1 00:00:04,050 --> 00:00:07,260 Sean Aylmer: Welcome to the Fear and Greed Daily Interview. I'm Sean Aylmer. The 2 00:00:07,260 --> 00:00:10,229 Sean Aylmer: pandemic accelerated a lot of change in the way we 3 00:00:10,230 --> 00:00:13,830 Sean Aylmer: do business, think remote and hybrid working, and the cashless 4 00:00:13,830 --> 00:00:17,190 Sean Aylmer: economy. Prior to COVID-19, not many of us would've had 5 00:00:17,190 --> 00:00:21,000 Sean Aylmer: a telehealth consult with a doctor. That certainly changed now. 6 00:00:21,270 --> 00:00:25,290 Sean Aylmer: Australia's leading telehealth service provider is a company called Coviu, 7 00:00:25,650 --> 00:00:29,430 Sean Aylmer: which was originally created within the CSIRO. To give you 8 00:00:29,430 --> 00:00:34,200 Sean Aylmer: an idea of scale, in 2020 Coviu users in Australia offered 9 00:00:34,200 --> 00:00:39,840 Sean Aylmer: more than 3 million healthcare video consultations. Dr. Silvia Pfeiffer 10 00:00:40,020 --> 00:00:43,349 Sean Aylmer: is the CEO and founder of Coviu. Dr. Pfeiffer, welcome 11 00:00:43,350 --> 00:00:44,160 Sean Aylmer: to Fear and Greed. 12 00:00:44,460 --> 00:00:45,420 Dr. Silvia Pfeiffer: Great to be here. 13 00:00:46,080 --> 00:00:51,269 Sean Aylmer: So telehealth certainly predates the pandemic. Just give me the 14 00:00:51,270 --> 00:00:54,750 Sean Aylmer: history of telehealth. We've heard a lot more about it 15 00:00:54,750 --> 00:00:57,840 Sean Aylmer: since COVID, but why was it, I mean, just what's 16 00:00:57,840 --> 00:01:01,230 Sean Aylmer: the background, and why did we come up with it originally? 17 00:01:01,710 --> 00:01:03,660 Dr. Silvia Pfeiffer: Oh my gosh, how far back do you want to go? 18 00:01:06,180 --> 00:01:06,570 Sean Aylmer: Yeah, okay. Not too far. 19 00:01:06,720 --> 00:01:10,649 Dr. Silvia Pfeiffer: It kind of already started with the beginnings of telecommunications 20 00:01:10,650 --> 00:01:15,120 Dr. Silvia Pfeiffer: because we had people living in Outback Australia for a 21 00:01:15,120 --> 00:01:19,650 Dr. Silvia Pfeiffer: very long time, and they would need telehealth, basically medical 22 00:01:19,650 --> 00:01:23,220 Dr. Silvia Pfeiffer: support at any one point in time. So over the 23 00:01:23,400 --> 00:01:26,760 Dr. Silvia Pfeiffer: years, we've come up with different ways of delivering telehealth, 24 00:01:27,120 --> 00:01:31,500 Dr. Silvia Pfeiffer: be that, to begin with even via faxes and things 25 00:01:31,500 --> 00:01:37,830 Dr. Silvia Pfeiffer: like that, via phone. Telehealth is everything that encapsulates delivering 26 00:01:37,890 --> 00:01:39,690 Dr. Silvia Pfeiffer: medical care over a distance. 27 00:01:40,200 --> 00:01:44,940 Sean Aylmer: COVID really accelerated the progression of telehealth. Prior to COVID 28 00:01:44,940 --> 00:01:48,870 Sean Aylmer: though, where was telehealth at? Was there much use of 29 00:01:49,020 --> 00:01:51,480 Sean Aylmer: video conferencing for health consults? 