Cambridge Public Health, University of Cambridge, Cambridge, UK.
Cambridge Public Health, University of Cambridge, Cambridge, UK.
Lancet Neurol. 2022 Dec;21(12):1151-1160. doi: 10.1016/S1474-4422(22)00428-8.
A disconnect has developed over the past two decades between neurological and neuroscientific research, which have seen notable innovation and development, and our increasing understanding of the role of social and commercial determinants of health, including the health of the nervous system. Over the next two decades, grounding neurological research in public health and epidemiological principles can bring about a paradigm shift, away from reductionism, over-medicalisation, and health inequities towards neurological research that reduces inequalities and has true relevance to the populations it aims to serve. People who are involved in neurological and neuroscientific research and practice, as clinicians, researchers, publishers, and funders, can create change by being more aware of the social and commercial determinants of health, reprioritising research funding, and advocating for greater neurological health equity.
在过去的二十年中，神经科学和神经科学研究之间出现了脱节，这两个领域都取得了显著的创新和发展，而我们对社会和商业决定健康因素的认识也在不断加深，包括神经系统的健康。在未来的二十年里，将神经科学研究扎根于公共卫生和流行病学原则可以带来范式转变，使我们摆脱还原论、过度医疗化和健康不平等，走向能够减少不平等并与目标人群真正相关的神经科学研究。参与神经科学和神经科学研究和实践的人，如临床医生、研究人员、出版者和资助者，可以通过更加关注健康的社会和商业决定因素、重新优先考虑研究资金以及倡导更大的神经健康公平来实现变革。
