WORKING IN PRACTICES WITH CONTRASTING POPULATION NEEDS AND ALTERNATIVE FUNDING MODELS GP runs population relay between practices
People In Health Care Series
Dr Jaspreet Saini, GP
Clinic Director, Healthicare &
Practice Owner and Principal GP, Rosedale Medical Practice
Filmed in Rooty Hill, New South Wales | October 2024
Dr Jaspreet Saini is a GP with a decade of experience, practicing in West Pennant Hills and Rooty Hill, New South Wales. He began his medical journey at Monash University, followed by internships and residency at Blacktown Hospital, in Western Sydney. Instead of confining himself to a single specialty, he pursued general practice to explore various facets of medicine.
His career philosophy centres around addressing frustrations within the healthcare system and advocating for multidisciplinary care. This commitment led him to travel to the United States, where he studied diverse healthcare models, particularly in underserved areas. Recognising the potential for improving primary care in Australia, he and his wife purchased a practice in West Pennant Hills in 2019, which has since received multiple awards for its innovative care approach.
However, Dr Saini felt a strong urge to work in a more underserved community to tackle health equity issues. He has been actively involved in a clinic in Rooty Hill since February 2024, focusing on redesigning healthcare delivery in an area characterised by socio-economic challenges and high rates of chronic conditions like obesity and diabetes.
His typical workweek has evolved to blend clinical practice with leadership and management. Three days a week, he coaches healthcare teams, guiding GPs, nurses, and medical assistants to enhance their clinical skills. Additionally, he engages in research related to health equity and models of care, seeking grants and writing papers.
Collaborative partnerships are pivotal to his approach. In Rooty Hill, his practice works closely with organisations like the Western Sydney Diabetes team, adopting proactive strategies to manage patients’ chronic conditions effectively. Through teamwork, they aim to provide holistic and efficient care, recognising that silos within healthcare hinder optimal outcomes.
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Health-Tech Connections
Challenges in health care delivery have compounded, with clinical staff being exposed to the Omicron COVID variant. Reduced staffing has brought on its challenges to most already-strained state health care systems and the people working in them.
However, over the past 2 years of the pandemic, technology has played an increasing role on the front end for patients and consumers at home and clinicians in the medical setting. Much more is planned in technology that will deliver efficiency, reduce risk and make available new models of care. This has the potential to touch the working lives of all stakeholders and
recipients of care. -
Thyroid health into pregnancy
‘Without an adequate amount of thyroid hormone mothers can be exposed to hypertensive disorders of pregnancy, including gestational hypertension and preeclampsia or eclampsia, which affect around 10% of pregnant women and are the leading causes of maternal and neonatal mortality worldwide. Mothers who suffer from hypertensive disorders during pregnancy are at increased risk of long-term cardiovascular consequences and hypertensive disorders in subsequent pregnancies. Evidence also indicates a risk of reduced cognitive ability to their offspring.
‘Knowing if you are genetically predisposed to Hashimoto’s or Graves’ Diseases, which are both thyroid autoimmune disorders is important to be aware of, to ensure all appropriate tests are ordered. Autoimmune disorders may predispose mothers to a thyroid problem during pregnancy’, says Professor Creswell Eastman, who also serves as the ATF’s Principal Medical Advisor.
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New research papers show productivity gains and gaps
Commissioner Catherine De Fontenay talks about the Productivity Commission’s new approach to analysing health productivity, shifting the perspective from the unit measurement of individuals using the health system to the actual improvement of health. This has shown Australia’s health treatment productivity is improving, but identifies gaps in preventative health measures and duplication, where digital technology needs to be more effectively used.