30 00:01:52,140 --> 00:01:56,670 Dr. Silvia Pfeiffer: Very good question. So telehealth before the pandemic was something 31 00:01:56,670 --> 00:02:00,600 Dr. Silvia Pfeiffer: that was mostly known to rural people and mostly happened 32 00:02:00,600 --> 00:02:03,360 Dr. Silvia Pfeiffer: either in the GP practice or maybe in a hospital. So 33 00:02:03,360 --> 00:02:08,880 Dr. Silvia Pfeiffer: hospital to hospital communication was often termed telehealth. Let's say 34 00:02:08,880 --> 00:02:11,520 Dr. Silvia Pfeiffer: it's a smaller rural hospital, which needed help from a 35 00:02:11,520 --> 00:02:15,690 Dr. Silvia Pfeiffer: specialist in a hospital in the city with a special 36 00:02:15,690 --> 00:02:19,500 Dr. Silvia Pfeiffer: procedure or something like that. Also, in mental health, we 37 00:02:19,500 --> 00:02:23,279 Dr. Silvia Pfeiffer: used it prior to COVID, it's a plan called Better 38 00:02:23,280 --> 00:02:27,960 Dr. Silvia Pfeiffer: Access that Medicare supported, and under Better Access, up to 39 00:02:27,990 --> 00:02:32,130 Dr. Silvia Pfeiffer: 10 mental health consultations were able to be delivered into 40 00:02:32,130 --> 00:02:36,540 Dr. Silvia Pfeiffer: rural and remote areas via telehealth. And the whole thing 41 00:02:36,540 --> 00:02:41,790 Dr. Silvia Pfeiffer: centered around the qualification of the different regions into different 42 00:02:41,790 --> 00:02:46,620 Dr. Silvia Pfeiffer: areas of remoteness. So all the reimbursements depended on where 43 00:02:46,620 --> 00:02:49,980 Dr. Silvia Pfeiffer: you lived. The pandemic has completely done away with it, 44 00:02:49,980 --> 00:02:51,600 Dr. Silvia Pfeiffer: and I'm really glad about that. 45 00:02:52,020 --> 00:02:55,020 Sean Aylmer: Okay. So I mean, Coviu would have been an organization, 46 00:02:55,020 --> 00:02:57,359 Sean Aylmer: which in a sense, I don't like to say benefited 47 00:02:57,360 --> 00:03:00,660 Sean Aylmer: from it if ... Well, the services were needed during the 48 00:03:00,660 --> 00:03:05,160 Sean Aylmer: pandemic. So how has it changed telehealth in Australia? 49 00:03:05,850 --> 00:03:10,769 Dr. Silvia Pfeiffer: Oh, very much, immensely. And it's all down to, well, 50 00:03:10,830 --> 00:03:16,230 Dr. Silvia Pfeiffer: Medicare reimbursements, but also awareness. Awareness of telehealth has increased 51 00:03:17,190 --> 00:03:20,430 Dr. Silvia Pfeiffer: thousand folds during the pandemic. Before the pandemic, you would 52 00:03:20,430 --> 00:03:23,190 Dr. Silvia Pfeiffer: talk to somebody on the street and they'd ask you 53 00:03:23,190 --> 00:03:25,530 Dr. Silvia Pfeiffer: what you're working on, what you're doing, and you say, " Oh, 54 00:03:25,530 --> 00:03:28,200 Dr. Silvia Pfeiffer: we build a telehealth platform." And they'd go, " What, you 55 00:03:28,200 --> 00:03:31,560 Dr. Silvia Pfeiffer: do what?" And now everybody knows what the word means. 56 00:03:31,800 --> 00:03:36,180 Dr. Silvia Pfeiffer: They've often already had a consultation via video, particularly during 57 00:03:36,180 --> 00:03:40,650 Dr. Silvia Pfeiffer: the pandemic. And it's just become something that's quite normal 58 00:03:40,650 --> 00:03:45,060 Dr. Silvia Pfeiffer: these days. About a quarter of all GP consultations are 59 00:03:45,060 --> 00:03:49,860 Dr. Silvia Pfeiffer: now done via telehealth, and that includes phone consultations. GPs 60 00:03:49,860 --> 00:03:53,400 Dr. Silvia Pfeiffer: do more phone consultations than video. And similarly, about a 61 00:03:53,400 --> 00:03:58,260 Dr. Silvia Pfeiffer: quarter of all Medicare- reimbursed mental health consultations are done 62 00:03:58,260 --> 00:04:01,500 Dr. Silvia Pfeiffer: via video. Now, in mental health, it's actually video because 63 00:04:01,500 --> 00:04:06,180 Dr. Silvia Pfeiffer: that's a preferred interaction. Clinicians learn more from patients when 64 00:04:06,180 --> 00:04:07,110 Dr. Silvia Pfeiffer: they're on a video. 