You hear an interview with a health administrator called Dr Marvin Lee discussing an article about delivering high-quality non-visit care. Listen to the audio as many times as you would require to understand it completely and write the missing words against correct numbers.

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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