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INTERVIEW
we can expect even greater results. The I. Tulevski: I teach the subject Medical En-
nanotechnology will entirely replace the cur- trepreneurship, I have always found science
rent imaging devices (x-rays, ultrasound, CT and academy attractive, it would be nice if
and MRI), and probably the way diseases are a person could do everything at the same
treated as well; target cell therapy. The medi- time. Medicine is a very specific branch, it is
cine of the future will be predictive, preven- very important from socio-economic point of
tive and more interactive. view, and at the same time ethics provides
specific staff where it moves. The implemen-
What is your general assessment of the tation of a sound business ratio is not always
healthcare system of the Netherlands? What 1:1 with medicine. Moreover, I am convinced
are its strengths and possible weaknesses? that medicine is a consumer business, we
noticed this transformation in many sectors,
I. Tulevski: The healthcare system of the soon medicine will be next.
Netherlands is one of the best in the world,
solidary is the strongest, however also the You will be one of the participants in the
weakest characteristic, it provides top health panel discussions at the prestigious annual
for everyone, however due to money sav- summit organized by Macedonia2025 in Sko-
ings (all organizations have a growth cap), pje in October this year. In general what do
it makes healthcare rigid and bureaucratic. the attendants in the audience expect to hear
In the Netherlands everyone is insured (ob- from you?
ligational) and everyone is entitled to full
healthcare. Everyone pays almost the same I. Tulevski: E-health as an alternative of
amount, while the remaining part is paid the contemporary common practice, tele-
through various taxes. The healthcare sys- monitoring, the patient – center of attention,
tem in the Netherlands costs 83 billion Euros cardiology and medicine as a service, what
per year. can we expect from the big data, the genom-
ics and nanotechnology and of course, who
It is an interesting system which provides will pay the cost?
the patients to give their own assessment
about every healthcare service provider in Do you maintain the relationship with
the Netherlands. And most importantly, the Macedonia? From an external perspective,
grades are publically available. Your grade what do you think we could do to make things
given from the patients who assessed you better in this country?
in the system is excellent 9.2. What is your
view regarding this opportunity for an as- I. Tulevski: Yes, of course, less talk, more
sessment? work, more tolerance of other people’s opin-
ions, loyalty to the essence of the Macedonian
I. Tulevski: It is an excellent idea, it helps being, and not party determination.
for transparency and conscious selection by
the Patient. There are similar initiatives for You do a lot of sports in your private life,
a few years already, the assessment is anony- obviously you consider physical activity very
mous with all advantages and disadvantages. important to maintain a good health. What
We already introduced patient related out- is your cardiologic advice for the business-
comes measurements, where the correlation men in Macedonia?
between quality of life and treatment is mea-
sured on the basis of quantitative and quali- I. Tulevski: Yes, healthy body, healthy mind
tative parameters. – shortly, an old wisdom which is universal.
Since 2012 you are also a docent at the Thank you for the interview.
Nyenrode Business University in the Nether- Zoran Jovanovski
lands? What do you teach and what is your
view in regard to the academic engagement?
October 2016 53
