Societal and equity challenges for Brain Health Services. A user manual for Brain Health Services-part 6 of 6.

Aging Alzheimer’s disease Brain health services Dementia Equity Prevention Public health

Journal

Alzheimer's research & therapy
ISSN: 1758-9193
Titre abrégé: Alzheimers Res Ther
Pays: England
ID NLM: 101511643

Informations de publication

Date de publication:
11 10 2021
Historique:
received: 29 01 2021
accepted: 04 08 2021
entrez: 12 10 2021
pubmed: 13 10 2021
medline: 29 10 2021
Statut: epublish

Résumé

Brain Health Services are a novel approach to the personalized prevention of dementia. In this paper, we consider how such services can best reflect their social, cultural, and economic context and, in doing so, deliver fair and equitable access to risk reduction. We present specific areas of challenge associated with the social context for dementia prevention. The first concentrates on how Brain Health Services engage with the "at-risk" individual, recognizing the range of factors that shape an individual's risk of dementia and the efficacy of risk reduction measures. The second emphasizes the social context of Brain Health Services themselves and their ability to provide equitable access to risk reduction. We then elaborate proposals for meeting or mitigating these challenges. We suggest that considering these challenges will enable Brain Health Services to address two fundamental questions: the balance between an individualized "high-risk" and population focus for public health prevention and the ability of services to meet ethical standards of justice and health equity.

Identifiants

pubmed: 34635173
doi: 10.1186/s13195-021-00885-6
pii: 10.1186/s13195-021-00885-6
pmc: PMC8507368
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

173

Subventions

Organisme : Medical Research Council
ID : G0601022
Pays : United Kingdom

Informations de copyright

© 2021. The Author(s).

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Auteurs

Richard Milne (R)

Society and Ethics Research Group, Wellcome Connecting Science, Hinxton, UK. rm23@sanger.ac.uk.
Cambridge Public Health, University of Cambridge, Cambridge, UK. rm23@sanger.ac.uk.

Daniele Altomare (D)

Laboratory of Neuroimaging of Aging (LANVIE), University of Geneva, Geneva, Switzerland.
Memory Clinic, Geneva University Hospitals, Geneva, Switzerland.

Federica Ribaldi (F)

Laboratory of Neuroimaging of Aging (LANVIE), University of Geneva, Geneva, Switzerland.
Memory Clinic, Geneva University Hospitals, Geneva, Switzerland.
Laboratory of Alzheimer's Neuroimaging and Epidemiology (LANE), Saint John of God Clinical Research Centre, Brescia, Italy.
Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.

José Luis Molinuevo (JL)

Barcelonaβeta Brain Research Center, Pasqual Maragall Foundation, Barcelona, Spain.

Giovanni B Frisoni (GB)

Laboratory of Neuroimaging of Aging (LANVIE), University of Geneva, Geneva, Switzerland.
Memory Clinic, Geneva University Hospitals, Geneva, Switzerland.

Carol Brayne (C)

Cambridge Public Health, University of Cambridge, Cambridge, UK.

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