Health Organization Intersectoral Global Action Plan on Epilepsy and Other Neurological Disorders and the headache revolution: from headache burden to a global action plan for headache disorders.
The World Health Organization Intersectoral Global Action Plan on Epilepsy and Other Neurological Disorders and the headache revolution: from headache burden to a global action plan for headache disorders.
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DOI：
10.1186/s10194-023-01700-3
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发表时间：
2024-01-04
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世卫组织制定了世界卫生组织（世卫组织）《癫痫和其他神经系统疾病部门间全球行动计划》，以解决在向癫痫和其他神经系统疾病患者提供护理和服务方面的全球挑战和差距，并确保跨部门对神经系统疾病负担采取全面、协调的应对措施，促进整个生命过程中的大脑健康。头痛是所有神经系统疾病中仅次于中风的第二大负担，但如果考虑到年轻人和中年人，则是第一大负担。尽管有一系列治疗方法，但与头痛疾病和偏头痛相关的致残率仍然很高。此外，在获得医疗保健方面，高收入国家与中低收入国家之间存在不平等。根据世卫igap决议之后的几项脑卫生倡议，我们在此针对头痛疾病调整行动计划的主要支柱：(1)提高政策优先次序并加强治理；（二）提供有效、及时、及时的诊断、治疗和护理；（三）实施促进和预防战略；（四）鼓励科研创新，加强信息系统建设。提出了未来政策行动的具体目标。全球行动计划引发了神经病学的一场革命，不仅提高了公众对脑部疾病和脑部健康的认识，而且增加了接受培训的神经科医生的数量，增加了研究经费，并使神经病学成为决策者的公共卫生优先事项。减轻头痛疾病的负担不仅将改善头痛患者的生活质量和福祉，而且还将减轻神经系统疾病的负担，从而提高全球大脑健康，从而提高全球人口健康。
The World Health Organization (WHO) Intersectoral Global Action Plan on Epilepsy and Other Neurological Disorders was developed by WHO to address the worldwide challenges and gaps in provision of care and services for people with epilepsy and other neurological disorders and to ensure a comprehensive, coordinated response across sectors to the burden of neurologic diseases and to promote brain health across life-course. Headache disorders constitute the second most burdensome of all neurological diseases after stroke, but the first if young and midlife adults are taken into account. Despite the availability of a range of treatments, disability associated with headache disorders, and with migraine, remains very high. In addition, there are inequalities between high-income and low and middle income countries in access to medical care. In line with several brain health initiatives following the WHOiGAP resolution, herein we tailor the main pillars of the action plan to headache disorders: (1) raising policy prioritization and strengthen governance; (2) providing effective, timely and responsive diagnosis, treatment and care; (3) implementing strategies for promotion and prevention; (4) fostering research and innovation and strengthen information systems. Specific targets for future policy actions are proposed. The Global Action Plan triggered a revolution in neurology, not only by increasing public awareness of brain disorders and brain health but also by boosting the number of neurologists in training, raising research funding and making neurology a public health priority for policy makers. Reducing the burden of headache disorders will not only improve the quality of life and wellbeing of people with headache but also reduce the burden of neurological disorders increasing global brain health and, thus, global population health.
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DOI：
10.1186/s10194-022-01447-3
发表时间：
2022-07-01
期刊：
The journal of headache and pain
影响因子：
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影响因子：
9.9
作者：
Bigal, M. E.;Lipton, R. B.;Stewart, W. F.
通讯作者：
Stewart, W. F.
影响因子：
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作者：
Verrotti A;Di Fonzo A;Penta L;Agostinelli S;Parisi P
通讯作者：
Parisi P
影响因子：
3.3
作者：
Barbanti, Piero;Egeo, Gabriella;Bonassi, Stefano
通讯作者：
Bonassi, Stefano
影响因子：
5
作者：
Buse, Dawn C.;Powers, Scott W.;Lipton, Richard B.
通讯作者：
Lipton, Richard B.