Women's Satisfaction with Gynecological Healthcare Services in a Public Tertiary Facility: A Questionnaire Study

Background: To evaluate women's satisfaction with gynecological services at a public referral facility, recognizing the importance of patient satisfaction in assessing healthcare quality. Methods: Patient satisfaction was assessed with a 52-item questionnaire, targeting women undergoing laparoscopy/laparotomy, operative and office hysteroscopy, hormonal diagnostics, and others. The impact of patient-specific and hospitalization-related variables on satisfaction indicators and the relationships between provider-specific factors, expectation fulfillment, and readmission willingness were analyzed. Additionally, the institution's organizational culture was evaluated. Results: Analysis of 790 questionnaires revealed a median satisfaction score of 88.48% and scores of 92.31%, 89.42%, 88.18%, 88.33%, and 85% across groups, with the highest satisfaction for laparoscopy/laparotomy (p = 0.003). Expectation fulfillment and total satisfaction relied on devoted time and alternatives discussion (both p = 0.001 and <0.001, respectively), positively correlating with comprehension, sense of security, and information quality (all p < 0.001). Readmission willingness was affected by devoted time (p = 0.016) and alternatives discussion (p = 0.028), and positively correlated with sense of security (p = 0.01). Expectation fulfillment and total satisfaction for office hysteroscopy depended on ongoing information (both p < 0.001) and pain aspects, positively correlating with comprehension, communication, and security, but negatively with pain (all p < 0.001), without affecting readmission willingness. Significant correlations existed between patient-specific and hospitalization-related variables and satisfaction, expectation fulfillment, and readmission willingness. A hierarchical culture with clan orientation was identified. Conclusions: Women's high satisfaction was primarily linked to information quality. Readmission willingness correlated with a sense of security. Communication was crucial during office hysteroscopy. Public healthcare setting did not affect staff attitudes. Clan-oriented hierarchical culture favored a sense of security.