Listening Gaps 03

• Listen to the audio multiple times.
• Write the missing words / phrases on your notebook.
• Check the answers.

Patients are increasingly seeking to have their healthcare needs met without coming into an office, and there’s a strong possibility that non visit care will become the rule rather than the (1) ______________________. I’m Jan Dean and my guest today is Doctor Marvin Lee, co author of a recent (2) ___________________ article about strategies for delivering high quality non visit care. So, Doctor Lee, what do you think that the (3) __________________ to non visit care systems will look like?

Well, I actually think you’ll see a variety of responses. Existing medical institutions will pilot and are (4) _________________ these programs and gradually scaling them up. And at the same time, of course, new (5) ___________________ are entering the market and changing practices, changing how things are done. So I think it’ll be a (6) __________ of both of these. And really my sense of this is that it first has to start with culture. Developing a (7) ____________ for non face to face medical care.

Oh, I see. Could you say just a bit more about what you mean by culture here?

So what I mean is, if you create a culture in an existing medical organisation where an (8) ___________________ is viewed as what you do after you have tried, in a very safe and highly effective way, to meet a patient’s need (9) ___________________, I think this will change the game for how generally your organisation will think about the (10) ___________________ of medicine. I do think that we’ll see some existing organisations (11) ___________________ and make that leap over. Yet some new organisations will perhaps be at the (12) ___________________ of being able to start from scratch. So, I think we’ll see a (13) ____________ of these two responses.

Well, if you look at clinical (14) ________________ for primary care, these are designed to help (15) ___________________ and clients make decisions about appropriate healthcare for specific circumstances. I think you can quite likely do a lot of that very safely, (16) _________________, before you even consider meeting face to face.

Well, of course there are still those moments, but I think it’s more about when that (17) ___________________ arises. Is it earlier in the process of care or later? And what impact does it have on the patient involved?

I think there are (18) ___________________ when you do need in-person visits and (19) ___________________ to structure those so they have the least burden on the patient as possible.

Well, one example we mentioned in the article is a (20) ___________________ when a person has to provide a blood specimen or (21) ___________. They currently do need to be in person. But instead of building up an (22) ___________________ expensive office and lab infrastructure around a city, you could build up a very small collection of (23) ___________________ that would be cheap to operate. The patient could simply drop the specimen at the collection point nearest them for it to be forwarded to a (24) ___________, minimal fuss, and wait for the data you need so you can accommodate these face to face moments efficiently.

In time, as the technology and science gets better, it gets more (25) ___________________. Organisations should just look at these situations that require in-person (26) ___________________ by the patient and evaluate them and evaluate that (27) ___________________ against the currently available technology to see if it’s something that could be safely (28) ___________________ to an online remote system. I think it’s important to really critically (29) ___________________ every moment that someone has come in, and I think that if you do that, you will start to see clear (30) ___________________ to reconfigure your care pathways quite dramatically.

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