65 00:04:07,500 --> 00:04:09,960 Sean Aylmer: Okay. So I kind of understand it, but there must 66 00:04:09,960 --> 00:04:12,090 Sean Aylmer: be some limitations to telehealth. 67 00:04:12,450 --> 00:04:15,900 Dr. Silvia Pfeiffer: Sure. And the biggest limitation is, of course, lack of 68 00:04:15,900 --> 00:04:18,990 Dr. Silvia Pfeiffer: touch. As a GP, when you have to examine a 69 00:04:18,990 --> 00:04:23,370 Dr. Silvia Pfeiffer: person physically, you can't easily do that via video. In 70 00:04:23,580 --> 00:04:27,750 Dr. Silvia Pfeiffer: some examinations, they found ways of doing it by guiding 71 00:04:28,050 --> 00:04:32,190 Dr. Silvia Pfeiffer: the patient to move their hand in certain areas themselves and 72 00:04:32,190 --> 00:04:35,250 Dr. Silvia Pfeiffer: then report on what they're feeling, you find ways of 73 00:04:35,250 --> 00:04:38,640 Dr. Silvia Pfeiffer: doing it. But the knowledge of a practitioner, also a 74 00:04:38,640 --> 00:04:42,779 Dr. Silvia Pfeiffer: specialist, is difficult to convey to somebody else's hands, be 75 00:04:42,779 --> 00:04:46,500 Dr. Silvia Pfeiffer: that a carer or the patient themselves. So that's obviously 76 00:04:46,500 --> 00:04:50,039 Dr. Silvia Pfeiffer: the limitation, but many other thing, and in fact, almost 77 00:04:50,040 --> 00:04:52,830 Dr. Silvia Pfeiffer: everything else can be done via video call. 78 00:04:53,520 --> 00:04:55,800 Sean Aylmer: Stay with me, Silvia. We'll be back in a minute. 79 00:05:01,650 --> 00:05:04,680 Sean Aylmer: My guest this morning is Dr. Silvia Pfeiffer, CEO and 80 00:05:04,680 --> 00:05:10,830 Sean Aylmer: founder of healthcare technology platform Coviu. So what's next? It's amazing 81 00:05:10,830 --> 00:05:13,470 Sean Aylmer: how many people I know who have used telehealth, from 82 00:05:13,470 --> 00:05:17,790 Sean Aylmer: my aged mother through to friends, and it's very convenient. 83 00:05:18,060 --> 00:05:22,320 Sean Aylmer: And around mental health it's extremely useful in some cases, 84 00:05:22,380 --> 00:05:23,880 Sean Aylmer: obviously. What's next? 85 00:05:24,690 --> 00:05:29,250 Dr. Silvia Pfeiffer: Very good question. So we in Australia are moving quite slowly. 86 00:05:29,580 --> 00:05:32,580 Dr. Silvia Pfeiffer: So I'm going to bring in some knowledge that I 87 00:05:32,580 --> 00:05:36,240 Dr. Silvia Pfeiffer: have from trying to do telehealth in the US market, 88 00:05:36,240 --> 00:05:39,300 Dr. Silvia Pfeiffer: which is where we are expanding into as a company. 89 00:05:39,750 --> 00:05:43,620 Dr. Silvia Pfeiffer: I can see over there that there's reimbursement for remote 90 00:05:43,620 --> 00:05:47,460 Dr. Silvia Pfeiffer: patient monitoring, which means a patient will have a device 91 00:05:47,460 --> 00:05:50,130 Dr. Silvia Pfeiffer: in their homes and they use their mobile phone to self- 92 00:05:50,130 --> 00:05:55,410 Dr. Silvia Pfeiffer: monitor progress of diverse medical indicators. And there is a 93 00:05:55,410 --> 00:05:58,950 Dr. Silvia Pfeiffer: dashboard at the other end for the