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 can’t just fire the DHB boards’
+Opinion
‘I can’t just fire the DHB boards’
Wednesday 15 January 2020, 03:41 PM

It’s a long way from the back paddock to the DHB boardroom
Nelson GP Jim Vause fancies he overheard a conversation in the corridors of power, alluding to the Health and Disability System Review Panel chaired by Heather Simpson
“On the third day of Christmas,
“Ms Simpson said to me:
“Health’s in a mess,
“It’s all too complex,
“Just get rid of all the DHBs.”
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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