SERVICE ‣ COMPREHENSIVE PRIMARY CARE
Chronic disease
management.
Chronic disease management focuses on the ongoing care of patients with diagnosed long—term health conditions.
SERVICE ‣ COMPREHENSIVE PRIMARY CARE
WHAT THIS IS
Chronic disease management visits emphasize regular monitoring, medication optimization, review of investigations, and collaborative care planning to support long—term health and stability.
ABOUT Chronic disease management
Chronic disease management focuses on the ongoing care of patients with diagnosed long—term health conditions. These visits emphasise regular monitoring, medication optimisation, review of investigations, and collaborative care planning to support long—term health and stability.
Chronic care visits are typically scheduled at regular intervals based on the condition being managed. Visit frequency and duration are determined collaboratively and adjusted as clinical needs evolve over time.
Chronic care visits are typically scheduled at regular intervals based on the condition being managed. Visit frequency and duration are determined collaboratively and adjusted as clinical needs evolve over time.
What chronic care visits include
Laboratory and investigation review.
Clear follow—up and monitoring plan.
Review of symptoms and disease control.
Medication review and adjustments as appropriate.
Preventive care considerations related to the condition.
What these services are not
Full preventive physicals.
Acute or episodic illness care (unless related).
Specialized care requiring a physician or specialist.
Complex multi—system functional medicine assessments.
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In person & virtual
Many chronic care reviews can be conducted virtually, including medication reviews, investigation result discussions, and stable condition
check—ins.
check—ins.