Volume 41, Number 11

November 2012

No Longer Lost in Transition?

Over the past three decades, Singapore’s healthcare system has evolved into one that comprises some 35 specialties which has helped to better manage the complexities of patient care and sophisticated treatment modalities. While this has generally improved the quality of healthcare within each specialty, it has caused fragmentation across...

Improvements in End-of-Life Care with a Protocol-based Pathway for Cancer Patients Dying in a Singapore Hospital

In 2010, there were 17,125 recorded deaths in Singapore, of which 9893 (55.3%) occurred in public sector hospitals. Singapore General Hospital (SGH) is the largest tertiary public sector hospital in Singapore with more than 1500 beds. Between January 2010 and December 2010, 19.5% (434/2218) of all deaths in the...

Socio-demographic and Clinical Profile of Admissions to Community Hospitals in Singapore from 1996 to 2005: A Descriptive Study

Intermediate care, a range of services facilitating step-down care from the hospital to home, has become an integral part of the healthcare system. Community hospitals, defined as smaller hospitals with fewer onsite facilities or specialist services which are more suited for acute specialised care, are key providers of intermediate...

A Novel, Minimally-Invasive Technique of Cartilage Repair in the Human Knee Using Arthroscopic Microfracture and Injections of Mesenchymal Stem Cells and Hyaluronic Acid—A Prospective Comparative Study on Safety and Short-Term Efficacy

Articular cartilage lesions can give rise to potentially crippling symptoms such as pain, swelling and decreased mobility. In addition, such lesions when left untreated can lead to osteoarthritis. Hence, the ultimate goal of treatment is restoration of normal knee function via regeneration of hyaline cartilage in the defect. This article...

Certification of Poliomyelitis Eradication in Singapore and the Challenges Ahead

Paralytic poliomyelitis used to be a common childhood disease in Singapore. It was recognised as a major public health problem in the immediate post World War II period. The epidemiological pattern was that of an endemic disease with periodic epidemics, indicating transition from the endemic behaviour characteristic of countries...