Mayo Clinic Arizona, 13400 E Shea Boulevard, Scottsdale, AZ, 85259, USA.
Michigan State University College of Human Medicine, East Lansing, MI, USA.
Curr Pain Headache Rep. 2022 Jun;26(6):415-422. doi: 10.1007/s11916-022-01042-w. Epub 2022 Mar 26.
This review will briefly summarize recent literature published on headache disparities in underserved and vulnerable populations. It will also report the personal observations of headache medicine providers working with underserved and vulnerable populations in the USA, specifically in an urban practice dedicated to patients in a safety net program and a rural practice dedicated to Native American patients.
Headache disorders are recognized as one of the most prevalent neurological conditions. People with headache and migraine encounter several barriers to obtaining appropriate care, which are magnified in vulnerable and underserved populations. Research has shown disparities in headache and migraine diagnosis, prevalence rates, treatment, and outcomes based on race, socioeconomic status, and geography. Continued research regarding disparities in headache medicine is required. Strategies to address the identified challenges, including structural competence and the underrepresented in medicine pipeline, are reviewed.
本文简要总结了最近发表的有关服务不足和弱势群体头痛差异的文献。它还报告了头痛医学提供者在美国与服务不足和弱势群体合作的个人观察，特别是在一个致力于为安全网计划患者服务的城市实践和一个致力于美国原住民患者的农村实践。
头痛障碍被认为是最常见的神经疾病之一。患有头痛和偏头痛的人在获得适当治疗方面遇到了多种障碍，而在弱势群体和服务不足的人群中，这些障碍更为严重。研究表明，基于种族、社会经济地位和地理位置，头痛和偏头痛的诊断、患病率、治疗和结果存在差异。需要继续研究头痛医学方面的差异。还回顾了针对已确定挑战的策略，包括结构能力和医学领域代表性不足的问题。
