Managing medicines in multimorbidity: a patient perspective

Area of Science:

• Health Services Research
• Patient Experience Studies
• Medication Management

Background:

• Managing multiple long-term conditions (MLTCs) presents complex challenges for patients.
• Polypharmacy in MLTCs increases the risk of adverse events and treatment burden.
• The patient perspective on medication management is vital for effective care.

Purpose of the Study:

• To explore the lived experiences of patients managing medications for multiple long-term conditions.
• To identify common difficulties encountered by patients in their medication management.
• To understand the coping strategies employed by patients and the role of healthcare professionals.

Main Methods:

• Qualitative research methodology.
• Patient-centered interviews and narrative analysis.
• Exploration of patient perspectives on medication adherence and self-management.

Main Results:

• Patients experience significant burdens in organizing and adhering to multiple medication regimens.
• Key difficulties include complex dosing schedules, side effects, and financial costs.
• Effective coping strategies involve practical organization, seeking support, and proactive communication with healthcare providers.
• Healthcare professionals can significantly impact the patient experience through clear communication, collaborative decision-making, and practical support.

Conclusions:

• Patient experiences of managing medications for multiple long-term conditions are multifaceted and require tailored support.
• Healthcare systems should prioritize patient-centered approaches to medication management in MLTCs.
• Interventions aimed at improving medication management should address practical, emotional, and informational needs of patients.