## 4 Discussion  
The results of this study showed that overall satisfaction (39.6%) was low, similar to that of Portugal (39%), but it was much lower than that of Spain(76%) [22; 23]. The findings of this study (2.78/5.00) range between that of Ethiopian (2.48/5.00) and Nigerian (3.02/5.00) studies [41; 24]. The distinction in the level of satisfaction among different countries reflected differences in services due to a gap in the facilitating and monitoring systems [6; 21; 22; 23; 41]. The satisfaction level of participants about community pharmacy services in Punjab was low compared with that of pharmacy services in hospitals of Karachi (59.7%) and Islamabad (65%) in Pakistan [12; 13]. The reason behind the low level of satisfaction can be the age of participants. The 51.6% of current study participants are below the 36 years of the age. The age of participants is one of factor of satisfaction to health services [42; 43; 44]. The studies [45; 46] indicate that elder patients are more satisfied to health services. The weak domains were additional services and pharmacy store, location, and staff. However, the level of satisfaction was moderate for medicine and practice standards. Most patients were dissatisfied (1.83) about the waiting area, like Ethiopian institutional pharmacies (1.53) [41]. Unlike the majority of Nigerian customers, most customers in our study were also dissatisfied with parking facilities provided by community pharmacies [25]. The operation hours of a community pharmacy was among the fundamental requirements of all participants. Participants' views about the service time during \begin{table}
\begin{tabular}{l l l l} \hline \hline
**Characteristics** & **Range/Groups** & **Mean (SD)** & \(\boldsymbol{p}\)**-Value** \\ \hline \multirow{6}{*}{Age (years)} & 25 or below & 2.50 (0.530) & 0.382 \\  & 26–30 & 3.22 (0.705) & \\  & 31–35 & 3.13 (0.585) & \\  & 36–40 & 3.11 (1.237) & \\  & 41–45 & 3.03 (0.120) & \\  & 46–50 & 2.94 (0.680) & \\  & 51 or above & 2.59 (0.825) & \\ \hline \multirow{6}{*}{Educationalstatus} & Below matriculation & 2.97 (0.544) & 0.276 \\  & Matriculation & 2.69 (0.642) & \\ \cline{1-1}  & Intermediate & 3.15 (0.766) & \\ \cline{1-1}  & Bachelor & 3.00 (0.714) & \\ \cline{1-1}  & Master & 2.97 (0.077) & \\ \cline{1-1}  & Higher Education & 4.35 (0.680) & \\ \hline \multirow{2}{*}{Gender} & Male & 2.93 (0.678) & 0.932 \\  & Female & 2.99 (0.733) & \\ \hline \multirow{6}{*}{Monthly income inPakistani rupees (PkR)} & Less then or 15,000 & 2.74 (0.536) & 0.953 \\  & 15,001–30,000 & 3.13 (0.777) & \\ \cline{1-1}  & 30,001–45,000 & 3.28 (0.771) & \\ \cline{1-1}  & 45,001–60,000 & 2.63 (0.585) & \\ \cline{1-1}  & More then 60,000 & 3.02 (0.710) & \\ \hline \multirow{6}{*}{Disease (for which participant visited pharmacy)} & Gastrointestinal diseases & 2.81 (0.674) & 0.864 \\ \cline{1-1}  & Respiratory infections & 2.97 (0.610) & \\ \cline{1-1}  & Cardiac diseases & 3.03 (0.781) & \\ \cline{1-1}  & Orthopedic problems & 3.11 (0.971) & \\ \cline{1-1}  & Urinary tract infections & 3.13 (0.725) & \\ \cline{1-1}  & Eye diseases & 2.34 (4.73) & \\ \cline{1-1}  & Dermatological problems & 2.82 (0.456) & \\ \cline{1-1}  & Oncological diseases & 2.59 (0.683) & \\ \cline{1-1}  & Other diseases & 2.23 (0.758) & \\ \hline \hline \end{tabular}
\end{table} 
Table 6: Difference in the mean level of satisfaction by characteristics of study participants (result of one-way ANOVA). the day were excellent and was estimated to be 11.9 \(\pm\) 2.4 h, which is similar to that of independent pharmacies in Thailand (11.5 \(\pm\) 2.3) [47]. A moderate perception of purchasers was found regarding the availability, quality, prices, and storage of medicines [5; 24; 47]. Pharmacy staff is the most important feature for execution of better services. Similar to Spanish patients, many patients or purchasers were satisfied with the attitude of pharmacy staff [26]. A moderate level of satisfaction was expressed by participants about the age of staff [21].