Environnement réconfortant et respect de l’intimité. L’organisation du cabinet médical pour la consultation gynécologique

Sante Publique. 2020 July-August;32(4):347-358. doi: 10.3917/spub.204.0347.
[Article in French]

Abstract

Introduction: Social science concepts (intimate distance, personal space) suggest that the gynecological examination environment (GEE) might influence women’s feelings during the exam.Purpose of research: We explore this hypothesis by assessing women’s preferences for the GEE.

Results: An opinion poll was conducted, without randomization to explore women’s point of view. In 2017, questionnaires were referred to women by 14 general practitioners in the Lille region. Among 173 answers, 73% granted importance to the medical setting, especially to a comfortable ambiance and an isolated place during an exam (to respect women’s privacy). Women expected at least: a separation of consultation/examination (77%), disposal of sanitary towels (80%), a place to leave clothes and underwear (74%), a changing area (56%). Fifty-five percent judged it unnecessary to cover the lower body. Concerning the examination table: comfort was satisfactory (93%), “calm and peaceful colors” were appreciated, but clamps should be improved.

Conclusions: The GEE is characterized by a balance of natural comfort and a sequentially delimited spatial configuration. The study revealed cultural and subjective dimensions of privacy. Physicians need to apply psychosocial competences to perform a person-centered gynecological exam.

MeSH terms

  • Female
  • Gynecology*
  • Humans
  • Physicians' Offices
  • Privacy*
  • Referral and Consultation*
  • Surveys and Questionnaires