Public Perceptions, Trust, and Utilization of Community Pharmacy Services in Sulaymaniyah City: A Cross-Sectional Study
DOI:
https://doi.org/10.54133/ajms.v11i1.3018الكلمات المفتاحية:
Community pharmacy، Iraq، Public perception ، Pharmacy services ، Patient trust، Role of pharmacists، Sulaymaniyah cityالملخص
Background: Community pharmacies are among the most accessible healthcare providers worldwide, yet public perceptions of pharmacists’ roles differ across countries. In Sulaymaniyah City, limited data exists on how the public views and utilizes community pharmacy services. Objective: To evaluate public perceptions, satisfaction, trust, and willingness to use current and future pharmacy services. Methods: Between August and October 2024, a standardized questionnaire was distributed in pharmacies, clinics, and online to adults aged 18 years and older who were not healthcare professionals. Results: A total of 258 respondents participated; most were female (68.99%) and aged 18–39 years (72.87%). Pharmacies were primarily visited for prescription medicines (71.71%) and over-the-counter products (68.22%), with location being the most influential factor in pharmacy choice (70.54%). Nearly half of participants (45.74%) perceived pharmacists as more business-oriented than health-focused. Trust levels were moderate: 28% relied on the internet for medication-related information, while 30% consulted doctors or pharmacists. Key barriers to seeking advice included lack of privacy (38.37%), greater trust in physicians (29.84%), and pharmacist workload (29.46%). Overall, 51.55% of respondents reported being satisfied or very satisfied with pharmacy services. Willingness to use expanded services was high for minor ailment management (81.35%), medication counseling (77.17%), and health screening (72.62%) but lower for sexual health services (34.92%) and vaccination (32.80%). Conclusions: Respondents viewed pharmaceutical services positively, but they need improvements in privacy, trust, and acceptance of broader clinical roles.
التنزيلات
المراجع
Merks P, ŚWieczkowski D, Jaguszewski MJ. Patients' perception of pharmaceutical services available in a community pharmacy among patients living in a rural area of the United Kingdom. Pharm Pract (Granada). 2016;14(3):774. doi: 10.18549/PharmPract.2016.03.774 DOI: https://doi.org/10.18549/PharmPract.2016.03.774
Alenezi S, Alanazi M, Aljazaeri R, Almuzaini M, Alrasheidi S, Shamlan WB, et al. Community pharmacies in the Asian countries of developing health system: Formation, regulation, and implication. Pharmacy (Basel). 2023;11(4):127. doi: 10.3390/pharmacy11040127. DOI: https://doi.org/10.3390/pharmacy11040127
El-Kholy AA, Abdelaal K, Alqhtani H, Abdel-Wahab BA, Abdel-Latif MMM. Publics' perceptions of community pharmacists and satisfaction with pharmacy services in Al-Madinah City, Saudi Arabia: A cross sectional study. Medicina (Kaunas). 2022;58(3):432. doi: 10.3390/medicina58030432. DOI: https://doi.org/10.3390/medicina58030432
Awad AI, Al-Rasheedi A, Lemay J. Public perceptions, expectations, and views of community pharmacy practice in Kuwait. Med Principle Pract. 2017;26(5):438–446. doi: 10.1159/000481662. DOI: https://doi.org/10.1159/000481662
El Hajj MS, Salem S, Mansoor H. Public's attitudes towards community pharmacy in Qatar: a pilot study. Patient Prefer Adherence. 2011;5:405-422. doi: 10.2147/PPA.S22117. DOI: https://doi.org/10.2147/PPA.S22117
Ababneh BF, Ong SC, Mahmoud F, Alsaloumi L, Hussain R. Attitudes, awareness, and perceptions of general public and pharmacists toward the extended community pharmacy services and drive-thru pharmacy services: a systematic review. J Pharm Policy Pract. 2023;16(1). Available from: doi: 10.1186/s40545-023-00525-4. DOI: https://doi.org/10.1186/s40545-023-00525-4
