Indications for Chronic Disease Management
Chronic disease management is recommended for individuals who require ongoing care and structured interventions to maintain health and prevent complications. It is particularly suitable for:
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Newly Diagnosed Chronic Conditions
Patients recently diagnosed with long-term conditions such as diabetes, hypertension, or hyperlipidaemia benefit from early implementation of a comprehensive care plan to slow disease progression.
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Complex or Multiple Comorbidities
Those managing multiple chronic conditions, such as cardiovascular disease combined with diabetes or kidney disease, require integrated care to address overlapping health concerns.
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Frequent Hospitalisations or Exacerbations
Patients with recurring hospital admissions or episodes of disease flare-ups benefit from structured management to stabilise their health and reduce the risk of future complications.
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Ineffective Previous Treatments
Individuals who have not achieved the desired outcomes with their current treatment plans can benefit from a tailored, multidisciplinary approach to better manage their conditions.
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High-Risk Populations
Patients with a strong family history of chronic diseases, lifestyle-related risk factors (e.g., smoking, obesity, or sedentary behaviour), or pre-existing metabolic conditions benefit from proactive monitoring and intervention.
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Preventive Care Needs
Those at risk of developing complications from chronic illnesses benefit from regular monitoring, patient education, and early intervention to reduce the likelihood of disease progression.
