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Bridging the gap between hospital and community care

29th June 2018

James Cook University (JCU) GP registrar, Shaun Hosein, is playing a crucial role in new efforts to ensure that patients discharged from Gympie Hospital are able to transition safely to community-based care.

The first-year registrar recently won the hospital’s Dr Frank Le Bacq Award for Patient Safety in recognition of his research, which found that the hospital had become a revolving door for a number of patients with complex needs.

Dr Hosein’s analysis of hospital records identified a trend of unsuccessful discharges from the hospital, particularly among older patients, who were often re-admitted to hospital less than seven days later.

“The research illustrated the need to put patients first, by having effective communication prior to leaving hospital, and ensuring continuity of care with local general practitioners after discharge,” he said. “This would prevent potential worsening of illness and re-admission to hospital.”

Dr Hosein is ideally placed to translate his findings into action. In February this year, the GP registrar was appointed to a newly-created position which enables him to conduct a medical practice at the hospital – that bridges the gap between hospital and community-based care.

Supported by the Central Queensland, Sunshine Coast and Wide Bay PHN, Gympie Hospital and the Excelsior Medical Centre, the role places Dr Hosein at the heart of an innovative team dedicated to ensuring continuity of care.

“The work is cutting edge, in terms of serving community needs,” he said. “We are looking at developing a hospital-based rapid review primary care clinic, called the STAR (Short Term Access and Review) clinic, and better ways to ensure Gympie residents transition safely back to the community from hospital.”

Dr Hosein joined JCU’s general practice training program (Generalist Medical Training) in 2018, because he felt it would provide the best training to pursue his career aspirations, and also better equip him to care for the communities he wishes to serve.

“I have so far enjoyed the teaching and opportunities the program offers,” he said.

“The Sunshine Coast Hospital and Health Service support network has been wonderful to work with, and helpful with my unique training needs in working with populations at risk, and population health.

“I would like to continue to have a varied career; pursue the research project started at the Gympie Hospital, teach, work with fragile/at risk communities, and undertake community engagement.”


Media contacts: 

Shaun Hosein -                                                                                      

Sunshine Coast Hospital and Health Service - O7 5202 0083,

JCU College of Medicine and Dentistry Communications Team - 0428 442 633,

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