clinician to oversee 94 00:05:58,980 --> 00:06:01,650 Dr. Silvia Pfeiffer: all of the patients that are on this remote patient 95 00:06:01,650 --> 00:06:06,810 Dr. Silvia Pfeiffer: monitoring scheme. And the dashboard, so the technology indicates when 96 00:06:06,810 --> 00:06:09,960 Dr. Silvia Pfeiffer: a patient should be looked after. They're going well for 97 00:06:09,960 --> 00:06:12,330 Dr. Silvia Pfeiffer: a couple of days, and then suddenly there's like a 98 00:06:12,330 --> 00:06:14,729 Dr. Silvia Pfeiffer: red flag and they need a call from the clinician 99 00:06:14,730 --> 00:06:16,920 Dr. Silvia Pfeiffer: to check in what's going on. That kind of thing 100 00:06:16,920 --> 00:06:20,760 Dr. Silvia Pfeiffer: is called remote patient monitoring. There's a similar thing called 101 00:06:20,760 --> 00:06:24,420 Dr. Silvia Pfeiffer: remote therapeutic monitoring. Not really a term yet used in 102 00:06:24,420 --> 00:06:28,620 Dr. Silvia Pfeiffer: Australia, but very big in the US. Remote therapeutic monitoring 103 00:06:28,620 --> 00:06:32,669 Dr. Silvia Pfeiffer: is about patient self- measuring. And that's where you don't 104 00:06:32,670 --> 00:06:35,310 Dr. Silvia Pfeiffer: use a medical device to measure, but it's actually more 105 00:06:35,310 --> 00:06:39,390 Dr. Silvia Pfeiffer: about how are you feeling. It's more a questionnaire where 106 00:06:39,390 --> 00:06:42,270 Dr. Silvia Pfeiffer: the patient feels and how they're going, and it's mostly 107 00:06:42,270 --> 00:06:47,760 Dr. Silvia Pfeiffer: used in allied health areas, mental health, maybe dietetics. And 108 00:06:47,760 --> 00:06:50,640 Dr. Silvia Pfeiffer: in those areas you really want the patient to self- 109 00:06:50,640 --> 00:06:53,970 Dr. Silvia Pfeiffer: analyze how they're going. And if they're saying, " Oh, I 110 00:06:53,970 --> 00:06:57,839 Dr. Silvia Pfeiffer: feel really, really terrible today." And it comes up on 111 00:06:57,839 --> 00:07:00,750 Dr. Silvia Pfeiffer: a dashboard of a clinician, then a clinician or maybe 112 00:07:01,020 --> 00:07:03,539 Dr. Silvia Pfeiffer: a nurse can pick up the phone and actually talk 113 00:07:03,540 --> 00:07:05,640 Dr. Silvia Pfeiffer: to the patient about this as well and help them 114 00:07:05,640 --> 00:07:08,490 Dr. Silvia Pfeiffer: when they're needed rather than waiting for the patient to 115 00:07:08,490 --> 00:07:11,130 Dr. Silvia Pfeiffer: feel like they really have to go and see the practitioner. 116 00:07:11,550 --> 00:07:17,340 Sean Aylmer: Okay. Back to Coviu, the company. It's spun out of 117 00:07:17,670 --> 00:07:19,320 Sean Aylmer: CSIRO originally. Is that right? 118 00:07:19,500 --> 00:07:23,790 Dr. Silvia Pfeiffer: Yeah, absolutely. So my background is as a PhD in 119 00:07:23,790 --> 00:07:27,990 Dr. Silvia Pfeiffer: computer science, and I worked at the CSIRO twice actually 120 00:07:28,050 --> 00:07:31,440 Dr. Silvia Pfeiffer: after coming to Australia. And the last time I started 121 00:07:31,440 --> 00:07:35,340 Dr. Silvia Pfeiffer: was in 2012 and we started working on a project 122 00:07:35,760 --> 00:07:39,420 Dr. Silvia Pfeiffer: around a new technology that would allow video conferencing on 123 00:07:39,420 --> 00:07:43,560 Dr. Silvia Pfeiffer: web browsers. And so we were looking to apply that 124 00:07:43,560 --> 00:07:46,560 Dr. Silvia Pfeiffer: in healthcare and to take telehealth to the next level. 