Pharmacy services in primary healthcare facilities: A survey of patients’ perspectives and influence of demographic factors on satisfaction
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Background: The dispensing of medicines and other pharmacy services at primary health care (PHC) facilities is largely carried out by nurses, community health workers and pharmacy technicians. There are concerns about quality, as dispensary staff are often unqualified to perform pharmacy services. This study is therefore aimed at assessing satisfaction with medication-related services at PHCs.
Methods: This survey study was carried out in ten selected PHCs located in Jere and Maiduguri metropolitan area councils of Borno State. A modified pharmaceutical service quality questionnaire (PSQ-18) was administered to randomly selected patients at dispensary units. Mean item and satisfaction domain scores were calculated and scores <3 (? 70%) was considered satisfaction. The chi-square test was used to determine the association between demographic factors and satisfaction. P values < 0.05 were statistically significant.
Results: The dispensary staff consists of community health workers (58.6%), junior community health workers (18.4%) and pharmacy technicians (17.9%). Satisfaction was adequate for medicine information (88.3%), while quality of services (61.7%), medicine availability (47.6%), timeliness of services (45.1%) and good relationships with staff (30.4%) performed poorly. There was an insignificant association between satisfaction and demographic variables except for medicine availability (p<0.001).
Conclusion: Satisfaction with medicine information was adequate; other aspects of services performed poorly. Demographic factors had no significant association with satisfaction, with the exception of medicine information. There is need to improve dispensary services if satisfaction is to be achieved among patients.
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Références
Ajisegiri WS, Abimbola S, Tesema AG, Odusanya OO, Peiris D, Joshi R. The organization of primacy healthcare service delivery for non-communicable diseases in Nigeria: A case study analysis. PLoS Glob Med Health. 2022;2(7):e0000566.
Oyebade A, Adeyemo C, Oshineye A, Olanrewaju S, Njoku L, Oladapo J, et al. Perception of quality of primary health care services in South-West Nigeria: a cross sectional study. Int J Community Med Public Health. 2022;9(9):3426-32.
De Baetselier E, Dilles T, Batalha LM, Dijkstra NE, Fernandes MI, Filov I, et al. Perspectives of nurses’ role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses. PLoS One. 2021;16(5):e0251982.
Gomis-Jimeno FJ, Lillo-Crespo M. Identifying the enablers and barriers to advance nurse prescribing of medication in Spain according to experts’ views: A Delphi study. Int J Environ Res Public Health. 2023;20:468.
Helgesen AK, Nome CM, Stenbjerg JK, Arnesen MH, Aardalen TR, Dilles T, et al. Pharmaceutical Care in Primary Healthcare—A study of nurses, pharmacists’, and physicians experiences of interprofessional collaboration. Healthcare. 2024;12:1100.
Grimsmo A, Lohre A, Rosstad T, Gjerde I, Heiberg I, Steinsbekk A. Disease-specific clinical pathways–are they feasible in primary care? A mixed-methods study. Scand J Prim Health Care. 2018;36(2):152–60.
Dilles T, Heczkova J, Tziaferi S, Helgesen AK, Grondahl VA, Van Rompaey B, et al. Nurses and pharmaceutical care: Interprofessional, evidence-based working to improve patient care and outcomes. Int J Environ Res Public Health. 2021;18(11):5973.
Pan Z, Wu J, Liu Y. Strengthening the primary health care for non-communicable disease prevention and control in the post-pandemic period: a perspective from China. Glob Health Res Policy. 2023;8:49.
Larasanty LPF, Cahyadi MF, Sudarni NMR, Wirasuta MAG. Patient satisfaction with pharmaceutical care services provided at primary-level and secondary-level health facilities in Indonesia’s health coverage system. J Health Res. 2019;33(1):80-8.
Altarifi D, Harb T, Abualhasan M. Patient satisfaction with pharmaceutical services at primary healthcare centers under the Palestinian Ministry of Health. BMC Health Serv Res. 2024;24:514.
Ekezie W, Adaji EE, Murray RL. Essential healthcare services provided to conflict-affected internally displaced populations in low and middle-income countries: A systematic review. Health Promot Perspect. 2020;10(1):24-37.
Gulta FT, Mulugeta T, Wogayehu B, Mensa M. Patients satisfaction with pharmacy services among users and non users of community based health insurance scheme at public health facilities in Gamo Zone, South Ethiopia: a comparative cross sectional study. J Pharm Health Care. 2024;10:29.
Ismail A, Gan YN, Ahmad N. Factors associated with patient satisfaction towards pharmacy services among out-patients attending public health clinics: Questionnaire development and its application. PLoS One. 2020;15(11):e0241082.
Kebede H, Tsehay T, Necho M, Zenebe Y. Patient satisfaction towards outpatient pharmacy services and associated factors at Dessie town public hospitals, South Wollo, North-East Ethiopia. Patient Prefer Adherence. 2021;15:87–97.
Ahmad A, Alghamdi MAS, Alghamdi SAS, Alsharqi OZ, Al-Borie HM. Factors influencing patient satisfaction with pharmacy services: an empirical investigation at King Fahd armed forces hospital, Saudi Arabia. Int J Bus Manage. 2016;11(9):272–80.
Zhou G, Lo E, Zhong D, Wang X, Wang Y, Malla S, et al. Impact of interventions on malaria in internally displaced persons along the China-Myanmar border: 2011–2014. Malar J. 2016;15:471.
