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INTERVIEW
In the Netherlands everyone is I. Tulevski: Cardiology Centers Netherlands
insured (obligational) and everyone is is an innovative organization which changed
entitled to full healthcare. Everyone and still changes the face of the Dutch cardi-
pays almost the same amount, while ology. Our approach is focused on the patient
the remaining part is paid through and we do everything to answer the essential
various taxes. The healthcare system question whether it is the heart that causes
in the Netherlands costs 83 billion the difficulties or not. After the initial diagno-
Euros per year sis we determine the path of treatment, and
part of the patients who need highly complex
desire and goal, I had already started my studies in Skopje, I intervention / care, go to the affiliated hospi-
was supposed to start the last year of studies, and I finished tals. Our cardiologists work both in a hospital
in Amsterdam. and in our institution, which is excellent for
quality and control. Our patients have the best
What was your further experience as a cardiologist in polyclinic care, without any waiting, such as
the Academic Medical Center, one of the eight university in a “one-stop shop” system.
medical centers in the Netherlands?
Somewhere I read an opinion that with
I. Tulevski: It is a fantastic supreme center, with excel- the business model of your institution, you are
lent conditions for education and science. A lot of positive a game changer in the specific field. Do you
energy and an incentive to improve quality. agree with this?
Since 2006 you are one of the founders of Cardiology I. Tulevski: Yes, we already changed the
Centers Netherlands (CCN). Please tell as more details about definition of a polyclinic in the Netherlands
this? What are the extras that the users of your services get? once, now we are starting with e-Health and
telemonitoring. With the new technologies
(wеаrables) we are able to measure the same
parameters (pressure, saturation, weight,
temperature, movement, EEC) as if the pa-
tients are present in our clinic, while they
are at home or somewhere else where they
want to be. All of this is performed through
applications, the information come to an info
center, followed by their automatic analysis
and connection with the patient’s electronic
file. In this manner, we can be in contact with
the patient any time he/she has difficulties or
when something should be measured, and the
patient can be where he/she wants to be.
Obviously technology has an increasing
role in the development of medicine. Can one
predict the level of progress of technology in
10 years?
I. Tulevski: Big Data, Genomics, Nanotech-
nology, 3D printing, will drastically change
health. Currently vast biometric databases
are generated and with big data analytics we
expect surprising correlations between differ-
ent parameters; for example, temperature or
pulse variation with prediction of a cold. If this
data is related to the genetic code (23amp;me),
52 October 2016
