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
Paper anniversary: Thinking about the first year of the health reforms
Paper anniversary: Thinking about the first year of the health reforms

If you had been looking to buy a gift for the one-year anniversary of the health reforms on 1 July, it would have been paper. This is a happy coincidence, considering we as a newspaper are close scrutineers of the reforms. Editor Barbara Fountain asked a few people in the sector their thoughts on the following questions: What areas of the reforms are you happy with? What is an area where progress is not what you anticipated? How well do you think the reform has been communicated to your part of the health system? Score out of 10. Note: These comments have been edited for length, the full versions will be available online at nzdoctor.co.nz Search for “Paper anniversary”
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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