Alqahtani SS. Patient perceptions and satisfaction levels regarding community pharmacy services in the Jazan Region, Saudi Arabia. King Khalid Univ J Health Sci. 2025;10:47–55. doi: 10.4103/KKUJHS.KKUJHS_8_25. DOI: https://doi.org/10.4103/KKUJHS.KKUJHS_8_25
Rajiah K, Sivarasa S, Maharajan MK. Impact of pharmacists’ interventions and patients’ decision on health outcomes in terms of medication adherence and quality use of medicines among patients attending community pharmacies: A systematic review. Int J Environ Res Public Health. 2021;;18(9):4392. doi: 10.3390/ijerph18094392. DOI: https://doi.org/10.3390/ijerph18094392
De Loof H, Yamamura S, Kumaki R, Kiyozuka C, Naganuma M, Yuge S, et al. Recognition of community pharmacists’ behaviors related to information sharing: A cross-sectional study. Pharmacy. 2024;;12(2):63. doi: 10.3390/pharmacy12020063. DOI: https://doi.org/10.3390/pharmacy12020063
Ahmed KK, Al-Jumaili AA, Aladul MI, Farhan MS, AL-ghuraibawi FHM, Al-Sayegh HF. Pharmacy education and practice in Iraq: expanding roles, and fostering research. Int J Pharmacy Pract. 2026. doi: 10.1093/IJPP/RIAG072. DOI: https://doi.org/10.1093/ijpp/riag072
Ojha A, Bista D, Kc B. Patients' perceptions on community pharmacy services of a Ward (10) of Kathmandu Metropolitan. Patient Prefer Adherence. 2023;17:1487-1499. doi: 10.2147/PPA.S395774. DOI: https://doi.org/10.2147/PPA.S395774
Alrasheed MA, Alfageh BH, Almohammed OA. Privacy in community pharmacies in Saudi Arabia: A cross-sectional study. Healthcare (Basel). 2024;12(17):1740. doi: 10.3390/healthcare12171740. DOI: https://doi.org/10.3390/healthcare12171740
James DH, Rapado R, Brown SL, Kember J, Hodson KL, Prior AL. Development of a questionnaire to measure public perceptions of the role of community pharmacy in public health (PubPharmQ). Pharmacy (Basel). 2023;11(5):141. doi: 10.3390/pharmacy11050141. DOI: https://doi.org/10.3390/pharmacy11050141
Yoon SW, Han HS, Park HY, Sohn HS. Public trust in community pharmacists in South Korea: A survey study. Korean J Clin Pharmacy. 2021;31(4):301–310. doi: 10.24304/kjcp.2021.31.4.301. DOI: https://doi.org/10.24304/kjcp.2021.31.4.301
Basheti IA, Qunaibi EA, Hamadi SA, Abu-Gharbieh E, Saleh S, AbuRuz S, et al. Patient perspectives of the role of the community pharmacist in the Middle East: Jordan, United Arab Emirates and Iraq. Pharmacol Pharmacy. 2014;5(6):588–599. doi: 10.4236/PP.2014.56069. DOI: https://doi.org/10.4236/pp.2014.56069
Hindi AMK, Schafheutle EI, Jacobs S. Patient and public perspectives of community pharmacies in the United Kingdom: A systematic review. Health Expectations. 2018;21(2):409–428. doi: 10.1111/hex.12639. DOI: https://doi.org/10.1111/hex.12639
Al-Arifi MN. Patients’ perception, views and satisfaction with pharmacists’ role as health care provider in community pharmacy setting at Riyadh, Saudi Arabia. Saudi Pharm J. 2012;20(4):323–330. doi: 10.1016/j.jsps.2012.05.007. DOI: https://doi.org/10.1016/j.jsps.2012.05.007
Hattingh HL, Emmerton L, Ng Cheong Tin P, Green C. Utilization of community pharmacy space to enhance privacy: a qualitative study. Health Expect. 2016;19(5):1098-1110. doi: 10.1111/hex.12401. DOI: https://doi.org/10.1111/hex.12401
Saramunee K, Krska J, Mackridge A, Richards J, Suttajit S, Phillips-Howard P. How to enhance public health service utilization in community pharmacy?: general public and health providers' perspectives. Res Social Adm Pharm. 2014;10(2):272-284. doi: 10.1016/j.sapharm.2012.05.006. DOI: https://doi.org/10.1016/j.sapharm.2012.05.006