125 00:07:46,800 --> 00:07:50,640 Dr. Silvia Pfeiffer: And not just make video conferencing something like what Zoom 126 00:07:50,640 --> 00:07:55,920 Dr. Silvia Pfeiffer: does, but really give clinicians an ability to create the 127 00:07:55,920 --> 00:08:00,930 Dr. Silvia Pfeiffer: best possible telehealth consultation with a patient via video. And 128 00:08:00,930 --> 00:08:04,410 Dr. Silvia Pfeiffer: so that's where it all started really taking telehealth to 129 00:08:04,410 --> 00:08:09,420 Dr. Silvia Pfeiffer: the next level by giving clinical tools, diagnostic tools, and therapeutic 130 00:08:09,420 --> 00:08:12,990 Dr. Silvia Pfeiffer: tools to the clinicians within the consultation to let them 131 00:08:12,990 --> 00:08:15,330 Dr. Silvia Pfeiffer: operate at the top of their license. And that's where 132 00:08:15,330 --> 00:08:20,340 Dr. Silvia Pfeiffer: it all originated. That started in 2012, by 2015, we 133 00:08:20,340 --> 00:08:24,510 Dr. Silvia Pfeiffer: had built a first application that we used with clinicians 134 00:08:24,540 --> 00:08:28,500 Dr. Silvia Pfeiffer: out of Royal Far West, incidentally, where we started. And 135 00:08:28,500 --> 00:08:33,390 Dr. Silvia Pfeiffer: in 2015, we incorporated Coviu as a company, still wholly 136 00:08:33,390 --> 00:08:36,690 Dr. Silvia Pfeiffer: owned by the CSIRO. And in 2018 we spun it 137 00:08:36,690 --> 00:08:39,720 Dr. Silvia Pfeiffer: out of the CSIRO as a standalone company with some 138 00:08:39,720 --> 00:08:42,120 Dr. Silvia Pfeiffer: investment from Main Sequence Ventures. 139 00:08:42,600 --> 00:08:46,050 Sean Aylmer: Okay. Connectivity seems, I mean, I'm sure is at the 140 00:08:46,050 --> 00:08:48,240 Sean Aylmer: heart of everything you do, but when we talk about 141 00:08:48,480 --> 00:08:52,170 Sean Aylmer: where Coviu can work best and telehealth can work best, 142 00:08:52,170 --> 00:08:56,250 Sean Aylmer: often it is in regional and rural and remote areas 143 00:08:56,250 --> 00:08:58,260 Sean Aylmer: of Australia. Is that a major problem? 144 00:08:58,740 --> 00:09:03,390 Dr. Silvia Pfeiffer: Aah, very good question. Connectivity is obviously the basis of 145 00:09:03,390 --> 00:09:06,000 Dr. Silvia Pfeiffer: everything we do. We need to have an internet connection 146 00:09:06,000 --> 00:09:08,940 Dr. Silvia Pfeiffer: to be able to deliver video calls and now also 147 00:09:08,940 --> 00:09:14,280 Dr. Silvia Pfeiffer: phone calls. Incidentally, phone- only telehealth to our patients and 148 00:09:14,309 --> 00:09:18,030 Dr. Silvia Pfeiffer: to the clinicians to do with their patients. And connectivity 149 00:09:18,030 --> 00:09:21,179 Dr. Silvia Pfeiffer: in rural and remote areas has improved massively over the 150 00:09:21,179 --> 00:09:25,469 Dr. Silvia Pfeiffer: last 20 years. We used to basically just get satellite 151 00:09:25,470 --> 00:09:29,880 Dr. Silvia Pfeiffer: connections into those areas. Satellites are very high up and 152 00:09:29,880 --> 00:09:33,390 Dr. Silvia Pfeiffer: the delays that they introduce into a video call are 153 00:09:33,390 --> 00:09:36,420 Dr. Silvia Pfeiffer: often not sustainable, and you can't hold a normal conversation 154 00:09:36,420 --> 00:09:40,080 