The prevalence of Parkinson’s disease (PD) is increasing rapidly worldwide, but there are notable inequalities in its distribution and in the availability of healthcare resources across different world regions. Low- and middle-income countries (LMICs), including Thailand, bear the highest burden of PD so there is an urgent need to develop effective solutions that can overcome the many regional challenges associated with delivering high-quality, and equitable care to a diverse population with limited resources. This article describes the evolution of healthcare delivery for PD in Thailand, as a case example of a LMIC. The discussions reflect the author’s presentation at the Yoshikuni Mizuno Lectureship Award given during the 8th Asian and Oceanian Parkinson’s Disease and Movement Disorders Congress in March 2023 for which he was the 2023 recipient. The specific challenges faced in Thailand are reviewed along with new solutions that have been implemented to improve the knowledge and skills of healthcare professionals nationally, the delivery of care, and the outcomes for PD patients. Technology and innovation have played an important role in this process with many new tools and devices being implemented in clinical practice. Without any realistic prospect of a curative therapy in the near future that could halt the current PD pandemic, it will be necessary to focus on preventative lifestyle strategies that can help reduce the risk of developing PD such as good nutrition (EAT), exercise (MOVE), good sleep hygiene (SLEEP), and minimizing environmental risks (PROTECT), which should be initiated and continued (REPEAT) as early as possible.

帕金森病（PD）的患病率在全球范围内迅速增加，但世界不同地区的分布和医疗资源的可用性存在明显的不平等。包括泰国在内的低收入和中等收入国家 (LMIC) 承受着最严重的帕金森病负担，因此迫切需要制定有效的解决方案，以克服与向多元化群体提供高质量、公平的护理相关的许多区域挑战。资源有限的人口。本文以中低收入国家为例，介绍了泰国帕金森病医疗服务的演变。这些讨论反映了作者在 2023 年 3 月第八届亚洲和大洋洲帕金森病和运动障碍大会期间颁发的 Yoshikuni Mizuno 演讲奖上的演讲，他是该大会的 2023 年获奖者。回顾了泰国面临的具体挑战，以及已实施的新解决方案，以提高全国医疗保健专业人员的知识和技能、护理的提供以及帕金森病患者的治疗结果。技术和创新在此过程中发挥了重要作用，许多新工具和设备正在临床实践中实施。在不久的将来，没有任何现实的前景可以阻止当前的帕金森病大流行，因此有必要关注预防性生活方式策略，以帮助降低患帕金森病的风险，例如良好的营养（EAT）、运动（MOVE） ）、良好的睡眠卫生（SLEEP）以及最大程度地降低环境风险（PROTECT），应尽早开始并持续（REPEAT）。