
Chronic Disease Management at Jindabyne Medical Practice
For patients with chronic conditions (like diabetes, asthma, osteoarthritis, hypertension, heart disease and others), with chronic defined as lasting 6 months or longer, we have been creating so called GP Management Plans for some years now.
These plans are ideally developed together with the patient and identify (chronic) health problems and the actions to address these problems. For example: with osteoarthritis: lose weight, be active, medication, seek help of physiotherapy, dietician, exercise physiologist and eventually involve an orthopaedic surgeon if joint replacement is considered.
When more than 2 health providers are involved in the care of a patient with a chronic condition, we can turn the management plan into a team care arrangement. You will then have access to 5 Medicare subsidized allied health services (physiotherapy, podiatry, chiropractor etcetera).
Over the past year we have trialled software called CDM net. Although there are significant advantages in using this software, we have now decided to return to our previous method.
If you feel you qualify for a chronic disease management plan, please book a long appointment with your doctor to develop your individual management plan.
Regular reviews (6-12 monthly) of the plan is recommended, as to adjust goals and needs.