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
"I'm no bureaucrat" Behind the scenes with Chai Chuah
"I'm no bureaucrat" Behind the scenes with Chai Chuah

In March, the State Services Commission finally announced the appointment of a new director-general of health, about 16 months after the previous office-holder had stepped down. With some in the sector fearing the ministry had been effectively rudderless, the commission had promised to scour the world for the best candidate - only to find he had been right there minding the shop all along. Cliff Taylor talks to former acting director-general Chai Chuah to learn a little about the man occupying what is arguably the most influential job in the New Zealand health system
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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