Syfte: Att undersöka patienters upplevelser av ett besök på en studentmottagning för gynekologi och preventivmedelsrådgivning. Metod: Deskriptiv tvärsnittsstudie i form av en enkätundersökning med frågor rörande bemötande, tillgänglighet och förslag till förbättring. Enkäten hade både öppna och slutna svarsalternativ och delades ut av barmorskan eller gynekologen efter avslutat besök under en period av två veckor, 150 enkäter delades ut. Huvudresultat: 138 personer deltog i denna studie varav 95% var kvinnor, svarsfrekvensen var 92%. Den vanligaste orsaken till att Studentgyn besöktes var preventivmedelsrådgivning. Patienterna var överlag nöjda med det bemötande som givits av personalen på Studentgyn. Vidare upplevde samtliga ett förtroende för vårdgivaren och ansåg att denne var väl förberedd inför besöket. En majoritet av besökarna erbjöds en besökstid inom en vecka, de förbättringsförslag som lämnades handlade dock till stor del om möjligheten att komma i kontakt med Studentgyn för att boka en tid. Patienterna önskade längre telefontider samt tidsbokning via internet. Avslutningsvis uppgav samtliga att de kunde rekommendera Studentgyn till vänner och bekanta. Slutsats: Denna undersökning har kommit fram till att patienterna överlag varit väldigt nöjda med Studentgyn. Dock framkom ett missnöje avseende möjligheten att komma i kontakt med Studentgyn för tidsbokning och många av deltagarna lämnade förbättringsförslag rörande detta.

Regular gynecological screenings are critical for women in promotion of health and preventing diseases like cervical cancer. Despite the importance of such examinations, many women fail to adhere to recommended screening protocols. As a result, women experience an increased disease risk. The current study examined the relationship between patient-provider communication quality, skill, and empathy on pelvic exam seeking behavior and exam-related anxiety and satisfaction. Additionally, negative self-concept, perceived poor genital self-image, and various elements of the socio-physical clinic environment were explored to better understand their impact on a women’s care seeking behavior. A total of 350 women 19 through 80 years of age completed a one time, 15-minute online survey regarding their gynecological care seeking behavior. Ordered logistic regression analysis revealed that when controlling for demographic variables and self-concept scores satisfaction was significantly impacted by the quality of provider communication. Specifically, higher quality of communication likely increases satisfaction by 12% (coef = .77; odds ratio= 1.19 at a p< .01). Avoidance was significantly associated with greater provider empathy indicating a 9% decrease in avoidance is likely as empathy scores go up (coef = -.19; odds ratio= 0.96 at a p< .01). When controlling for various demographic factors, self-concept scores and provider communication were not shown to be significantly associated with patient anxiety. These findings suggest that enhancing provider communication quality and empathy may improve satisfaction and lessen patient avoidance. Results also indicate that women who have a more positive evaluation of their genital self-image were more likely to feel greater satisfaction concerning gynecological care. Thematic analysis of open-ended essay questions revealed several themes among 3 main areas: 1). Clinician Communication (active listening, explanation, empathic communication, & pace), 2). Social Environment (hospitality& being relational), and 3). Physical Environment (Privacy, Aesthetics, & Sensate Variables). Detailed explanation, empathetic communication, and not rushing patients through procedures all emerged as important components that may guard against patient anxiety. Results suggest that distress related to gynecological care could be mitigated by easily modifiable improvements to the environment like increasing the temperature of the exam rooms, opting for less harsh lighting, providing a place to hang or set clothing, and more thoughtful placement of baby pictures. Results also suggest that improvements to modesty concerns within the exam room, like larger cloth draping and gowns, may significantly improve the patient experience.

Backrounds: Usage of addictive substances is a factor which affects the reproductive health of the female users, it affects their risky sexual behavior and fetus healthy development during pregnancy of drug using mothers. Pregnancy also represents a moment in their lifes which affects certain bio-psycho-social aspects forming the beginning of usage of substance abuse. Objectives: The aim of the research was to map a degree and paterns among problem female drug users and changes throughout pregnancy, map the risks of their sexual behavior and quality of their reproductive health, try to find out the availability of gynacology care for female drug users, the amount of care available before, through and after pregnancy. It also includes specific needs and factors affecting reproductive health. Methods and research group: A questionnaire survey of 25 problem female users based on consultations with them, all of them giving birth at least once, was carried out. The study took place at K-center Sananim, using a Field program Progressive, o.s. and around this facility and the place of field program using the "snow ball method". The questionnaire included 164 items in the following parts "Sociodemographic data", "Drug Use", "Risky sexual behavior and reproductive health", "Gynecologic care and barriers to...