Chronic Disease Management Programs (CDMPs)
About the procedure
Care Before Joining the Program
- Provide your complete medical history and current medications.
- Be ready to share lab reports, diagnostic tests, and lifestyle habits.
- Discuss goals and expectations with the healthcare team.
- Ensure commitment to regular follow-ups and program activities.
Care During the Program
- Regular check-ups and monitoring of vital signs, lab results, and symptoms.
- Medication management including adjustments and adherence support.
- Patient education on diet, exercise, stress management, and symptom recognition.
- Coordination with specialists if needed for specific complications.
Care After the Procedure
- Continue long-term monitoring and follow-up visits.
- Maintain healthy lifestyle habits learned during the program.
- Report any new symptoms or changes to the healthcare team promptly.
- Review and update the care plan periodically to meet evolving health needs.
Eligibility
- Patients diagnosed with long-term conditions like diabetes, hypertension, or heart disease.
- Individuals at high risk of complications due to chronic illness.
- Patients who require ongoing monitoring and medication adjustments.
- Those needing support with lifestyle changes such as diet, exercise, and stress management.
- People who benefit from regular check-ups, education, and coordinated care.
Relevant Specialties

Internal Medicine
Our Internal Medicine service offers both primary and specialist consultative care for adults with acute illnesses, chronic conditions and complex multisystem problems. With physicians who manage long-term diseases such as diabetes, heart disease, hypertension and respiratory conditions, while also treating infections, injuries and musculoskeletal concerns. We offer consultant-led inpatient care through a dedicated hospitalist service and an Acute Medicine Unit with 24-hour doctor and nurse coverage, supported by round-the-clock diagnostics (radiology, pathology and microbiology). Advanced treatments include non-invasive ventilation, high-flow nasal oxygen, plasmapheresis and coordinated plasma therapies, together with integrated physiotherapy and rehabilitation. Our team works closely with surgical and speciality colleagues for complex cases, and we provide home-care, adult immunisation, preventive & executive health checks, and visa medicals for international patients.




