Abstract
Background
Self-medication is one of the major health-related problems in the world, which causes many problems for people and health systems. No comprehensive qualitative meta-synthesis has been done to understand the perceptions and experiences of self-medication among people.
Objectives
This study aimed to analyze, re-interpret, and synthesize the existing qualitative studies on perceptions and experiences of self-medication among people around the world.
Methods
In this meta-synthesis, all published qualitative studies in PubMed, Scopus, CINAHL, and Web of Science databases were searched in May 2018. A total of 543 articles were screened in the primary stage and finally five articles that met the inclusion criteria were included in the meta-synthesis. The included studies were analyzed using Noblit & Hare approach.
Results
Initially, 115 codes were identified. In the second stage, the codes were merged based on similarity and shared meanings. Finally, after checking by two authors, the following five themes were emerged: cost-effectiveness, affectivity, inefficiency of the healthcare system, previous experiences, and oversimplification.
Conclusion
The findings of this first meta-synthesis provided a comprehensive understanding of the perceptions and experiences of self-medication around the world. The findings showed that the experiences of self-medication could be classified into personal, social, organizational, and cultural categories. These findings could help policymakers address these perceptions and experiences in effective health planning.
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Acknowledgements
This work was carried out as part of an approved research project (93093) by Fasa University of Medical Sciences, Fasa, Iran. The authors would like to thank Professor Juan Manuel Leyva Moral, Facultad de Medicina. Universitat Autònoma de Barcelona, Spain and Professor Eesa Mohammadi, Tarbiat Modares University, Iran for their assistance in revising the manuscript based on the reviewers’ comments. Thanks also go to Ms. A. Keivanshekouh at the Research Improvement Center of Shiraz University of Medical Sciences for improving the use of English in the manuscript.
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Fasa University of Medical Sciences, Fasa, Iran.
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MNK designed the review. ZhF, MKM and contributed to searching and data collection. ZhF and MNK analyzed the qualitative data. ZhF, MKM and MNK wrote the manuscript. ZhF, MKM and MNK read and approved the final manuscript.
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Fereidouni, Z., Kameli Morandini, M. & Najafi Kalyani, M. Experiences of self-medication among people: a qualitative meta-synthesis. DARU J Pharm Sci 27, 83–89 (2019). https://doi.org/10.1007/s40199-019-00244-9
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DOI: https://doi.org/10.1007/s40199-019-00244-9