Proactive care. Structured outcomes. Long-term control.
Mediclinic’s Chronic Disease Management programs provide structured, hybrid care-led pathways for patients living with long-term conditions.
Delivered through secure virtual consultations and supported by coordinated in-person services when required, the program ensures continuous oversight and proactive intervention.
Designed for patients who require regular monitoring, medication adjustment and long-term care planning.
WHAT IS DISEASE MANAGMENT PROGRAMS:
Chronic Disease Management is a structured clinical program focused on improving disease control, reducing complications and supporting patient engagement.
Unlike episodic consultations, this program includes:
- Defined clinical pathways
- Risk stratification
- Scheduled follow-ups
- Medication Therapy Management
- Ongoing monitoring and adjustment
- Outcome measurement
The goal is not just treatment, but sustained control.
CONDITIONS COVERED
The program covers multiple conditions including:
- Type 2 Diabetes
- Prediabetes
- Hypertension
- Cardiovascular risk
- Obesity and weight management
- Metabolic syndrome
- Selected mental health conditions
HOW THE PROGRAM WORKS
- Enrollment and Initial Assessment
- Comprehensive review of clinical history, medications and investigations
- Personalized Care Plan
- Defined treatment targets and monitoring schedule
- Structured Follow-Ups
- Regular virtual consultations and lab review based on risk category
- Ongoing Monitoring
- Medication adjustment and escalation when required
- Integrated Referrals
- Access to specialists, diagnostics or in-person services when clinically indicated
All care is documented within the electronic health record for full continuity.
SUPPORTED BY THE CARE COLLABORATION CENTRE
The program is coordinated by our Care Collaboration Centre, established in 2022.
The Centre provides:
- Primary care oversight
- Risk stratification and patient categorisation
- Monitoring of lab and clinical parameters
- Follow-up scheduling and reminders
- Escalation pathways
- Care navigation across facilities
This ensures structured governance and accountability.
ENHANCED THROUGH REMOTE PATIENT MONITORING
Eligible patients may benefit from Remote Patient Monitoring services to extend care beyond consultations.
This includes:
- Medical-grade monitoring devices
- Approved wellness wearables
- Regular review of uploaded clinical data
- Alerts for readings outside target ranges
This supports early detection of deterioration and timely intervention.
CLINICAL QUALITY AND GOVERNANCE
All programs are delivered by licensed Mediclinic doctors following evidence-based guidelines and international best practice standards.
The model includes:
- Medication optimization
- Laboratory monitoring
- Structured follow-up intervals
- Defined escalation protocols
- Continuous documentation
Care is aligned with regional regulatory requirements and payer frameworks where applicable.
VALUE AND OUTCOMES
Chronic Disease Management is designed to:
- Improve long-term disease control
- Reduce preventable complications
- Minimise unnecessary emergency visits
- Support medication adherence
- Enable measurable clinical performance
This structured approach supports both patient wellbeing and healthcare sustainability.
ACCESS AND SUPPORT
Download the Mediclinic App
Available on iOS and Android
Book your appointment
Via the Mediclinic App or call centre.
Call Centre
Dubai: 800 1999
Abu Dhabi & Al Ain: 800 2000
App help: 800 2026