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
The Forgotten Coast: Ngati Porou's hidden health crisis
The Forgotten Coast: Ngati Porou's hidden health crisis

The East Coast north of Gisborne is one of the most isolated and economically deprived areas of the country, and its mostly Maori residents experience some of the worst health outcomes. Iwi health provider and PHO Ngati Porou Hauora is trying to turn the tide of what it calls decades of official neglect. Cliff Taylor travelled to the coast to hear their story ON A glittering autumn morning, one of the world's largest cruise ships lies at anchor off Gisborne, disgorging hundreds of well-heeled passengers into small boats headed for the shore. The sound of a Maori welcoming party drifts from outside the wine centre on the harbourside.
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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