title: [Rating the quality of care offered to women who underwent hysterectomy].
abstract: BACKGROUND
  In recent years emerged as a primary need, the evaluation of the services offered to get better quality in them. Health systems are subject to these assessments.
  
  
  OBJECTIVE
  To assess the quality of care provided to patients who underwent hysterectomy, since the reference of the family physician, until discharge by the gynecologist. We analyzed the diagnostic results in the short and long-term, patient satisfaction and gynecologist satisfaction, regarding the conditions for offering services.
  
  
  METHODS
  Retrospective study including 118 patients who underwent hysterectomy and were analyzed the following aspects: history, diagnoses and outcomes. Cross-sectional surveys were also conducted to obtain the satisfaction of patients and the physicians who performed the surgeries.
  
  
  RESULTS
  The satisfaction of patients was confirmed, in contrast to the opinion of gynecologists who expressed dissatisfaction with the resources they have. There was discrepancy between diagnosis, planned surgery and the procedure performed, however, the clinical results were adequate.
  
  
  CONCLUSIONS
  At present, any institution should periodically evaluate the services it provides to implement measures and procedures commensurate with their population and resources and invite users to participate in internal decision making and provide the opportunity to become an evaluator to generate a culture of self-improvement and continuous improvement in all involved.
authors.affiliation: Departamento de Ginecología y Obstetricia, Hospital General de Zona número 2, Instituto Mexicano del Seguro Social, Aguascalientes, México. kikes1_13@yahoo.com
authors.forename: Enrique
authors.initials: E
authors.lastname: Rosales Aujang
authors.forename: María de Jesús
authors.initials: Mde J
authors.lastname: Jaime Camacho
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002585:Cesarean Section / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006176:Gynecology; D006769:Hospitals, General; D006801:Humans; D007044:Hysterectomy / Q000379:methods / Q000523:psychology / Q000706:statistics & numerical data; D007431:Intraoperative Complications / Q000453:epidemiology; D007902:Length of Stay / Q000706:statistics & numerical data; D008800:Mexico; D008875:Middle Aged; D009775:Obstetrics and Gynecology Department, Hospital; D009819:Office Visits; D010052:Ovariectomy / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D010820:Physicians / Q000523:psychology; D011183:Postoperative Complications / Q000453:epidemiology; D058996:Quality Improvement; D011787:Quality of Health Care; D017584:Reproductive History; D012189:Retrospective Studies