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



