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
Response to Davies’ model of care: ‘Patient-hoarding’ GPs are in fact meeting real needs
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Response to Davies’ model of care: ‘Patient-hoarding’ GPs are in fact meeting real needs
Wednesday 24 May 2023, 01:00 AM

Many people with long-term conditions cannot afford to make healthy lifestyle changes [Image: Dan Gold on Unsplash]
Reversing diabetes via lifestyle change may, indeed, be possible in well-resourced whānau but many people with long-term conditions need ongoing medical support, write Ben Gray and Eileen McKinlay
Long-term conditions are typically defined as being unable to be cured and, over time, progressing
Glen Davies asks, “What if GPs could discharge
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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References
- Barthow C, Pullon S, McKinlay E, et al. It is time for a more targeted approach to prediabetes in primary care in Aotearoa New Zealand. J Prim Health Care 2022;14(4):372–377.
- Barthow C, Krebs J, McKinlay E. A multiple case study of pre-diabetes care undertaken by general practice in Aotearoa/New Zealand: de-incentivised and de-prioritised work. BMC Primary Care 2023;24(1):109.
- Huber M, Knottnerus, Green L, et al. How should we define health? BMJ 2011;343:d4163.