A three-year pilot launched in selected clusters of HA in collaboration with NGOs in March 2010. The programme will serve over 30 000 patients over three years;
The programme aims to improve chronic disease patients’ knowledge on their diseases and enhance their self-management skills. A multi-disciplinary team comprising allied health professionals from HA will develop appropriate teaching materials and aids for common chronic diseases and provide training for frontline staff of the participating NGOs;
An electronic information system was developed to allow access of clinical information by participating NGOs as required, as well as to provide information of the process and outcomes of the participating patients to the clinicians of HA.
