Pharmaceutical Executive Europe - October 2008 - (Page 8)

BioFutures the cleaning lady who cleaned the ward floor even though she never demanded money — after all, if doctors aren’t ashamed of asking, then why not pay her too?” More disquieting were the veiled threats by the theatre anaesthetist in the following encounter described by Mrs Kulikova: “Two days before the operation he came to me, but he didn’t want to directly say ‘give me money so that I’ll give you a good anaesthetic.’ Instead he explained for a long, long time that since I had particular health problems, I might not cope well with the anaesthetic. He said that surely I’d like to have ‘a good sleep during the operation, and to wake up at the end.’ I don’t think he would have done any harm had I not paid — although who knows? All those in the ward paid him.” Mrs Kulikova’s operation was successful and the operating surgeon came to her straight after theatre: “I was just coming round, barely able to open my eyes, when he told me that it had been an ‘extremely difficult operation’ in such a convincing voice as though he had risked his own life to operate on me — I felt compelled to pay a further 10000 rubles (£222) based on what others in the ward had given.” This is by no means an isolated case — in a poll of 2634 people asked to rate the healthcare system, and reported in September by the Russian daily newspaper Izvestia, 80.4% were either wholly or fairly unsatisfied with their experiences. Recent data from Transparency International’s 2008 Global Corruption Report ranked Russia alongside Gambia, Indonesia and Togo as joint 143rd out of 180 countries on the Corruption Perception Index, with Denmark, Finland and New Zealand ranked joint first as the least corrupt economies. With the planned introduction of mandatory health insurance in Russia, the scope for out-of-pocket payments in the healthcare system should be reduced. Greater integration with western organisations, such as the Organisation for Economic Cooperation and Development (OECD), which Russia aspires to join, should begin to shift the cultural and economic incentives which encourage 10 Strategy Brian Smith on the best company culture thinking 12 Executive Recruitment ‘Downshifting’ can be a good move for the ambitious 15 Executive Recruitment The value of recruiting experts on an as needed basis 19 Meet unmet needs Natalie Douglas on named patient programmes http://www.skila.com

Table of Contents Feed for the Digital Edition of Pharmaceutical Executive Europe - October 2008

Pharmaceutical Executive Europe - October 2008 Contents News and Analysis Calendar BioFutures Strategy Fundamentals Executive Recruitment: Small Company, Big Career Executive Recruitment: Instant Pharma Named Patient Programmes Executive Review: Turkey

Pharmaceutical Executive Europe - October 2008

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