Dr. Silvia Pfeiffer: because of the delays. In more recent times, and that's 155 00:09:40,080 --> 00:09:43,950 Dr. Silvia Pfeiffer: all thanks to Elon Musk. He's actually brought a network 156 00:09:44,010 --> 00:09:48,300 Dr. Silvia Pfeiffer: to the world and also to remote Australia where you 157 00:09:48,300 --> 00:09:51,390 Dr. Silvia Pfeiffer: can sign up for a neural orbit satellite or a 158 00:09:51,390 --> 00:09:55,170 Dr. Silvia Pfeiffer: neural orbit connection, which is the mesh of satellites. And 159 00:09:55,170 --> 00:09:57,179 Dr. Silvia Pfeiffer: through that, you can actually get almost as good a 160 00:09:57,179 --> 00:10:00,479 Dr. Silvia Pfeiffer: connection as you can get in urban areas now. So 161 00:10:00,660 --> 00:10:03,150 Dr. Silvia Pfeiffer: I honestly think within the next five years we have 162 00:10:03,150 --> 00:10:06,360 Dr. Silvia Pfeiffer: the connectivity problem completely eliminated. 163 00:10:06,660 --> 00:10:10,680 Sean Aylmer: Okay. And then a final question. Does government understand telehealth? 164 00:10:10,710 --> 00:10:14,640 Sean Aylmer: Is it doing enough around telehealth? I would imagine at 165 00:10:14,640 --> 00:10:17,790 Sean Aylmer: times there'd be interest groups who would not be fans 166 00:10:17,790 --> 00:10:21,870 Sean Aylmer: of telehealth, but is policy right to promote telehealth? 167 00:10:22,530 --> 00:10:26,280 Dr. Silvia Pfeiffer: That's a very complicated question. I am very grateful that 168 00:10:26,280 --> 00:10:28,770 Dr. Silvia Pfeiffer: the government has done what they did during the pandemic. 169 00:10:28,770 --> 00:10:31,439 Dr. Silvia Pfeiffer: And I think every person in Australia should be grateful 170 00:10:31,440 --> 00:10:33,959 Dr. Silvia Pfeiffer: that they brought in the telehealth and that they allowed 171 00:10:33,960 --> 00:10:36,929 Dr. Silvia Pfeiffer: us to get he healthcare without having to be in 172 00:10:36,929 --> 00:10:41,189 Dr. Silvia Pfeiffer: personal contact with people. But since then, some decisions were 173 00:10:41,190 --> 00:10:44,309 Dr. Silvia Pfeiffer: made that were actually backwards, that were taking us almost 174 00:10:44,309 --> 00:10:46,949 Dr. Silvia Pfeiffer: back to pre- pandemic stage. I want to point out 175 00:10:47,010 --> 00:10:51,090 Dr. Silvia Pfeiffer: one particular decision, it's the so- called patient support service. 176 00:10:51,300 --> 00:10:54,209 Dr. Silvia Pfeiffer: And the patient support service means that a patient can 177 00:10:54,210 --> 00:10:58,080 Dr. Silvia Pfeiffer: sit with a GP while they're meeting with their specialist in an 178 00:10:58,559 --> 00:11:02,250 Dr. Silvia Pfeiffer: urban area, it's particularly important for rural and remote areas 179 00:11:02,250 --> 00:11:05,851 Dr. Silvia Pfeiffer: where patients often don't have direct access to a specialist. 