Shrestha S, Shrestha R, Ahmed A, Sapkota B, Khatiwada AP, Christopher CM, et al. Impact of pharmacist services on economic, clinical, and humanistic outcome (ECHO) of South Asian patients: a systematic review. J Pharm Policy Pract. 2022;15(1):1–27. doi: 10.1186/s40545-022-00431-1. DOI: https://doi.org/10.1186/s40545-022-00431-1
Almanasef M. Attitudes of the general public toward community pharmacy services in Saudi Arabia: A cross-sectional study. Front Public Health. 2023;11:1092215. doi: 10.3389/fpubh.2023.1092215. DOI: https://doi.org/10.3389/fpubh.2023.1092215
Jarab AS, Al-Qerem W, Alzoubi KH, Abu Heshmeh S, Alzoubi ANA, Mukattash TL, et al. Public perception, satisfaction and expectations from community pharmacy services and the barriers to consult the community pharmacist. Int J Environ Health Res. 2024;34(3):1627-1637. doi: 10.1080/09603123.2023.2231364. DOI: https://doi.org/10.1080/09603123.2023.2231364
Akers JM, Miller JC, Seignemartin B, MacLean LG, Mandal B, Kogan C. Expanding access to patient care in community pharmacies for minor illnesses in Washington State. Clinicoecon Outcomes Res. 2024;16:233-246. doi: 10.2147/CEOR.S452743. DOI: https://doi.org/10.2147/CEOR.S452743
Tadesse YB, Sendekie AK, Mekonnen BA, Denberu FG, Kassaw AT. Pharmacists' medication counseling practices and knowledge and satisfaction of patients with an outpatient hospital pharmacy service. Inquiry. 2023;60:469580231219457. doi: 10.1177/00469580231219457. DOI: https://doi.org/10.1177/00469580231219457
Watson MC, Ferguson J, Barton GR, Maskrey V, Blyth A, Paudyal V, et al. A cohort study of influences, health outcomes and costs of patients' health-seeking behaviour for minor ailments from primary and emergency care settings. BMJ Open. 2015;5(2):e006261. doi: 10.1136/bmjopen-2014-006261. DOI: https://doi.org/10.1136/bmjopen-2014-006261
Carson-Chahhoud KV, Livingstone-Banks J, Sharrad KJ, Kopsaftis Z, Brinn MP, To-A-Nan R, et al. Community pharmacy personnel interventions for smoking cessation. Cochrane Database Syst Rev. 2019;2019(10):CD003698. doi: 10.1002/14651858.CD003698.pub3. DOI: https://doi.org/10.1002/14651858.CD003698.pub3
Gregory PAM, Austin Z. Understanding the psychology of trust between patients and their community pharmacists. Can Pharmacists J. 2021;154(2):120–128. doi: 10.1177/1715163521989760. DOI: https://doi.org/10.1177/1715163521989760
Esmalipour R, Salary P, Shojaei A. Trust-building in the pharmacist-patient relationship: A Qualitative study. Iran J Pharm Res. 2021;20(3):20-30. doi: 10.22037/ijpr.2020.114113.14675.
Ulutas Deniz E, Ceylan C, Kaya HS. Community pharmacists' experiences regarding the treatment management of people with diabetes during Ramadan: A phenomenological study. J Am Pharm Assoc (2003). 2025;65(1):102303. doi: 10.1016/j.japh.2024.102303. DOI: https://doi.org/10.1016/j.japh.2024.102303
Gidman W, Ward P, McGregor L. Understanding public trust in services provided by community pharmacists relative to those provided by general practitioners: a qualitative study. BMJ Open. 2012;2(3):e000939. doi: 10.1136/bmjopen-2012-000939. DOI: https://doi.org/10.1136/bmjopen-2012-000939
Gregory PA, Austin Z. How do patients develop trust in community pharmacists? Res Social Adm Pharm. 2021;17(5):911-920. doi: 10.1016/j.sapharm.2020.07.023. DOI: https://doi.org/10.1016/j.sapharm.2020.07.023
التنزيلات
منشور
كيفية الاقتباس
إصدار
القسم
الرخصة
الحقوق الفكرية (c) 2026 Al-Rafidain Journal of Medical Sciences

هذا العمل مرخص بموجب Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Published by Al-Rafidain University College. This is an open access journal issued under the CC BY-NC-SA 4.0 license (https://creativecommons.org/licenses/by-nc-sa/4.0/).


