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埃塞俄比亚患者对药房服务的满意度及相关因素:系统评价与荟萃分析

Patient satisfaction with pharmacy services and associated factors in Ethiopia: a systematic review and meta-analysis.

作者信息

Molla Sisay, Moges Getachew, Toleha Husien Nurahmed, Bayked Ewunetie Mekashaw, Workneh Birhanu Demeke

机构信息

Department of Pharmacy, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

出版信息

BMC Health Serv Res. 2025 Jul 23;25(1):971. doi: 10.1186/s12913-025-12980-7.

DOI:10.1186/s12913-025-12980-7
PMID:40702479
Abstract

INTRODUCTION

Patient satisfaction reflects the discrepancy between anticipated and actual healthcare service delivery, serving as a pivotal metric for strategic healthcare decision-making. This systematic review and meta-analysis aimed to assess the magnitude of patient satisfaction with pharmacy services and its determinants in Ethiopia.

METHODS

A systematic search was performed across multiple electronic databases, including PubMed, Hinari, Semantic Scholar, EMBASE, Scopus, Web of Science, and Google Scholar, to identify both published and unpublished relevant studies. Methodological quality and risk of bias were assessed using the Joanna Briggs Institute (JBI) critical appraisal tools and in accordance with the PRISMA 2020 guidelines. Statistical analyses were conducted using Stata version 17.

RESULTS

In total, 19 articles were included in the qualitative synthesis, of which 11 were selected for the quantitative analysis. The pooled prevalence of patient satisfaction with pharmacy services in Ethiopia was 56% (95% CI: 50-62), with significant associations observed with sociodemographic, socioeconomic, provider communication, and healthcare facility-related factors.

CONCLUSION

Approximately 40% of patients expressed dissatisfaction with pharmacy services, underscoring significant systemic deficiencies. To improve healthcare quality, policymakers and healthcare administrators should prioritize the optimization of pharmacy service delivery by implementing evidence-based interventions targeting the key contributing factors identified in this study.

摘要

引言

患者满意度反映了预期医疗服务与实际医疗服务之间的差异,是医疗保健战略决策的关键指标。本系统评价和荟萃分析旨在评估埃塞俄比亚患者对药房服务的满意度及其决定因素。

方法

在多个电子数据库中进行系统检索,包括PubMed、Hinari、Semantic Scholar、EMBASE、Scopus、Web of Science和Google Scholar,以识别已发表和未发表的相关研究。使用乔安娜·布里格斯研究所(JBI)的批判性评价工具并根据PRISMA 2020指南评估方法学质量和偏倚风险。使用Stata 17版进行统计分析。

结果

定性综合分析共纳入19篇文章,其中11篇被选入定量分析。埃塞俄比亚患者对药房服务的满意度合并患病率为56%(95%CI:50-62),观察到与社会人口统计学、社会经济、提供者沟通和医疗机构相关因素存在显著关联。

结论

约40%的患者对药房服务表示不满,凸显了严重的系统性缺陷。为了提高医疗质量,政策制定者和医疗管理人员应优先通过实施针对本研究中确定的关键促成因素的循证干预措施来优化药房服务的提供。

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本文引用的文献

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Determinants t of patient satisfaction with pharmacy services at Felege Hiwot comprehensive specialized hospital, Bahir Dar, Ethiopia.埃塞俄比亚巴赫达尔市费莱格·希沃特综合专科医院患者对药房服务满意度的影响因素
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Patient satisfaction and associated factor at red cross pharmacies in Addis Ababa, Ethiopia.患者对埃塞俄比亚亚的斯亚贝巴红十字会药房的满意度及其相关因素。
BMC Health Serv Res. 2023 Oct 30;23(1):1181. doi: 10.1186/s12913-023-10042-4.
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Patient satisfaction with antiretroviral therapy service provided by pharmacists in Dembia district health institutions, Northwest Ethiopia.
患者对埃塞俄比亚西北部登比亚地区卫生机构药剂师提供的抗逆转录病毒治疗服务的满意度。
AIDS Res Ther. 2023 Jun 20;20(1):38. doi: 10.1186/s12981-023-00533-z.
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Client satisfaction with antiretroviral treatment services in South Ethiopian public health facilities: an institution-based cross-sectional survey.南非公共卫生机构抗逆转录病毒治疗服务的患者满意度:基于机构的横断面调查。
Glob Health Action. 2023 Dec 31;16(1):2212949. doi: 10.1080/16549716.2023.2212949.
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Development of constructs to measure client satisfaction with pharmacy services in resource-limited settings. A multicenter cross-sectional study.在资源有限的环境下,开发衡量患者对药学服务满意度的指标。一项多中心横断面研究。
PLoS One. 2022 Oct 6;17(10):e0275089. doi: 10.1371/journal.pone.0275089. eCollection 2022.
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Patients' satisfaction with outpatient pharmacy services and associated factors in Debre Tabor comprehensive specialized hospital, Northwest Ethiopia: A cross-sectional study.患者对埃塞俄比亚西北部德布雷塔博尔综合专科医院门诊药房服务的满意度及其相关因素:一项横断面研究。
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Magnitude of client satisfaction and its associated factors with outpatient pharmacy service at Dubti General Hospital, Afar, North East Ethiopia: A cross sectional study.埃塞俄比亚东北阿法尔地区杜布提综合医院门诊药房服务的患者满意度及其相关因素的研究:一项横断面研究。
PLoS One. 2021 Nov 17;16(11):e0260104. doi: 10.1371/journal.pone.0260104. eCollection 2021.
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Patient Prefer Adherence. 2021 Sep 21;15:2155-2163. doi: 10.2147/PPA.S332489. eCollection 2021.
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Patient satisfaction towards health care services provided in Ethiopian health institutions: a systematic review and meta-analysis.埃塞俄比亚医疗机构提供的医疗保健服务的患者满意度:系统评价与荟萃分析。
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