Ann Acad Med Singap
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Ann Acad Med Singap · Sep 2018
LetterDiagnosis of Diffuse Parenchymal Lung Disease Using Transbronchial Cryobiopsy in an Ambulatory Setting.
Abstract
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Abstract
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Healthcare decision-makers are constantly challenged by growing healthcare needs in tandem with rising healthcare costs. Disinvesting in technologies and practices that are "low in value" is one strategy to re-allocate limited resources to the most effective, safe and cost-effective technologies. We put forward a health technology reassessment framework and examined the opportunities and challenges on technology disinvestment in Singapore and deliberated on possible solutions. ⋯ On the other hand, engaging the stakeholder throughout the evidence review process and striking a balance between rigour and timeliness of review were likely to assure success. Lastly, monitoring the impact on resources and patient outcomes can be diverse and methods need to be developed. Understanding barriers and enablers in health technology disinvestment can translate into improved opportunities for eliminating and minimising resource wastage.
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Ann Acad Med Singap · Aug 2018
Letter Case ReportsOculopharyngeal Muscular Dystrophy in Singapore: Not So Rare.
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Ann Acad Med Singap · Aug 2018
ReviewLong-Term Morbidities in Children with Critical Illness: Gaps and Opportunities.
Improved mortality rates in paediatric critical care may come with the cost of increased morbidity. Goals of modern paediatric intensive care unit (PICU) management should focus on restoring long-term function of paediatric critical illness survivors. This review outlines our current knowledge on trajectories and risk factors of long-term morbidities in PICU survivors. Specifically, we aimed to identify current limitations and gaps in this area so as to identify opportunities for future investigations to reduce the burden of morbidities in these children. ⋯ Survivors of paediatric critical illness experience differing trajectories of recovery from morbidities. Future research is needed to expand our repertoire on management strategies to improve long-term function in these children.