People In Health Care; Dr Gaj Panagoda,
empowering underprivileged communities
Xstitch Health takes project based approach to
creating community-driven,
sustainable health outcomes
Dr Gaj Panagoda, CEO of Xstitch Health, has a diverse medical background and is working to improve health systems for underprivileged communities. In the Australian Health Journal’s People In Health Care series, he talks about the changes needed in community-based care using a project based approach,
According to Dr Panagoda, there is a need for a shift towards community-based care and collaboration with stakeholders in the healthcare system, and the potential to create a new kind of socially conscious, inspired, community-informed medical specialist is the future of medical specialty care.
Project-based job outcomes are clear, post-COVID community-based health systems are innovative, and the six pillars of Xstitch involve working with communities to identify strengths and challenges, collaborating with stakeholders, and deciding what’s needed.
Communities, including underprivileged ones, have untapped strengths that can be harnessed for their own healthcare journeys, and Xstitch Health aims to do something different by focusing on change management, policy, and governance.
“We are looking at a unique model to fund health projects based on community-defined issues and deliverables, with most interest coming from schools”, says Dr Panagoda.
He’s seen, schools in underprivileged areas that are providing services for students with particular needs, are interested in working better with health systems, to address acute issues.
Dr Panagoda believes medical specialists in Australia have untapped potential to address the wider needs of patients and can start taking action on their collective knowledge without waiting for higher positions.
Xstitch Health offers a new kind of job for doctors, combining patient care with system improvement and the opportunity to work in various locations.
Health professionals need support in their role in communities and a collaborative model for medical specialists is being developed to have a big impact across Australia.
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Physiotherapist, exercise physiologist support for management of osteoporosis
Osteoporosis is commonly managed medically and typically with treatment. Exercise is also essential in the management of osteoporosis but tends to be under-utilised due to lack of knowledge and unfounded concerns about the risk of injury. In fact, optimal care of people with low bone mass, osteoporosis and/or increased risk of falling can and should include targeted exercise to help prevent osteoporotic fracture.
In early 2024, Healthy Bones Australia released a summary of the principles of osteogenic loading and fall prevention, the translation of those principles into clinical practice, evidence-based recommendations for exercise prescription, and special considerations, along with links to several relevant resources for people with or at risk of osteoporosis, falls and fractures.
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Developing the nation’s first Health and Medical Research Strategy
Professor Steve Wesselingh serves as the CEO of NHMRC, having initially trained as an infectious diseases doctor. His career includes prominent roles such as Head of the Infectious Diseases Unit at the Alfred Hospital, Director of the Burnett, Dean of Medicine at Monash University, and the inaugural Director of SAHMRI. Under his leadership, NHMRC plays a critical role in funding health and medical research, allocating approximately a billion dollars annually to investigator-led projects, clinical trials, and various strategic initiatives. NHMRC also collaborates internationally with organisations such as the MRC and the EU, and manages grant allocation for the MRFF, which distributes $650 million each year.
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Implementing improvements in referral management and demand
Nalani Cox joined Gold Coast Health in 2019 as a Nurse Manager focused on improving referral management processes within the outpatient environment through the implementation of the Clinical Prioritisation Criteria. This work became a focus point for the organisation in 2020 when Nalani led an organisational wide change project introducing Smart Referrals, Refer Your Patient website and HealthPathways which has culminated in her position as the ADON of the Referral Strategy and Performance Department.
