Introduction of Cardiovascular Disease Risk Factors
and Chronic Hepatitis B Screening and Management
under Primary Healthcare Co-care Network

ObjectivesLogo of CDCC Scheme

  • To provide subsidies to eligible participants to conduct screening and chronic disease management of the targeted diseases in the private sector
  • To establish "Family Doctor for All" to provide holistic and coordinated care to participants through the pairing of a self-selected Family Doctor
  • To achieve "early prevention, early identification and early treatment" and reduce disease complications

Services Scope

Cardiovascular disease risk factors screening and management (formerly known as "Chronic Disease Co-care Scheme") -
  • To provide screening of diabetes mellitus (DM) or hypertension (HT) and blood lipid testing, allowing for a comprehensive assessment of "three highs"
  • Upon diagnosis of prediabetes, DM, HT or hyperlipidaemia, the participants are entitled to subsidised consultation visits for long-term management under their Family Doctors
Chronic hepatitis B screening and management (formerly known as "Hepatitis B Co-care Scheme") -
  • To provide risk-based hepatitis B screening and management
  • Participants who are diagnosed with chronic hepatitis B are entitled to subsidised consultation visits, with arrangements the same as those of the cardiovascular disease risk factors screening and management
The Co-care Network provides a structured framework for preventive care and chronic disease management, organised into two main categories:
  • One-off preventive activities that offer screening, assessment, intervention and other one-off health activities
  • "Chronic Disease Co-care Scheme" that provides comprehensive, long-term clinical management for chronic diseases covered in Co-care Network
Screening Services
  • Family Doctor will perform assessment and arrange investigations for screening
  • Family Doctor will arrange blood test(s) at designated medical laboratory
  • Family Doctor will explain investigation report and diagnosis, and arrange appropriate health management services
  • DHC/DHCE will arrange free HBsAg Rapid Diagnostic Test (Applicable to chronic hepatitis B screening only)
Chronic Disease Co-care Scheme
  • The maximum number of subsidised visits allotted for respective Relevant Illnesses under the CDCC Scheme of the Co-care Network is set out as follows:
     
    Relevant Illness(es) Maximum Allotted Subsidised Visits
    Hypertension Up to 6 subsidised visits per Participant within each PPY
    Diabetes mellitus Up to 6 subsidised visits per Participant within each PPY
    Specific Blood Sugar Level of Prediabetes Up to 4 subsidised visits per Participant within each PPY
    Specified Condition of Dyslipidemia Up to 4 subsidised visits per Participant within the first PPY and 2 subsidised visits per Participant for each subsequent PPY
    Chronic hepatitis B Up to 4 subsidised visits per Participant within each PPY
  • If a Participant is diagnosed with more than one Relevant Illnesses, the maximum aggregate number of subsidised visits allotted for the Participant within each PPY will be determined by the Relevant Illness with the highest number of subsidised visits.
  • Family Doctor will arrange blood test(s) at designated medical laboratory, and prescribe medicine according to health needs
  • DHC/DHCE will arrange dedicated nurse clinic and/or allied health services according to referral by the Family Doctor and condition of the Participant if applicable
Coordination and Support from DHC/DHCE
  • To follow up and coordinate health services of Participant
  • To set health goals together with Participant based on Family Doctor's suggestion
  • To enhance Participant's self-health management, promote Participant empowerment and help to build a healthy lifestyle

Caring Services

Family Doctor for All
Participant can choose his/her preferred Family Doctor to receive personalised and comprehensive primary healthcare services.
Comprehensive Care
Family Doctor will arrange health management services based on screening results and provide medical consultations, medications as well as referrals to laboratory investigations, dedicated nurse clinic and allied health services to meet the medical needs of Participant.
Personalised Case Management
DHC/DHCE will coordinate health management group activities, nurse clinic and allied health services.
Integrated Care by Professional Team
A multidisciplinary team including Family Doctor, nurses, allied health professionals (optometrist/ podiatrist/ dietitian/ physiotherapist) and DHC/DHCE will support various medical needs of Participant.
eHealth App Support
Participant can use the eHealth App to browse health information, access personal health record, as well as record and self-monitor certain health parameters such as blood pressure and weight.
Government Subsidy
The Government will partially subsidise medical consultations with Family Doctor, medications, laboratory investigations, dedicated nurse clinic and allied health services under the Co-care Network. Participant is required to pay the co-payment fee only.
Incentive Mechanism
Starting from the second programme year, Participant who achieves health incentive targets will enjoy a one-off reduction in co-payment fee by $150 maximum (i.e. the co-payment fee recommended by the Government) for the first subsidised consultation in the following year if applicable.
Bi-directional Referral Mechanism with HA
Under the bi-directional referral mechanism developed with the Hospital Authority (HA), Family Doctor can arrange with the coordination by DHC/DHCE for Participant with clinical needs to receive a one-off specialist consultation at an HA designated Medicine Specialist Out-patient Clinic, according to pre-defined criteria and guidelines, for clinical advice on the health management plan, so as to facilitate Participants in receiving continuing and co-ordinated primary healthcare services in the community.

Besides, to cater to the healthcare needs of the underprivileged groups, the Government has launched preventive screening and care services for the groups in the Family Medicine Clinics (FMCs) of the Hospital Authority (HA). Comprehensive Social Security Assistance (CSSA) Scheme recipients, Old Age Living Allowance (OALA) recipients aged 75 or above, or holders of valid Certificate for Waiver of Medical Charges who are interested in joining the programme, may be arranged to receive the relevant service at designated HA FMCs via District Health Centres (DHC) / DHC Expresses. For details, please click here to download the service information.