Chronic Disease Management

Aboriginal people continue to experience greater health risks, poorer health and shorter life expectancy than non-Aboriginal people, partly because of higher rates of chronic disease such as diabetes, heart and lung disease.

 A chronic condition is one that has been or is likely to be present for six months or longer. It includes, but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke.  Mallee District Aboriginal Services operates a wide range of services aimed at supporting people with chronic disease, including chronic disease management plans and preventative programs. 

Eligible clients can receive 'no gap' services at our clinics, with no out-of-pocket expenses.  They can be referred to MDAS chronic disease programs from our clinics, or by any General Practitioner.

Chronic disease management

To be eligible for a Chronic Disease Management service, a patient must have a chronic or terminal medical condition.  

A GP Management Plan and a Team Care Arrangement can be devised appropriate to the patient's individual needs.  

The GP Management Plan is a map of the patient's treatment, and is an agreement on health management goals with the patient. A Team Care Arrangement is a summary of the GPMP and lists the required allied health and specialist appointments.  This is where referrals are made. 

Patients may also be eligible for the Care Coordination and Supplementary Services program through MDAS.

Chronic disease prevention

The Aboriginal Health Promotion and Chronic Care partnership initiative supports partnerships to improve health outcomes for Aboriginal people with or at risk of chronic disease, including diabetes, heart and lung disease.

The Mallee District Aboriginal Services works in partnership with Community Health Services, hospitals and other health care organisations, as well as councils and community groups.

Clients in Mildura, Swan Hill and Kerang can receive the following services:

  • Health checks
  • Assistance in developing care plans
  • Home visits
  • Transport
  • Wound dressing
  • Training and education
  • Counselling
  • Advocacy
  • Support at appointments
  • Arrangement of appointments, accommodation and travel for city appointments