2026年全球頭痛患者倡議大阪宣言 Osaka Declaration on Global Headache Patient Advocacy 2026
前言 Preamble
Despite advances in treatment, headache disorders remain underdiagnosed and undertreated, and continue to be a leading cause of disability worldwide.
儘管治療方法有所進步，頭痛疾病仍面臨診斷不足和治療不充分的問題，並持續成為全球導致失能的主要原因之一。
Headache disorders affect every aspect of life, including physical health, mental well-being, education, employment, and social participation. Appropriate headache care is therefore an essential component of brain health.
頭痛疾病影響生活的各個層面，包含身體健康、心理健康、教育、就業及社會參與。因此，適當的頭痛照護是腦健康不可或缺的一部分。
The Kyoto Declaration on Headache in 2005 established headache disorders as a public health priority. The Vancouver Declaration on Global Headache Patient Advocacy in 2018 and the Vancouver Declaration II in 2019 advanced a patient-centered approach and strengthened international collaboration.
2005年的《京都頭痛宣言》確立了頭痛疾患作為公共衛生優先事項的地位。2018年的《全球頭痛患者倡議溫哥華宣言》及2019年的《溫哥華宣言 II》推動了以病人為中心的照護模式，並強化了國際合作。
Building on these important foundations, the Osaka Declaration seeks to move global headache advocacy from principles and priorities toward concrete action, measurable progress, and sustainable change.
建構在這些重要基礎上，《大阪宣言》旨在將全球頭痛倡議從原則與優先事項，推向具體行動、可量化的成效以及永續的改變。
核心支柱 / 基本理念 Core Pillars
The Osaka Declaration is founded on six pillars:
大阪宣言建立在六大支柱之上：
Equitable access to care and brain health: Timely diagnosis, evidence-based treatment, and continuous care for all people living with headache disorders.
醫療與腦部健康的公平可及性：為所有頭痛疾病患者提供及時的診斷、實證治療以及持續的照護。
Patient partnership: Equal patient participation in care, research, healthcare policy, and advocacy.
病人夥伴關係：讓病人在醫療照護、研究、醫療政策與倡議中擁有平等的參與權。
Life-course support and social participation: Support at all stages of life in schools, workplaces, and communities.
全生命週期支持與社會參與：在學校、職場與社區中，提供涵蓋生命各個階段的支持。
From evidence to implementation: Translating scientific evidence and clinical guidelines into practice and policy.
從實證到實踐：將科學證據與臨床指引轉化為臨床實踐與政策。
Equitable access to innovation and responsible implementation: Safe, ethical, and equitable use of novel therapies, digital health, and AI.
創新的公平可及性與負責任的應用：安全、合乎倫理且公平地使用新型療法、數位健康與人工智慧（AI）。
Global strategic partnerships: Collaboration among healthcare professionals, patient organizations, governments, and international initiatives.
全球戰略夥伴關係：強化醫療專業人員、病友組織、政府以及國際倡議機構之間的合作。
關鍵行動承諾 / 具體行動目標：2026-2030年 Key Actionable Commitments: 2026-2030
Patient education to empower the clinical care journey: Expanding educational tools and platforms to improve health literacy and active participation in care.
推動病人教育以賦權臨床照護歷程：擴展教育工具與平台，以提升健康素養並促進病人積極參與治療。
Strategic advocacy for essential medicine access: Working with WHO and WFN to address access barriers and promote the inclusion of essential headache medicines in essential medicines lists.
爭取基本藥物可及性的戰略倡議：與世界衛生組織（WHO）及世界神經學聯盟（WFN）合作，解決取得藥物的障礙，並推動將基本頭痛藥物納入基本藥物清單。
Integration into global brain health and WHO policy frameworks: Integrating headache management into the WHO Global Action Plan on Epilepsy and Other Neurological Disorders 2022-2031 and national brain health strategies.
整合至全球腦部健康與WHO政策框架：將頭痛管理納入WHO《2022-2031年癲癇和其他神經系統疾病跨部門全球行動計畫》以及各國的腦部健康戰略中。
Implementation of school and workplace support frameworks: Developing guidelines and pilot programs to reduce educational disruption and impacts on employment and productivity.
落實學校與職場支持框架：制定指引與試點計畫，以減少學業中斷及對就業與生產力的影響。
Sustainable monitoring and progress tracking: Establishing transparent mechanisms to monitor implementation, share progress, and strengthen accountability through future global advocacy summits.
永續監測與進度追蹤：建立透明的機制來監控實施情況、分享進度，並透過未來的全球倡議高峰會強化當責性。
結論 / 結語 Conclusion
From Osaka, we declare our commitment to advancing global headache advocacy:
從大阪出發，我們宣布致力於推動全球頭痛倡議的承諾：
From principles to action, from action to implementation with measurable outcomes, and from implementation to sustainable change.
從理念到行動，從行動到具備可衡量成果的實踐，再從實踐邁向永續的改變。
We envision a world in which all people living with headache disorders, regardless of their background or circumstances, can access appropriate care and realize their full potential in education, work, and social life.
我們期盼一個這樣的世界：所有頭痛疾病患者，無論其背景或處境，皆能獲得適當的照護，並在教育、工作與社會生活中充分發揮潛力。