协调泌尿科护理中的环境和经济力量。

IF 2.2 3区 医学 Q2 UROLOGY & NEPHROLOGY
Current Opinion in Urology Pub Date : 2025-11-01 Epub Date: 2025-09-12 DOI:10.1097/MOU.0000000000001338
Maximilian J Rabil, Ankur U Choksi, Michael S Leapman
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引用次数: 0

摘要

回顾目的:在过去的一个世纪里,财富、科学知识和资源的增加促进了整体和泌尿系统健康的空前改善。然而,推动这些进步的人为温室气体排放是气候变化的主要驱动因素,其中很大一部分来自医疗保健行业本身。减少泌尿科护理中的资源密集型过程已被提议支持环境可持续性,但这些举措可能与推动生物医学创新进步的经济力量相冲突。矛盾的是,这种战略也可能对人类健康产生意想不到的后果,因为它减缓了治疗的进展或科学发现或提供。平衡的方法可以优先消除低价值服务,以提高护理价值,同时减少环境浪费和资源消耗。在这篇综述中,我们研究了在受市场影响的医疗保健系统中,寻求在泌尿科护理交付中协调环境和经济力量的策略。最近的研究发现:减少低价值泌尿科护理的策略,包括减少对一次性物品的依赖,在可行的情况下减少手术室的使用,以及明智地使用资源密集型研究方法,对环境有潜在的有利影响。一个成熟的研究机构已经研究了减少低价值服务的方法,这些方法可以在不影响质量、安全性和患者预后的情况下纳入临床实践。总结:泌尿外科的可持续性努力可以与经济现实相一致,从而有效和可扩展。减少环境影响的策略应考虑成本、当地市场和现有医疗保健系统内的激励措施。将生态责任与经济价值结合起来,可以确保在不减缓临床进展的情况下采用可持续的做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Harmonizing environmental and economic forces in urologic care.

Purpose of review: Increases in wealth, scientific knowledge, and resources have contributed to unprecedented improvements in overall and urologic health over the past century. However, anthropogenic greenhouse gas emissions driving these advancements are a primary driver of climate change, including a substantial share contributed from the healthcare industry itself. Reducing resource-intensive processes in urologic care has been proposed to support environmental sustainability but these initiatives could conflict with economic forces that drive progress in biomedical innovation. Paradoxically, such strategies may also have unintended consequences for human health by slowing the pipeline or scientific discovery or delivery of treatment. A balanced approach can prioritize the elimination of low-value services in order to enhance care value while simultaneously reducing environmental waste and resource consumption. In this review, we examine strategies that seek to align environmental and economic forces in urologic care delivery within a market-influenced healthcare system.

Recent findings: Strategies to reduce low-value urologic care, including decreased reliance on single-use items, reducing use of the operating room when feasible, and judicious use of resource-intensive research methods, have potentially favorable environmental impacts. A maturing body of research has examined ways in which reductions in low-value services can be incorporated into clinical practice without compromising quality, safety, and patient outcomes.

Summary: Sustainability efforts in urology can be aligned with economic realities to be effective and scalable. Strategies that reduce environmental impact should consider cost, local market, and incentives within existing healthcare systems. Aligning ecological responsibility with economic value ensures that sustainable practices can be adopted without slowing clinical progress.

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来源期刊
Current Opinion in Urology
Current Opinion in Urology 医学-泌尿学与肾脏学
CiteScore
5.00
自引率
4.00%
发文量
140
审稿时长
6-12 weeks
期刊介绍: ​​​​​​​​Current Opinion in Urology delivers a broad-based perspective on the most recent and most exciting developments in urology from across the world. Published bimonthly and featuring ten key topics – including focuses on prostate cancer, bladder cancer and minimally invasive urology – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.
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