MANAGING MULTIPLE CHRONIC CONDITIONS: EXPERIENCES OF OLDER ADULTS, CAREGIVERS, AND CARE PROVIDERS

The purpose of this study was to explore the experience of managing multiple chronic conditions (MCC) in the community from the perspectives of older adults with MCC, caregivers and healthcare providers. Semi-structured qualitative interviews (n=130) were conducted in two Canadian provinces with 41 community-living older adults (65 years and older) with 3 or more chronic conditions, 47 caregivers and 42 healthcare providers working in community settings. Participants described the experience of managing MCC as: (a) overwhelming, draining and complicated, (b) organizing pills and appointments, (c) being split into pieces, (d) doing what the doctor says, (e) relying on family and friends, and (f) having difficulty getting outside help. The experience of managing MCC was highly complex and significant gaps existed between the perceived needs of older adults and caregivers and the ability of health and social care systems to meet those needs. Study results informed the design of intervention studies.