The target group is people age 35 years or above and a group of patients with chronic diseases who can't care for themselves, according to the normal level of project implementation period September 2558 (2015) received funding from the municipality, Phu PHA daeng. The result is expected to be received. Reduce the rate of chronic disease patients in community With the system and model of care for patients with chronic disease, the holistic quality and can be applied to other groups continue to care for patients properly.
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