Department of Neurology, UT Southwestern, Dallas, TX, United States.
Handb Clin Neurol. 2024;199:569-582. doi: 10.1016/B978-0-12-823357-3.00016-1.
This chapter discusses the healthcare disparities in headache medicine and proposes solutions to mitigate them. Disparities exist in the diagnosis, treatment, and outcomes of underserved patients with migraine and other headache disorders. Systemic racism, provider bias and lack of cultural sensitivity, a history of mistrust and historical injustices, lack of research of underrepresented groups, lack of diversity in clinical and research realms as well as leadership positions within national institutions and organizations all contribute to the ongoing disparities in headache medicine. Making strides in increasing the diversity of the clinical and research workforce, training providers on cultural sensitivity, providing mentorship programs to underrepresented groups in headache medicine, increasing funding for headache medicine disparity research, and facilitating participation of underrepresented groups in research are all potential ways to address disparities.
这一章讨论了头痛医学中的医疗保健差异，并提出了解决这些差异的方法。在偏头痛和其他头痛障碍患者的诊断、治疗和结果方面，存在着服务不足的患者的差异。系统性种族主义、提供者偏见和缺乏文化敏感性、历史上的不信任和历史不公正、代表性不足的群体的研究缺乏、临床和研究领域以及国家机构和组织内部领导职位的多样性缺乏，都导致了头痛医学中持续存在的差异。在增加临床和研究人员队伍的多样性方面取得进展、培训提供者的文化敏感性、为头痛医学中的代表性不足群体提供指导计划、增加头痛医学差异研究的资金、以及促进代表性不足群体参与研究，都是解决差异的潜在方法。
