Services
we are committed to providing comprehensive care for patients with chronic conditions. Managing chronic diseases such as diabetes, hypertension, cardiovascular disease, and asthma is a critical aspect of general practice, and we offer a range of services to support our patients in maintaining their health and well-being
Our Chronic Disease Management Services Include
Care Planning and Team Care Arrangements
Our doctors work with patients to develop individualized care plans that address their specific health needs. These plans outline the management strategies, goals, and necessary interventions to manage chronic conditions effectively.
The care plan involves a thorough assessment of the patient’s condition, lifestyle, and treatment options, ensuring a holistic approach to their health care.
Team Care Arrangements
For patients with complex care needs requiring multidisciplinary support, we coordinate team care arrangements. This involves collaborating with allied health professionals such as dietitians, physiotherapists, and podiatrists.
These arrangements ensure comprehensive and integrated care, addressing all aspects of the patient's health.
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Review of Care Plan (Medicare Item 732)
Regular reviews of care plans are conducted to assess progress, update treatment goals, and make necessary adjustments. This ensures that the management of chronic conditions remains effective and responsive to any changes in the patient's health status.
Health Assessments (Medicare Item 715)
Health assessments for Aboriginal and Torres Strait Islander people are available to provide targeted care and management for chronic conditions. These assessments help in early detection and management of health issues, ensuring culturally appropriate care.
GP Management Plans (Medicare Item 721)
Tailored management plans for chronic diseases are developed in consultation with patients. These plans focus on long-term health goals and strategies to manage conditions such as diabetes and cardiovascular disease.
Asthma Cycle of Care (Medicare Item 2546)
For patients with asthma, we offer an Asthma Cycle of Care that includes regular reviews, action plans, and education on managing asthma effectively. This service aims to reduce asthma attacks and improve the quality of life for patients.
Diabetes Annual Cycle of Care (Medicare Item 2517)
Our Diabetes Annual Cycle of Care involves comprehensive assessments, monitoring, and management plans tailored to the needs of diabetic patients. This includes HbA1c testing, foot examinations, and lifestyle advice to manage diabetes effectively.
Mental Health Care Plans (Medicare Item 2715)
Chronic conditions often impact mental health. We provide mental health care plans for patients dealing with anxiety, depression, or other mental health issues related to their chronic conditions. These plans include referrals to psychologists and other mental health professionals.
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