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Abstract：
Across Europe, the role of the welfare state is constantly being questioned and even eroded. At the same time, funding sources for post-graduate medical education and training are under attack as regulators review the working relationships between physicians and industry. Both of these issues have profound consequences for cardiologists and their patients, and were, therefore, chosen as the themes of the European Heart Rhythm Association (EHRA) 2014 Spring Summit held at Heart House, Sophia Antipolis, 25-26 March 2014. The meeting noted that some of the changes are already affecting patient care standards and that this is exacerbated by a reduction in research and education programmes. The principle conclusion was that EHRA must find better means of engagement with the authorities across Europe to ensure that its views are considered and that ethical patient care is preserved. Participants were particularly alarmed by the example from Sweden in which future healthcare planning appears to exclude the views of physicians, although this is not yet the case in other countries. The demand for greater transparency in relationships between physicians and industry was also discussed. Although intended to eliminate corruption, concern was expressed that such moves would cause long-term damage to education and research, threatening the future of congresses, whose role in these areas appears underestimated by the authorities.
摘要：
整个欧洲,福利国家的作用不断受到质疑甚至侵蚀。同时,随着监管机构审查医生与行业之间的工作关系，研究生医学教育和培训的资金来源受到攻击。这两个问题对心脏病学家和他们的病人都有深远的影响，曾经，因此,被选为在心脏之家举行的欧洲心律协会（EHRA）2014春季峰会的主题，索菲亚·安提波利斯,2014年3月25日至26日。会议指出，一些变化已经影响到病人的护理标准，研究和教育方案的减少加剧了这种情况。主要结论是，EHRA必须找到更好的与欧洲当局接触的手段，以确保其观点得到考虑，并保留符合道德的患者护理。参与者对瑞典的例子感到特别震惊，在这个例子中，未来的医疗保健计划似乎排除了医生的意见，尽管在其他国家还没有这种情况。还讨论了对医生与行业之间关系的更大透明度的需求。尽管旨在消除腐败，有人表示担心这种举动会对教育和研究造成长期损害，威胁国会的未来，他们在这些领域的作用似乎被当局低估了。
