Abstract
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.
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Data availability
The data that support the findings of this study are available from the corresponding author, [RB], upon reasonable request.
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The author did not receive support from any organization for the submitted work. The author declares that there are no competing interests relevant to this work. Roongroj Bhidayasiri is supported by Senior Research Scholar Grant (RTA6280016) of the Thailand Science Research and Innovation (TSRI) and Centre of Excellence grant of Chulalongkorn University (GCE 6100930004-1), Bangkok, Thailand. He is a lead investigator of the National Parkinson’s Disease Screening project, supported by the Thai Red Cross Society. He receives a salary from Chulalongkorn University and a stipend from the Royal Society of Thailand, and has received consultancy and/or honoraria/lecture fees from Britannia, Eisai, Ipsen, Mitsubishi-Tanabe, and Teva-Lundbeck pharmaceuticals; he holds patents/petty patents for laser-guided walking stick, portable tremor device, nocturnal monitoring, Tremor’s gloves, and anti-choking mug as well as copyright on electronic Parkinson’s disease symptom diary, Parkinson’s mascot, dopamine song lyrics and teaching video clips for common nocturnal and gastrointestinal symptoms for Parkinson’s disease.
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Bhidayasiri, R. Old problems, new solutions: harnessing technology and innovation in Parkinson’s disease—evidence and experiences from Thailand. J Neural Transm (2024). https://doi.org/10.1007/s00702-023-02727-1
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DOI: https://doi.org/10.1007/s00702-023-02727-1