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


Type
Article
Change log
Authors
Milne, Richard 
Ribaldi, Federica 
Molinuevo, José Luis 
Frisoni, Giovanni B 
Abstract

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.

Description
Keywords
Aging, Prevention, Alzheimer’s disease, Dementia, Public Health, Equity, Brain Health Services
Journal Title
Alzheimer's research & therapy
Conference Name
Journal ISSN
1758-9193
Volume Title
13
Publisher
Sponsorship
Swiss National Science Foundation (193593, IZSEZ0_193593)