A health maintenance service for chronically ill patients.
D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D001294:Attitude to Health; D002318:Cardiovascular Diseases / Q000628:therapy; D002908:Chronic Disease / Q000628:therapy*; D003710:Demography; D003920:Diabetes Mellitus / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009741:Nursing Staff, Hospital / Q000706:statistics & numerical data*; D010044:Outpatient Clinics, Hospital; D010348:Patient Care Team; D011637:Public Health Nursing; D013038:Specialization; D013312:Stress, Physiological