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Ralph Oudem

Honorary Clinical Associate Professor, Department of General Practice, University of Melbourne; general practitioner with expertise in chronic disease management and heart failure.

Jul 23, 2026

7:24
I'd really like to ask you, Ralph, in your experience, from a primary care perspective, what happens in that gap?
7:35
Again, you're asking the tough questions, but you're right.
7:38
The communication between hospitals on discharge into the primary care settings needs to be improved.
7:44
Um, we don't have a really great, um, clinical handover.
7:50
I mean, there are some key initiatives that are happening in some of our regions, like Queensland, that are really making a difference.
7:56
But, you know, as you said, if people are discharged from hospital and they're not on guideline-directed medical therapy, the first thing the GP's gonna ask is, "Well, why didn't they start that tablet in hospital? There must be a reason for them not to start it." So that communication about when to titrate after they've been admitted I think is really clear.
8:18
And yet the evidence behind that early titration is just fantastic.

12 MINS LATER

19:57
Ah

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