- Exciting news : We now bulk-bill kids below 16 years
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Chronic Disease Management GP in Belair & Blackwood
Comprehensive, Coordinated Care for Complex Health Journeys
At Belair Family Health Centre, we specialize in providing a “medical home” for patients with chronic and complex conditions. Managing a long-term illness requires more than ad-hoc appointments; it demands a structured, evidence-based approach that includes regular reviews, proactive monitoring, and seamless coordination with your wider healthcare team.
We are the trusted clinic for chronic disease management, serving Belair, Blackwood, and the surrounding Adelaide Hills communities.
GP Chronic Condition Management Plans (GPCCMP)
Our doctors utilize the GP Chronic Condition Management Plan (GPCCMP)—the updated Medicare framework designed to streamline your care.
How a Management Plan Benefits You:
- Medicare Subsidies:Eligible patients can access Medicare-subsidized sessions with allied health professionals (up to 5 visits per calendar year).
- Coordinated Support:Your plan facilitates referrals to specialists, physiotherapists, podiatrists, dietitians, and exercise physiologists
- Structured Goals:We work with you to set achievable health milestones and monitor medication effectiveness.
Conditions We Manage
Our team is proficient in managing a wide range of chronic conditions, with specific clinical interests in several niche areas:
- Metabolic Health: Diabetes, pre-diabetes, and high blood pressure.
- Respiratory Care: Asthma and chronic respiratory condition management plans.
- Musculoskeletal: Arthritis, osteoporosis, and chronic pain management.
- Specialized Niche Care:
- POTS & Dysautonomia:Dr. Jeremy Yang and Practice Nurse Sheree are members of the Australian POTS Foundation, providing specialized assessment and ongoing management.
- ADHD Shared Care: We provide medication management and “shared care” for children and adults in collaboration with psychiatrists and pediatricians.
The BFHC Advantage: Continuity of Care
We recognize that access is the biggest hurdle for patients with chronic illnesses. To support our regular patients, we offer:
- Same-Week Appointments: We prioritize availability for patients on established care plans to ensure continuity when you need it most.
- Comprehensive Health Assessments: Regular monitoring to detect potential complications before they become emergencies.
- Medical Home Coordination: We manage your care with or without specialist involvement, acting as the central hub for your health records and treatment history.
Our Chronic Disease Management Team
Your care is managed by an experienced clinical team dedicated to evidence-based outcomes:
- Dr. Jeremy Yang: Focuses on POTS, ADHD shared care, and general chronic disease coordination.
- Dr. Celine Goh: Special interests in preventative health and pediatric chronic conditions.
- Dr. Kingsley Tan: Passionate about holistic care and the intersection of mental and physical health.
- Dr. Shandana Khan: Experienced in complex multi-system disease management.
We have transitioned to AutoMed for all online bookings. If you have a long-term condition and believe you are eligible for a Medicare-rebated GP Management Plan, please book a consultation today, or call us at (08) 8278 8900to begin your journey toward better-coordinated health