Patient Perspectives of the Role of the Community Pharmacist in the Middle East: Jordan, United Arab Emirates and Iraq


Objectives: To explore patient’s perspectives of the role of the community pharmacist in view of other health care professionals (specialist physician, general practitioner, nurse and others (e.g. herbalist)) in Jordan, UAE and Iraq. The study also investigated patient’s willingness to pay for specialized pharmaceutical care services. Methods: This study followed a single phase cross sectional survey methodology, conducted in three Middle Eastern countries. Data were collected over a period of 6 months on two consecutive years (March to May 2009 and 2010). A questionnaire was designed and validated, then completed by patients walking into community pharmacies. The source of advice (specialist physician, general practitioner, pharmacist, nurse, or herbalist) regarding patient’s medication use and medical management were investigated. Key findings: Patients visiting community pharmacies in Jordan (n = 1000), UAE (n = 1000) and Iraq (n = 968) were recruited into the study (mean age 35.9 ± 13.1, 50.6% males). Significant difference between the three countries was shown, as more patients chose the pharmacist as their primary source of advice on medication use vs. the specialist physician in Jordan (50.8% vs. 37.3%) and Iraq (41.9% vs. 36.7%) compared to UAE (38.0% vs. 40.1%), P < 0.001, Chi-square test. Few agreed to receive paid pharmaceutical care services (Jordan 19.5%; UAE 24.7%; Iraq 2.3%). Conclusion: Current situation resulting in the lower socioeconomic status in Jordan and Iraq seems to lead to patients’ higher reliance on the pharmacist, as compared to the UAE. Majority of patients, regardless of the country of origin, are not willing to pay for specialized pharmaceutical care services. These findings are important for future social pharmacy research in the area.

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Basheti, I. , Qunaibi, E. , Hamadi, S. , Abu-Gharbieh, E. , Saleh, S. , AbuRuz, S. , Mohamoud, M. and Bulatova, N. (2014) Patient Perspectives of the Role of the Community Pharmacist in the Middle East: Jordan, United Arab Emirates and Iraq. Pharmacology & Pharmacy, 5, 588-599. doi: 10.4236/pp.2014.56069.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Nkansah, N., Mostovetsky, O., Yu, C., Chheng, T., Beney, J., Bond, C.M. and Bero, L. (2010) Effect of Outpatient Pharmacists’ Non-Dispensing Roles on Patient Outcomes and Prescribing Patterns. Cochrane Database of Systematic Reviews, 7, Article ID: CD000336.
[2] Qunaibi, E., Basheti, I.A., Hamadi, S.A., Bulatova, N.R., Shanah, A. and Abu-Gharbieh, E. (2013) Effect of Divergence in Patients’ Socioeconomic Background on their Perspective of the Role of the Community Pharmacist in Amman, Jordan. Tropical Journal of Pharmaceutical Research, 12, 247-253.
[3] Naik Panvelkar, P., Saini, B. and Armour, C. (2009) Measurement of Patient Satisfaction with Community Pharmacy Services: A Review. Pharmacy World & Science, 31, 525-537.
[4] Rubin, H.R., Gandek, B., Rogers, W.H., Kosinski, M., McHorney, C.A. and Ware Jr., J.E. (1993) Patients’ Ratings of Outpatient Visits in Different Practice Settings. Results from the Medical Outcomes Study. JAMA, 270, 835-840.
[5] Al-Wazaify, M. and Albsoul-Younes, A. (2005) Pharmacy in Jordan. American Journal of Health-System Pharmacy, 62, 2548-2551.
[6] Jordan Pharmaceutical Associatio, Almenbar Alnaqabi.
[7] Otoom, S.B.A., Hadidi, H., Hasan, M. and Al-Saudi, K. (2002) Evaluation of Drug Use in Jordan Using WHO Prescribing Indicators. Eastern Mediterranean Health Journal, 8, 544-549.
[8] Yousef, A.M., Al-Bakri, A.G., Bustanji, Y. and Wazaify, M. (2008) Self-Medication Patterns in Amman, Jordan. Pharmacy World & Science, 30, 24-30.
[9] The International Monetary Fund. World Economic Outlook.
[10] Hasan, S., Sulieman, H., Stewart, K., Chapman, C.B., Hasan, M.Y. and Kong, D.C. (2013) Assessing Patient Satisfaction with Community Pharmacy in the UAE Using a Newly-Validated Tool. Research in Social & Administrative Pharmacy, 9, 841-850.
[11] Kheir, N., Zaidan, M., Younes, H., El Hajj, M., Wilbur, K. and Jewesson, P.J. (2008) Pharmacy Education and Practice in 13 Middle Eastern Countries. American Journal of Pharmaceutical Education, 72, Article No. 133.
[12] Internet World States.
[13] Mechanic, D. (1998) Public Trust and Initiatives for New Health Care Partnerships. Milbank Quarterly, 76, 281-302.
[14] El Hajj, M.S., Salem, S. and Mansoor, H. (2011) Public’s Attitudes towards Community Pharmacy in Qatar: A Pilot Study. Patient Prefer Adherence, 5, 405-422.
[15] Anderson, C., Blenkinsopp, A. and Armstrong, M. (2004) Feedback from Community Pharmacy Users on the Contribution of Community Pharmacy to Improving the Public’s Health: A Systematic Review of the Peer Reviewed and Non-Peer Reviewed Literature 1990-2002. Health Expect, 7,191-202.
[16] Australian Government Medicare Australia. Department of Human Services. Residential Medication Management Review.
[17] Basheti, I., Qunaibi, E., Boulatova, N., Samara, S. and Aburuz, S. (2012) Treatment Related Problems for Outpatients with Chronic Diseases in Jordan: The Value of Home Medication Reviews. International Journal of Clinical Pharmacology Research, 35, 92-100.
[18] Veugelers, P.J. and Yip, A.M. (2003) Socioeconomic Disparities in Health Care Use: Does Universal Coverage Reduce Inequalities in Health? Journal of Epidemiology and Community Health, 57, 424-428.
[19] United Arab Emirates Ministry of Economy.
[20] Hepler, C.D. and Strand, L.M. (1990) Opportunities and Responsibilities in Pharmaceutical Care. American Journal of Hospital Pharmacy, 47, 533-543.
[21] Abu-Irmaileh, B.E. and Afifi, F.U. (2003) Herbal Medicine in Jordan with Special Emphasis on Commonly Used Herbs. Journal of Ethnopharmacology, 89, 193-197.
[22] Duraz, A.Y. and Khan, S.A. (2011) Knowledge, Attitudes and Awareness of Community Pharmacists towards the Use of Herbal Medicines in Muscat Region. Oman medical Journal, 26, 451-453
[23] AlBraik, F.A., Rutter, P.M. and Brown, D. (2008) A Cross-Sectional Survey of Herbal Remedy Taking by United Arab Emirate (UAE) Citizens in Abu Dhabi. Pharmacoepidemiology and Drug Safety, 17, 725-732.
[24] WHO Report on the Intercountry Meeting on the Development of Guidelines for National Policy on Traditional Medicine, 21-23 December, EMRO, Alexandria, Egypt.
[25] McDermott, J.H. and Christensen, D.B. (2002) Provision of Pharmaceutical Care Services in North Carolina: A 1999 Survey. Journal of the American Pharmacists Association, 42, 26-35.
[26] Odedina, F.T., Hepler, C.D., Segal, R. and Miller, D. (1997) The Pharmacists’ Implementation of Pharmaceutical Care (PIPC) Model. Pharmaceutical Research, 14, 135-144.

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