Women's views and experiences of outpatient hysteroscopy: implications for a patient-centered service

This study examined women's views and experiences of an invasive outpatient procedure and was undertaken in the context of the UK Government's policy of developing a patient-centered service. The research was based on a consecutive series of 30 attendees for outpatient hysteroscopy at a London hospital. Pain was recorded using linear analog scales, qualitative semistructured interviews were undertaken and a diary was completed for 3 days following the procedure. Overall pain ratings for 13 women (45%) were classified as a medium to high score. However, nearly all women preferred a future outpatient procedure. A range of factors influenced this preference, including their ability to cope with the pain, the reduced anxiety associated with undergoing the procedure immediately, a dislike of general anesthetics and the convenience of not disrupting usual routines. The psychosocial aspects of care were also identified as important in assisting women to cope, and form a key factor influencing patient's evaluation of services.