Eur Urol. 2012 Mar;61(3):534-40. doi: 10.1016/j.eururo.2011.11.005. Epub 2011 Nov 12.
The Future of Urology has been written in times of economic downturn, with the inevitable effects on health sector spending. Nevertheless, this document aims to define a path whereby the EAU can play a pivotal role in ensuring the highest standard of care throughout Europe, and by setting standards, throughout the rest of the world. The future of urology will be dependent on improved education and training leading to high quality urological care, and to developing a service that is patient focused. The patient focus is becoming increasingly important in urology. This means providing full information about disease processes and urological procedures to patients and allowing them to judge the quality of the urological service that they may choose. Education must start in medical school and as 5% of community medical practice is urology then every medical student must receive urological training. This also applies to nurses and the other professions allied to medicine (PAMS). The EAU should provide a urological curriculum for training of medical students, nurses and PAMS, as well as the more conventional curriculum for postgraduate training and continued medical education for urological specialists. An integrated EAU Knowledge and Learning Centre would provide an invaluable resource to patients and to those who deliver urologic care alike. With high quality training must come a vigorous assessment of knowledge and competence. In the future, the competence of all those delivering urological care will need to be assessed. For urologists in training and specialist urologists this will include not only an assessment of knowledge but an assessment of surgical competence. Improving quality will be supported by the continued subspecialisation of urology, ensuring that all urologists have a surgical portfolio which ensures their competency in the procedures they deliver. This will inevitably result in a concentration of urological services and indeed to the development of larger urological centres. The concept of Centres of Excellence could be developed to include all aspects and subspecialties of urological care. The SPO envisages that all urology will be carried out in Centres of Excellence which will vary in terms of their size and the range of urology offered, but nevertheless all urological care will be of the highest quality. Finally, the future of urology will depend on the medico-political interface and the EAU has a great deal to offer in this respect. The patterns of urological care differ throughout Europe but this should be seen as a challenge for the EAU to define quality, irrespective of the different methods of healthcare provision. The EAU has made extraordinary advances in the last two decades and the SPO hope this document will support the EAU's efforts to maintain its aim of improving urological care for the benefit of patients.
《泌尿外科的未来》是在经济低迷时期撰写的，这不可避免地影响了医疗部门的支出。然而，本文件旨在确定一条途径，使 EAU 能够在确保整个欧洲最高标准的护理方面发挥关键作用，并通过设定标准，在世界其他地方发挥作用。泌尿外科的未来将取决于改善教育和培训，以提供高质量的泌尿外科护理，并发展以患者为中心的服务。患者关注在泌尿外科中变得越来越重要。这意味着向患者提供有关疾病过程和泌尿外科手术的全部信息，并让他们判断自己可能选择的泌尿外科服务的质量。教育必须从医学院开始，由于社区医疗实践中有 5%是泌尿外科，因此每个医学生都必须接受泌尿外科培训。这也适用于护士和其他医学相关专业人士（PAMS）。EAU 应为医学生、护士和 PAMS 的培训以及更传统的研究生培训和继续教育课程提供泌尿外科课程。一个综合的 EAU 知识和学习中心将为患者和提供泌尿外科护理的人员提供宝贵的资源。高质量的培训必须伴随着知识和能力的严格评估。在未来，所有提供泌尿外科护理的人员的能力都需要进行评估。对于培训中的泌尿科医生和专科泌尿科医生，这不仅包括知识评估，还包括手术能力评估。通过继续细分泌尿外科，提高质量将得到支持，确保所有泌尿科医生都有一个手术组合，确保他们在提供的手术中具有能力。这将不可避免地导致泌尿外科服务的集中化，甚至导致更大的泌尿外科中心的发展。卓越中心的概念可以发展到包括泌尿外科护理的所有方面和亚专业。SPO 设想所有泌尿外科手术都将在卓越中心进行，这些中心的规模和提供的泌尿外科范围各不相同，但无论如何，所有泌尿外科护理都将是最高质量的。最后，泌尿外科的未来将取决于医学政治界面，EAU 在这方面有很多可以提供的。欧洲各地的泌尿外科护理模式有所不同，但这应被视为 EAU 定义质量的挑战，而不论医疗保健提供方式如何不同。EAU 在过去二十年中取得了非凡的进步，SPO 希望本文件将支持 EAU 努力实现其目标，即为患者利益改善泌尿外科护理。
