title: Treatment burden among people with chronic illness: what are consumer health organizations saying?
abstract: OBJECTIVE
  To explore the perspectives of consumer health organizations about the burden of chronic illness and multiple treatment regimens experienced by the consumers they represent.
  
  
  METHODS
  In-depth interviews (n = 15) were conducted with senior representatives from peak Australian consumer health organizations representing diabetes, asthma, cardiovascular disease, cancer, musculoskeletal illness and mental health.
  
  
  RESULTS
  Medication burden, which included aspects such as multiple medications, side effects, stigma and adverse events resulting from medication use, emerged as the most significant and prevalent theme. Carer burden and the negative impact of financial burden was widely discussed, particularly for low-income earners with claims that these consumers were forced to prioritise medications according to how effective they perceived them to be. Time taken to learn about treatment, administer, and monitor or travel to obtain treatment also emerged as being burdensome, however, difficulty accessing treatment was considered to be particularly burdensome. The disjointed nature of care among healthcare services was thought to create a sense of confusion and distress.
  
  
  CONCLUSIONS
  Many of the issues discussed by participants corroborated existing research, underscoring the complementary provider, and advocacy role of these organisations in mitigating treatment burden for people with chronic illness.
authors.affiliation: Population and Social Health Research Program, School of Human Services and Social Work, Griffith Health Institute, Griffith University, Meadowbrook, Australia. a.sav@griffith.edu.au
authors.forename: Adem
authors.initials: A
authors.lastname: Sav
authors.forename: Sara S
authors.initials: SS
authors.lastname: McMillan
authors.forename: Fiona
authors.initials: F
authors.lastname: Kelly
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Kendall
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Whitty
authors.forename: Michelle A
authors.initials: MA
authors.lastname: King
authors.forename: Amanda J
authors.initials: AJ
authors.lastname: Wheeler
mesh_terms: D001249:Asthma / Q000628:therapy; D001291:Attitude of Health Personnel; D001315:Australia; D002318:Cardiovascular Diseases / Q000628:therapy; D002908:Chronic Disease / Q000191:economics* / Q000628:therapy*; D003255:Consumer Organizations; D017281:Cost of Illness; D003920:Diabetes Mellitus / Q000628:therapy; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D001523:Mental Disorders / Q000628:therapy; D009140:Musculoskeletal Diseases / Q000628:therapy; D009369:Neoplasms / Q000628:therapy
keywords: Treatment burden; chronic illness; consumer health organization