Department of Cardiovascular Surgery, Swiss Cardiovascular Centre, Berne University Hospital and University of Berne, Freiburgstrasse, Berne, Switzerland.
Eur J Vasc Endovasc Surg. 2010 Mar;39 Suppl 1:S15-21. doi: 10.1016/j.ejvs.2009.12.013. Epub 2010 Jan 25.
Despite its short existence, vascular surgery has already grown out of the scope of a mono-specialty. Meanwhile emerging interests of other competing specialties push into the field of vascular care. Continuous technological innovation drives the need for sub-specialisation to provide disease-centred expertise; however, treatment success equally depends on balanced patient-centred care. Vascular surgeons are amidst this controversy and are currently challenged by their own demand to offer all aspects of vascular care - as "the vascular specialist". This article discusses the natural driving forces towards sub-specialisation and appraises advantages and limitations with respect to the future of integrated vascular care.
尽管血管外科学的历史相对较短，但它已经超越了单一专科的范畴。与此同时，其他竞争专科的新兴兴趣领域也在向血管护理领域渗透。不断的技术创新推动了亚专科的发展，以提供以疾病为中心的专业知识；然而，治疗的成功同样取决于平衡的以患者为中心的护理。血管外科医生正处于这场争议之中，他们目前面临着自己的需求的挑战，即提供血管护理的各个方面——作为“血管专科医生”。本文讨论了向亚专科发展的自然驱动力，并评估了其对综合血管护理的未来的优势和局限性。
