Zdrowie Publiczne 2009 119(4);378-382 Original Article
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Availability of health care in the Regions of Lublin and Katowice in opinions of patients with diagnosis of pathology of uterine cervix
Bojar Iwona, Holecki Tomasz, Wdowiak Leszek
Aim. The objective of the study was the comparison of
opinions of patients with the diagnosis of uterine cervix
pathology concerning the availability of gynaecologicalobstetric
care in the Regions of Lublin and Katowice.
Material and methods. The study was conducted in 2009,
and covered randomly selected patients with the diagnosis of
uterine cervix pathology, who had been referred to gynaecological
wards for further diagnostics and treatment. The
research tool was a questionnaire form. The participants
of the study were 142 patients from the Lublin Region and
162 patients from the Silesian Region. The results obtained
were subjected to statistical analysis.
Results. A signifi cant statistical difference in patients’
accessibility to care was observed between the Lublin and
Silesian Regions. In both regions, the accessibility was
evaluated as being on the mediocre level; however, patients
in the Lublin Region evaluated it in more positive terms
than in Silesia. The majority of patients indicated distant
dates of appointments as the main problem hindering access
to gynaecological care. Most often, patients waited for
a visit to a gynaecologist from several days to one month.
Cytological test results are available for a patient within one
week to one month after the examination has been made. No
regional differences were noted in this respect. In Silesia,
patients received the referral to hospital diagnostics sooner;
however, they waited longer for admission to hospital than
patients from the Lublin Region.
Conclusion. Short time intervals between cytological
tests and the beginning of treatment evidences a relatively
good access to diagnostic-treatment procedures related
with pathologies of the uterine cervix. It is necessary to
develop a national project which would provide incentives
for women to participate in prophylactic examinations for
cervical cancer regularly.