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- One-on-one case management, monitor and follow up on chronic illness
- Perform assessment : health, functional ability, ability on daily living, mental composure in order to design a personalized care plan
- Review personal medical history
- Understanding patient’s medical knowledge and drug compliance ability
- Chronic disease monitoring
- Medical and illness consultation
- Training and advice on self care ability
- To be a communication medium between patient and medical officer in the public health system
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