Medicine at work: a qualitative study into patients' experiences with medication self-management and burden in the context of work.

Objectives
The number of people with a chronic condition in the workforce is rising and the majority uses medication. Medication self-management at work might be problematic. This study aims to provide insight into the experiences of employees with balancing medication self-management and work.

Methods
Semi-structured interviews were held with 18 individuals with a variety of chronic health conditions, occupations and medications. Interviews were guided by a topic list, transcribed and open-coded. Thematic analysis identified determinants and behaviors that play a role in the interaction between medication self-management and performance and wellbeing at work.

Results
Fifteen participants used medication at work, mostly as needed and often administered on the go or covertly. Medication use at work was often perceived doable due to flexibility and already established routines. However, a cumulative complexity of integrating medication use into the workday, the degree of side-effects and people's attitude towards openness can hinder successful integration of medication self-management at work. Participants adapt their medication schedule, make adjustments during their workday, and/or find ways to cope with these challenges emotionally. Medication often enabled work participation, although side effects of medication could impact workability, and (anticipated) stigma can affect the extent to which people can be themselves at work.

Conclusions
Medication self-management at work requires adaptability from individuals themselves, their colleagues, and employers. Fostering a culture of acceptance and understanding at work while providing practical support can enhance MSM practices and wellbeing at work.