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Knowledge, perceptions, and readiness to use electronic pharmacy services among the Syrian population: A
Mohammad Basheer Alameer1, Zahra Kabbani2, Reem Alsamara2
1Faculty of Medicine, Damascus University, Damascus, Syria.
Objectives:
This study assessed knowledge, perceptions, and readiness to use e-pharmacy services among adults in Syria, and examined demographic predictors of awareness and readiness.
Methods:
A cross-sectional online survey was conducted between November and December 2025 among adults aged ≥18 years residing in Syria. The questionnaire recorded demographic characteristics, prior awareness and use of e-pharmacy, perceived benefits and disadvantages, and readiness to adopt e-pharmacy services.
Results:
A total of 600 participants completed the survey. Half (50.2%) had heard of e-pharmacy, while only 14.3% had previously used such services. Perceived benefits received high agreement (mean 3.94/5), especially regarding convenience, time savings, and protection during epidemics. Perceived disadvantages were moderate (mean 3.56/5), with concerns related to privacy, communication errors, and reduced interpersonal interaction. Overall, 53.7% expressed willingness to use e-pharmacy, with the strongest interest in adherence monitoring (79.8%), home medication reviews (78.2%), and side-effect follow-up (74%). In multivariate analysis, higher education, medical-related fields, higher income, female gender, and not having children predicted greater knowledge. Readiness was independently associated only with income and marital status.
Conclusions:
Syrian adults show favorable perceptions and moderate readiness toward e-pharmacy despite low actual use. Addressing digital infrastructure gaps, enhancing digital literacy, and strengthening regulatory frameworks may support broader integration of e-pharmacy into Syria's evolving digital health ecosystem.
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