Respiratory physician Lutz Beckert considers chronic obstructive pulmonary disease management, including the prevention of COPD, the importance of smoking cessation and pulmonary rehabilitation, and the lifesaving potential of addressing treatable traits. He also discusses the logic of inhaler therapy, moving from single therapy to dual and triple therapy when indicated, as well as other aspects of management
Feel the fear and do it anyway: Improving health services and systems carries clear risk of failure
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Feel the fear and do it anyway: Improving health services and systems carries clear risk of failure
Wednesday 16 August 2023, 01:00 AM

Complex systems are analogous to rugged landscapes – where trying to “climb a mountain” may be fraught with problems [Image: NZD]
Health system improvement involves considerable risk, and change in one area can be expected to lead to deterioration in another. But the risk of failure should be weighed against the downsides of staying put, writes Tim Tenbensel
In high-income countries such as Aotearoa New Zealand, the public expects a great deal of our health system.
We expect our health services to be ef
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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