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Moving towards organised care of chronic disease. The 3+ visit plan
1General Practice Teaching Unit, Illawarra Area Health Service, Wollongong, New South Wales.
Background:
The health care system is better organised to react to acute rather than chronic presentations of disease, yet a significant proportion of health care expenditure is on chronic diseases and their complications.
Objective:
This article seeks to argue the case for the organised care of chronic disease. Asthma is used as the demonstration disease because a model has already been developed and a pilot evaluation has been done.
Discussion:
The National Asthma Campaign has been involved in the development, by general practitioners, of a system of asthma care organised in a way appropriate for general practice in Australia. The care is provided over a series of visits and ensures that all of the six steps of the Asthma Management Plan are covered.