International Journal of Clinical Pharmacy

, Volume 36, Issue 4, pp 675–678 | Cite as

Measuring the impact of long-term medicines use from the patient perspective

  • Janet KrskaEmail author
  • Charles W. Morecroft
  • Philip H. Rowe
  • Helen Poole


Polypharmacy is increasing, seemingly inexorably, and inevitably the associated difficulties for individual patients of coping with multiple medicines rise with it. Using medicines is one aspect of the burden associated with living with a chronic condition. It is becoming increasingly important to measure this burden particularly that relating to multiple long-term medicines. Pharmacists and other health professionals provide a myriad of services designed to optimise medicines use, ostensibly aiming to help and support patients, but in reality many such services focus on the medicines, and seek to improve adherence rather than reducing the burden for the patient. We believe that the patient perspective and experience of medicines use is fundamental to medicines optimisation and have developed an instrument which begins to quantify these experiences. The instrument, the Living with Medicines Questionnaire, was generated using qualitative findings with patients, to reflect their perspective. Further development is ongoing, involving researchers in multiple countries.


Burden of illness Medication therapy management Patient perspective Polypharmacy Tool development 



Preliminary work on the instrument was funded by Liverpool John Moores University.

Conflicts of interest

The authors have no conflicts of interest to declare.


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Copyright information

© Koninklijke Nederlandse Maatschappij ter bevordering der Pharmacie 2014

Authors and Affiliations

  • Janet Krska
    • 1
    Email author
  • Charles W. Morecroft
    • 2
  • Philip H. Rowe
    • 2
  • Helen Poole
    • 3
  1. 1.School of PharmacyUniversities of Greenwich and KentChatham Maritime, KentUK
  2. 2.School of Pharmacy and Biomolecular SciencesLiverpool John Moores UniversityLiverpoolUK
  3. 3.School of Natural Sciences and PsychologyLiverpool John Moores UniversityLiverpoolUK

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