Chronical Disease Management

Chronic disease is inarguably the biggest problem faced by healthcare systems all over the world. These diseases usually develop slowly, last long periods of time, and often are never cured. In most cases, there is no cure. The long-term effects may be difficult to predict. While some conditions cause few problems, others cause only episodic problems or symptoms that can be controlled with medication but need regular monitoring. In some cases, a chronic disease may severely limit a person's ability to work, go to school or take care of routine needs. Examples of chronic diseases include, but are in no way limited to: diabetes, congestive heart failure, asthma, hypertension, chronic kidney disease, depression, irritable bowel syndrome, arthritis, fibromyalgia, Parkinson's syndrome, and multiple sclerosis - just to mention a few.


Though chronic diseases are lifelong, proactive disease management and healthy lifestyle choices can help one stay ahead of the curve. Although a lot of information is available online, it only seems like medical jargon, which is difficult to comprehend and implement. Understanding the needs concerns and difficulties faced, we at ATHS, are providing this Chronic Disease Management Program (DMP) to aid and enable you to manage these conditions.



Program Benefits:

  • Our program provides information and self-management support to help people with chronic disease better manage their condition, improve health outcomes, prevent complications and reduce the need for hospitalization.
  • We do health risk assessment for every individual and proactively identify people's needs and give them tailor made advice.
  • Clients enrolled in our program can avail our services for any and all chronic diseases they might be suffering from.
  • Through this program, we address all the needs and concerns of our clients and maintain their electronic health records under one platform.
  • Our Counselling Service aims to improve and promote the physical, social and emotional wellbeing of clients.
  • Our caring health advisors are trained extensively to listen empathetically and provide health coaching and support people to manage their chronic condition
  • Our health advisors will answer many questions which go unasked or unanswered due to doctor's time constraints.
  • Our main intention is to offer resourceful, client-centred, and flexible supportive counselling services.

Our Chronic Disease Management Program covers the following areas:

a. Continuous assessment and monitoring of your chronic condition

b. Knowing how to recognize and respond to complications associated with chronic disease

c. Understanding and using medicines and treatments effectively

d. Coping with morbidity and irreversible conditions associated with the disease

e. Coping with frustration, fatigue, pain, sleep and sexual health related problems

f. Diet counselling

g. Making decisions about when to seek medical help

h. Working with your doctor(s) and other care providers

i. Managing work, family and social activities

j. Fitness counselling by suggesting appropriate exercise

k. Communicating effectively with family, friends, and health professionals

l. Understanding and adjusting to new treatments.

Note: The Self-Management Program will not conflict with existing programs or treatment. It is designed to enhance regular treatment and disease-specific education such as Better Breathe easy, cardiac rehabilitation, or diabetes and hypertension management instruction. In addition, many people have more than one chronic condition. The program is especially helpful for these people, as it gives them the skills to coordinate all the things needed to manage their health, as well as to help them keep active in their lives.

Benefits to the organisation:

  • Development of health seeking behaviour: On enrolling into the program, the employees will develop the habit of celling a qualified medical professional rather than seeking a non professional peer help.
  • Healthy employees:With continued advice on better life style habits to improve health, the organisation is enriched with healthy employees
  • Less absenteeism:The productive hours for employees suffer whether it is a sick day for oneself or any of the family members. With medical help a phone cell away, loss of precious work hours funnels down to minimal.
  • Decrease health care cost to the company:With decrease in unnecessary visits to the doctors, there is an evident decrease in net health care expenditure by the company
  • Management Information system:All information shared between the doctor and the patient is stored electronically. This ensures easy access , retrieval and reporting of health care information at any given point of time.