Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
The latest issue of the New Zealand Medical Journal is out today
The latest issue of the New Zealand Medical Journal is out today

Journal of the New Zealand Medical Association (Vol 130 No 1464), 27 October 2017
Editorial
Time for healthy investment
Scott Metcalfe, Sanji Gunasekara, Kate Baddock, Lesley Clarke, for the New Zealand Medical Association
Rationing access to deceased donor kidney transplantation: New Zealand charts her own course
Stephen Munn
Article
The state of quality improvement and patient safety teaching in health professional education in New Zealand
Gillian Robb, Iwona Stolarek, Susan Wells, Gillian Bohm
The outcomes of patients returned to general practitioner after being declined hip and knee replacement
Toni Anitelea, Ella Iosua, Ayaaz Ebramjee, David Gwynne-Jones
Deceased donor kidney transplantation in New Zealand: use and audit of a survival prediction tool
Frances Dowen, Nicholas Cross, Philip Clayton, Helen Pilmore
Gene expression profiling of breast tumours from New Zealand patients [open access]
Anita Muthukaruppan, Annette Lasham, Cherie Blenkiron, Kathryn J Woad, Michael A Black, Nicholas Knowlton, Nicole McCarthy, Michael P Findlay, Cristin G Print, Andrew N Shelling
Is cardiomegaly on chest radiograph representative of true cardiomegaly: a cross-sectional observational study comparing cardiac size on chest radiograph to that on echocardiography
Jane McKee, Katherine Ferrier
Letters
Waikato District Health Board: a trustworthy custodian of New Zealand’s future doctors?
Caleb Armstrong
New Zealand gastroenterologists’ perceptions, knowledge and experience of exclusive enteral nutrition to treat Crohn’s disease
Catherine L Wall, Richard B Gearry, Andrew S Day
Research letter
Smokefree signage at New Zealand racecourses and sports facilities with outdoor stands
George Thomson, Nick Wilson
Viewpoint
Health data research in New Zealand: updating the ethical governance framework
Angela Ballantyne, Rochelle Style