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Zdrowie Publiczne - Polish Journal of Public Health
Polish Journal of Public Health
Medical University Publishing House of Lublin
20-093 Lublin ul. Chodźki 1 Poland
tel/fax: +48 81 742 37 62
ISSN: PL 0044-2011
Medical University of Lublin

Former journal 'Zdrowie' founded in 1885 by Józef Polak M.D.  

Zdrowie Publiczne 2009 119(4);383-386 Original Article

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Factors determining the choice of a health centre for surgical treatment

Łepecka-Klusek Celina, Wdowiak Artur, Pilewska-Kozak Anna B., Syty Kinga, Barlik Justyna, Jakiel Grzegorz

Objective. The purpose of the study was to establish the factors determining the choice of a health centre for gynaecological surgical treatment.
Material and methods. The survey covered 272 women admitted to one of four hospitals for elective gynaecological surgery during 2 months of 2008. The questionnaire used was designed for the study undertaken and tested with a pilot study carried out in the group of 25 women.
Results. Regular gynaecological check-ups were confi rmed by 160 (58.8%) respondents, including 44 (16.2%) - every 6 months, 75 (27.6%) - every year and 41 (15.0%) - every 2 years. The remaining 112 (41.2%) women stated they went for appointments once alarming symptoms occurred. The causes for gynaecological surgeries were divided into two groups. Group 1 included impaired function of the reproductive organ resulting in deteriorated quality of life (n=149; 54.8%), e.g. bleeding of various intensity, pain, displacement and altered stability of the reproductive organs, incontinence and procreative diffi culties whereas group 2 – neoplastic diseases, e.g. malignant tumours (invading via the lymphatic system) and benign or marginal borderline tumours (n=123; 45.2%).
Conclusions. The criteria of choosing a hospital providing gynaecological surgery are determined by opinions heard, e.g. high qualifi cations of the medical staff, modern procedures applied, equipment and/or high standard of nursing care. The main criterion of choice is signifi cantly correlated with the place of residence, marital status and education.

Słowa kluczowe: operacja ginekologiczna, wybór ośrodka leczenia, gynaecological surgery, choice of hospital

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