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According to the report 2000 issued by the expert advisory committee on the health care system, improvement in performance requires, among other things, awareness of the need for more economic efficiency, better quality of medical care, and definition of targets. Disease prevention and early diagnosis are the main objectives of health policy and practice. Data mining becomes an important tool in epidemiological and clinical research. Urologists are called upon to engage in clinical studies to establish therapeutic standards and guidelines. Results of research must be put in to practice faster. Doctors ought to respond to changes in patients' attitudes.