Humayun A, Azad N, Haq Iu, Khan FR, Ahmad A, Farooq RK. Mental health and psychosocial support for the internally displaced persons in Bannu, Pakistan. Intervention. 2016;14(1):33-49.
Ofili SC, Okenwa SC, Iyi CL, Ekweozor CA, Uwaezuoke C, Onuzulike IJ, et al. Assessment of patient’s satisfaction with pharmaceutical care services in a Nigerian teaching hospital: A cross sectional study. J Adv Med Pharm Sci. 2023;25(JAMPS.100340):1–10.
Manzoor F, Wei L, Hussain A, Asif M, Shah SIA. Patient satisfaction with health care services; an application of physician’s behavior as a moderator. Int J Environ Res Public Health. 2019;16(18):3318.
Odili V, Ihenyen AO, Okhawere MI. Patients’ satisfaction with pharmacy services in a secondary health care facility in Benin City. Nig J Pharm Appl Sci Res. 2017;6(1):65–72.
Habtamu A, Yibeltal Kifle YE. Client satisfaction and its determinants with anti-retroviral therapy (ART) services in public hospitals of west Wollega zone, Ethiopia: a cross-sectional study. Galore Int J Appl Sci Humanit. 2017;1(1):1–16.
Kalungia AC, Kamanga T. Patients’ satisfaction with outpatient pharmacy services at the university teaching hospital and Ndola central hospital in Zambia. J Prev Rehab Med. 2016;1(1):13–6.
Desta H, Berhe T, Hintsa S. Assessment of patients’ satisfaction and associated factors among outpatients who received mental health services at public hospitals of Mekelle Town, northern Ethiopia. Int J Ment Health Syst. 2018;12(1):38.
Al Zaidan M, Mohammed AM, Ibrahim MIM, Al Mahmoud M, Al Abdulla S, Al-Kuwari MG. Pharmaceutical Care Service at Primary Health Care Centers: An Insight on Patient Satisfaction. Int J Clin Pract. 2022;2022:6170062.
Yenet A, Nibret G, Tegegne BA. Challenges to the Availability and affordability of essential medicines in African countries: A scoping review. Clinicoecon Outcomes Res. 2023;15:443–58.
Tejesh S, Nagaveni SJ. An assessment of storage practices of essential medicines in primary health centers of Gadag taluk, Karnataka. Int J Community Med Public Health. 2023;10(9):3347-51.
Manyuat AJ, Carasso K, Makhado M. Assessment of storage and inventory practices to improve medicine supply chain in Jubek State South Sudan. Rwanda J Med Health Sci. 2021;4:2.
Muhammed KA, Umeh KN, Nasir SM, Suleiman IH. Understanding the barriers to the utilization of primary health care in a low-income setting: Implications for health policy and planning. J Public Health Afr. 2013;4(2):13.
Atac O, Aydin V, Karabey S, Hayran O, Akic A. Good versus poor prescribers: the comparison of prescribing competencies in primary care. Prim Health Care Res Dev. 2022;23:e22.
Adeosun SA, Joda AE, Aderemi-Williams RI, Oyetunde OO. Assessment of drug use in primary health centers in Lagos State, Nigeria. Pan Afr Med J. 2022;43:58.
Panahi S, Rathi N, Hurley J, Sundrud J, Lucero M, Kamimura A. Patient adherence to health care provider recommendations and medication among free clinic patients. J Patient Exp. 2022;9:23743735221077523.
Micheal GC, Suleiman HH, Bukar G, Aliyu I. Assessment of level of satisfaction of national health insurance scheme enrollees with services of an accredited health facility in northern Nigerian. Ann Trop Med Public Health. 2017;10(5):1271–7.
Olamuyiwa TE, Adeniji FO. Patient’s satisfaction with quality of care at a national health insurance Clinic at a tertiary center, South-South Nigeria. J Patient Exp. 2021;8:1–7.
Mustafa R, Mahboob U, Khan RA, Anjum A. Impact of language barriers in doctor–patient relationship: A qualitative study. Pak J Med Sci. 2023;39(1):41–5.
Al Shamsi H, Almutairi AG, Al Mashrafi S, Al Kalbani T. Implications of language barriers for healthcare: A systematic review. Oman Med J. 2020;35(2):e122.
Semegn S, Alemkere G. Assessment of client satisfaction with pharmacist services at outpatient pharmacy of Tikur Anbessa Specialized Hospital. PLoS One. 2019;14(10):e0224400.
Dereje S, Fekadu G, Dinka DD, Bekele F, Simegnew D. Type 2 diabetes mellitus patients’ satisfaction with pharmacy services in Wollega University Referral Hospital, Western Ethiopia. Int J Surg Glob Health. 2020;3(28):1–6.
Ambelie YA, Demssie AF, Gebregziabher MG. Patients’ satisfaction and associated factors among private wing patients at Bahirdar Felege Hiwot referral hospital, North West Ethiopia. Sci J Public Health. 2014;2(5):417.
Ayalew MB, Taye K, Asfaw D, Lemma B, Dadi F, Habtamu SH, et al. Patients’/clients’ expectation toward and satisfaction from pharmacy services. J Res Pharm Pract. 2017;6(1):21–6.
Eze UI, Ojieabu WA, Eze MSC. Older adults’ satisfaction with pharmaceutical care in an out-patient pharmacy of a Nigerian teaching hospital. Value Health. 2018;21(s3):S324.