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      Patient satisfaction with Saudi community pharmacy services (Wasfaty System)

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          Abstract

          Introduction

          The healthcare system in KSA has been substantially transformed as part of Vision 2030, including implementation of an electronic prescribing system, called Wasfaty, to enable patients to receive their prescriptions from community pharmacies (CPs). This study assessed patient satisfaction with CPs and the Wasfaty system.

          Methods

          This cross-sectional observational study used existing data from the Saudi Ministry of Health's patient experience program. Data were collected from patients (≥15 years of age) visiting governmental primary care clinics in 2022. Summary statistics were determined and multivariable logistic regression analyses were conducted.

          Results

          The sample included 66,541 patients. More than 70% of patients were satisfied with the services of the CPs and the Wasfaty system. Being older and being female consistently showed a positive association with satisfaction across several services. Whereas patients in preventive clinics had higher odds of satisfaction with medication availability (OR: 1.19, 95% CI: 1.03–1.37) and waiting time (OR: 1.23; 95% CI: 1.03–1.47), patients in chronic disease clinics had lower satisfaction with medication availability (OR: 0.92, 95% CI: 0.85–0.99). Saudi patients had lower odds of being satisfied with multiple services.

          Conclusions

          The overall high satisfaction among patients suggested the success of the Wasfaty system in meeting patient needs and expectations. However, areas for improvement exist to increase patient satisfaction, such as addressing medication shortages and ensuring clear patient–pharmacist communication. The results highlight the importance of continued monitoring and evaluation to support the patient experience with pharmacy services, and to improve patients' journeys, medication adherence, and overall healthcare outcomes.

          الملخص

          أهداف البحث

          شهد نظام الرعاية الصحية في المملكة العربية السعودية تحولات كبيرة كجزء من رؤية 2030. وكجزء من هذا التحول، تم تنفيذ نظام الوصفات الطبية الإلكتروني (وصفتي) لتمكين المرضى من تلقي الوصفات الطبية من صيدليات المجتمع. قامت هذه الدراسة بتقييم رضى المرضى عن خدمات صيدليات المجتمع ونظام وصفتي.

          طرق البحث

          استخدمت دراسة رصدية مقطعية بيانات موجودة من برنامج تجربة المرضى التابع لوزارة الصحة السعودية. تم جمع البيانات من مرضى أعمارهم أكبر من 15 سنة، والذين زاروا مراكز الرعاية الأولية الحكومية خلال النصف الأول من عام 2022. وتم إجراء إحصاءات تلخيصية، وتحليلات الانحدار اللوجستي متعدد المتغيرات، لتقييم ومقارنة الرضى بين مجموعات المرضى.

          النتائج

          شملت العينة 66,541 مريضاُ. وكان أكثر من 70% من المرضى راضين عن خدمات صيدليات المجتمع ونظام وصفتي. أظهر التقدم في السن والإناث ارتباطا إيجابيًا بالرضى عن العديد من الخدمات. في حين أظهر المرضى الذين زاروا العيادات الوقائية احتمالات أعلى للرضى عن توافر الأدوية ووقت الانتظار، بينما كان مرضى عيادات الأمراض المزمنة أقل رضى عن توافر الأدوية. كان لدى المرضى السعوديين احتمالات أقل للرضى عن الخدمات المتعددة.

          الاستنتاجات

          قد تشير مستويات الرضى المرتفعة بشكل عام بين المرضى إلى نجاح نظام وصفتي في تلبية احتياجات المرضى وتوقعاتهم. ومع ذلك، لا تزال هناك مجالات للتحسين لزيادة رضى المرضى، مثل معالجة نقص الأدوية وضمان التواصل الواضح بين المريض والصيدلي. تسلط النتائج الضوء على أهمية المراقبة والتقييم المستمرة لدعم تجربة المريض مع خدمات الصيدلة التي قد تحسن تجربة∖رحلة المريض، والالتزام بالدواء، ونتائج الرعاية الصحية الشاملة.

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          Most cited references29

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          Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?

          The Behavioral Model of Health Services Use was initially developed over 25 years ago. In the interim it has been subject to considerable application, reprobation, and alteration. I review its development and assess its continued relevance.
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            Determinants of patient satisfaction: a systematic review.

            A large number of studies have addressed the detection of patient satisfaction determinants, and the results are still inconclusive. Furthermore, it is known that contradicting evidence exists across patient satisfaction studies. This article is the second part of a two-part series of research with a goal to review a current conceptual framework of patient satisfaction for further operationalisation procedures. The aim of this work was to systematically identify and review evidence regarding determinants of patient satisfaction between 1980 and 2014, and to seek the reasons for contradicting results in relationships between determinants and patient satisfaction in the literature to design a further robust measurement system for patient satisfaction.
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              Health care system in Saudi Arabia: an overview.

              The government of Saudi Arabia has given high priority to the development of health care services at all levels: primary, secondary and tertiary. As a consequence, the health of the Saudi population has greatly improved in recent decades. However, a number of issues pose challenges to the health care system, such a shortage of Saudi health professionals, the health ministry's multiple roles, limited financial resources, changing patterns of disease, high demand resulting from free services, an absence of a national crisis management policy, poor accessibility to some health care facilities, lack of a national health information system, and the underutilization of the potential of electronic health strategies. This paper reviews the historical development and current structure of the health care system in Saudi Arabia with particular emphasis on the public health sector and the opportunities and challenges confronting the Saudi health care system.
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                Author and article information

                Contributors
                Journal
                J Taibah Univ Med Sci
                J Taibah Univ Med Sci
                Journal of Taibah University Medical Sciences
                Taibah University
                1658-3612
                12 June 2024
                August 2024
                12 June 2024
                : 19
                : 4
                : 711-719
                Affiliations
                [a ]Department of Health Administration and Hospitals, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, KSA
                [b ]Department of Health Policy and Management, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA
                [c ]Research Department, Health.Links, Jeddah, KSA
                Author notes
                [* ]Corresponding address: Department of Health Administration and Hospitals, College of Public Health and Health Informatics, Umm Al-Qura University, P.O. Box 715, 21955, Makkah, KSA. amazahrani@ 123456uqu.edu.sa
                Article
                S1658-3612(24)00046-5
                10.1016/j.jtumed.2024.05.008
                11245964
                39006372
                b1399c3a-915f-4d50-a081-b66b0b808850
                © 2024 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 3 January 2024
                : 6 April 2024
                : 31 May 2024
                Categories
                Original Article

                صيدلية المجتمع,الوصفة الإلكترونية,رضى المرضى,المملكة العربية السعودية,وصفتي,community pharmacy,e-prescribing,ksa,patient satisfaction,wasfaty

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