180 00:11:05,851 --> 00:11:06,571 Sean Aylmer: Yeah. 181 00:11:07,050 --> 00:11:10,830 Dr. Silvia Pfeiffer: And what's happening is that we continue to have reimbursement 182 00:11:10,830 --> 00:11:13,500 Dr. Silvia Pfeiffer: for these sessions, but not with the GP present. So 183 00:11:13,500 --> 00:11:15,960 Dr. Silvia Pfeiffer: now that the patient has to meet directly with the 184 00:11:16,050 --> 00:11:19,980 Dr. Silvia Pfeiffer: specialist, and then that means that the GP actually loses 185 00:11:19,980 --> 00:11:24,000 Dr. Silvia Pfeiffer: out on understanding what's happening to this patient. We're taking 186 00:11:24,000 --> 00:11:28,230 Dr. Silvia Pfeiffer: away the ability for group care, for having this interaction 187 00:11:28,230 --> 00:11:31,410 Dr. Silvia Pfeiffer: between the specialist and the GP, and getting a better 188 00:11:31,410 --> 00:11:34,620 Dr. Silvia Pfeiffer: quality of care for our patients. And I think that 189 00:11:34,620 --> 00:11:39,000 Dr. Silvia Pfeiffer: was a really poor decision that the government made, probably 190 00:11:39,000 --> 00:11:41,640 Dr. Silvia Pfeiffer: in an effort to unify things, thinking it wouldn't be 191 00:11:41,640 --> 00:11:45,330 Dr. Silvia Pfeiffer: necessary anymore because now patients can directly access the GPS 192 00:11:45,330 --> 00:11:48,809 Dr. Silvia Pfeiffer: and the specialists via telehealth. But we need to think 193 00:11:48,809 --> 00:11:52,439 Dr. Silvia Pfeiffer: more holistically. We still continue to have this thinking around, 194 00:11:52,650 --> 00:11:55,770 Dr. Silvia Pfeiffer: it's all about a patient and a clinician talking to each 195 00:11:55,770 --> 00:11:59,040 Dr. Silvia Pfeiffer: other. Well, it's not every patient has a whole care 196 00:11:59,040 --> 00:12:02,010 Dr. Silvia Pfeiffer: team that they're talking to, they're talking to a mental 197 00:12:02,010 --> 00:12:06,870 Dr. Silvia Pfeiffer: health provider, they're talking to a dietetics provider, a physical therapist, 198 00:12:07,080 --> 00:12:10,590 Dr. Silvia Pfeiffer: a specialist and you know what. There's a lot going 199 00:12:10,590 --> 00:12:14,939 Dr. Silvia Pfeiffer: into care, particularly people with chronic disease have a really 200 00:12:14,940 --> 00:12:18,300 Dr. Silvia Pfeiffer: large group of practitioners that they interact with. And if 201 00:12:18,300 --> 00:12:21,750 Dr. Silvia Pfeiffer: those practitioners don't know what each other is doing, that's where 202 00:12:21,750 --> 00:12:24,270 Dr. Silvia Pfeiffer: we see it all fall down. And so I think 203 00:12:24,270 --> 00:12:27,360 Dr. Silvia Pfeiffer: a couple of decisions have been made by the government 204 00:12:27,660 --> 00:12:31,110 Dr. Silvia Pfeiffer: that they really need to reconsider and maybe bring in 205 00:12:31,110 --> 00:12:33,270 Dr. Silvia Pfeiffer: different ways of doing it. But group care should be 206 00:12:33,270 --> 00:12:36,600 Dr. Silvia Pfeiffer: something that we support and not actively discourage. 207 00:12:36,960 --> 00:12:40,050 Sean Aylmer: Silvia, listening to you, I'm all for group care. I've 208 00:12:40,050 --> 00:12:42,270 Sean Aylmer: just decided I'm on board. Thank you very much for 209 00:12:42,270 --> 00:12:43,350 Sean Aylmer: talking to Fear and Greed. 210 00:12:43,950 --> 00:12:45,720 Dr. Silvia Pfeiffer: Pleasure to be here. Thanks for having me. 211 00:12:46,500 --> 00:12:50,670 Sean Aylmer: That was Dr. Silvia Pfeiffer, CEO and founder of Coviu. 212 00:12:50,670 --> 00:12:52,679 Sean Aylmer: This is The Fear and Greed Daily Interview. Join us 213 00:12:52,679 --> 00:12:55,080 Sean Aylmer: every morning for the full episode of Fear and Greed, 214 00:12:55,110 --> 00:12:59,070 Sean Aylmer: Australia's most popular business podcast. I'm Sean Aylmer. Enjoy your day.