For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Figuring the figures: Breaking down the Vote Health numbers
Figuring the figures: Breaking down the Vote Health numbers

Vote Health for 2022/23 looks different from usual. The reason is the move that began last year to multi-year budgets in health, with the initial step being into a two-year cycle. Consequently, if you’re looking for most of the new, shiny stuff, dust off Budget 2022. That said, prime minister Chris Hipkins was keen to share the Budget 2023 limelight with his health minister, Ayesha Verrall, in announcing the imminent abolition of the $5 prescription charge, which forms part of the Government’s latest cost-of-living package. On Budget day, 18 May, the estimate for Vote Health was up from Budget day last year, but down from the ‘estimated actual’ figure for the current financial year, $27.253 billion
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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