Survey on the idea of women's health

In early 2007 we decided to better understand what women think of their health.
In particular, the question that we asked women to "close" and "far" was: <<Sull
a basis of your experience and your vissuto, by whom and how you would have rece
ived your request to cura?>>. A question that we feel comprehensive than the man
y issues that affect their health conjugated with the subjective need and intere
st. The answers appear very different, and different age groups. First, girls an
d female students were shown quite indifferent to the size determination. In fac
t, many rely solely on the street that the family has chosen for them, namely th
at the practitioner. And 'unfortunately showed that young people do not know the
advice, do not visit them or simply have never heard of. From here started the
idea of the brochure that we made as Monitoring the health of women, where you c
an find all the addresses, phone numbers of clinics in Bologna and useful servic
es to women. While for women older than 40 the relationship with your body and t
he "care" is seen as personal and problematic (in the sense that it is a matter
that women problematize), we see an idea for young and depersonalized medicaliza
tion of self-care. Sign perhaps a reflection of the lack of generational?
1
Or non-generation heritage of historical feminism? Let the reader may respond. T
his short work although there has been very helpful to understand "what women do
not tell", to understand how difficult it is to deal with the same health syste
m that forgets more and more dynamic consultative and people to reduce human use
rs.
Index: Age group 15-25 ... ... ... ... ... ... ... ... ... ... ... ... ... ... .
.. ... ... ... ... ... .. p.3 Age group 25-35 ... ... ... ... ... ... ... ... ..
. ... ... ... ... ... ... ... ... ... ... .... p.7 Age group 35-45 ... ... ... .
.. ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... .... p.9 Age grou
p 45-55 ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
... ... p.13 Age group over 55 ... ... ... ... ... ... ... ... ... ... ... ... .
.. ... ... ... ... ... .. p.17
2
Age 15-25
Based on your experience and your experience, by whom and how you want it to be
accepted your request for treatment?
Offsite college student I was once a clinic, but otherwise I rely completely on
my family doctor and traditional medicine. Actually I never thought about the is
sue of doctor / patient relationship, because I have not had much to do with doc
tors, fortunately. I have just arrived in Bologna and account to find a doctor h
ere but still do not know the procedures. Do you think the university can inform
me? I knew the reality of school counseling and when I received I was fine.
University student I commend the family doctor, I know I was a child, are in Bol
ogna, but often pretends to be paid, even if the gift you make some more willing
ly visit! I honestly do not know what a clinic, I never had to do. The ASL has i
ntervened to our school for what concerns the drug issues, first aid and contrac
eption. However, I do not totally rely on traditional medicine, inform me about
the possibility of other treatments, mostly by acquaintances.
3
University student I commend to my doctor with whom I became friends very confid
ential, even for his predilection toward homeopathy. For the most part refuse tr
aditional medicine and I trust that an alternative, such as naturopathy. I happe
ned in counseling but I avoid them .. my favorite treat myself to either trust t
he emergency room. I believe that the information in regard to treatment options
is wide, then who wants to know knows.
University student I rely completely on family doctor, I have no health problems
so I did not personally informed about anything that relates to health, the inf
ormation I hear from acquaintances. I believe in traditional medicine and I blin
dly trust my doctor. I know the reality of counseling because my school brought
me to a visit by way of boat but I never received.
University student offsite I am absolutely against traditional medicine, I belie
ve there are many ways to heal, as some herbs and Oriental medicine, which unfor
tunately we know nothing. I do not have a doctor here, I do not know if the Univ
ersity offers treatment options. If I have a fever resolves itself and then if I
wait the time of ASL! I never had to do with counseling,€I consult with my fri
ends, I do not know what I could learn more in an advisory. However I'd be more
inclined to go to the hospital or the emergency room for any problem, even if it
is true that the problems related to sexuality hospital dysfunctional. However
you go to counseling when you have a problem and not before, so that its support
for the problem ... what have you. 4
Offsite college student I believe that what characterizes the doctors is a gener
al incompetence. I suffered a medication that I was intolerant, and I was treate
d by a female doctor with whom I had a very formal relationship. She did not put
me at ease. As for advice, I've had to do once in Brindisi. I needed the mornin
g-after pill, I went to counseling but I have not found any gynecologist. I had
to pay the emergency room, where I was scared about the possibility of such cont
roindicazioni.Ad told me that there is a 40% chance that the baby is born anyway
, and ill. For a moment I let myself be scared, I did not know whether to take o
r not. Then I insisted, and I have required treating me badly. The morning-after
pill should give the pharmacy directly.
University student out of office in Milan and I am a doctor there, a woman, a fa
mily friend with whom I have a confidential report. However speaking as a studen
t, I must say it is not so easy to have assistance! Bureaucracy, cost, expectati
ons, little information. Have you ever been to counseling? What? I do not know w
hat it is. At school I do not have never spoken The clinic is ... How do I find?
... And soon will be distributed a flyer with all the numbers and addresses of
clinics, associations ... 5
But you need a hand? Leave me your number?
University student I would be treated by a doctor specializing in homeopathy, bu
t because I believe that homeopathic medicines are more beneficial for the body.
In fact I usually rely on traditional medicines, naturopathy because not part o
f my cultural background and perhaps a bit 'of mental laziness. It does not matt
er the sex of the doctor, I would prefer a woman, the important thing is compete
nce. In the relationship with physicians, however, takes over a problem that is
difficult to reduce their medical language into plain language, medical science
remains mysterious. On the other hand this is the institutional role of the doct
or give you security. The medical method has a flaw, however, departing, and the
relationship with the body / corpse. In Homer the word soma means body and Plat
o signifies the body. This view of the alienating and dehumanizing body characte
rizes the Western medical science is rooted in language and then in thought. Reg
arding pharmacology, also part of a mistake, that is the view that the potential
benefits of herbs, plants, lies in the active ingredient and that is that the t
herapeutic power is given by one or more substances, each for himself and not as
together synergistically. It should be reevaluated instead phyto complex, the i
dea that the benefit of all not the same as the sum of the performance of indivi
dual elements. You know, I'm reading <<The doctor cucina>> Enzo Ronchi, which ad
dresses the inherent complexity and the founding of what is called organic. Thro
ugh readings Galimberti I also realized that medical science should be made of s
everal disciplines, including psychology. Go past the extreme specialization of
knowledge.
6
Age 25-35
Based on your experience and your experience, by whom and how you want it to be
accepted your request for treatment?
She has 30 years, is Dutch but lives in Italy where he worked in marketing for a
company that sells seeds and bulbs in Holland. And 'girlfriend and lives with a
n Italian boy. With regard to the gynecologist has accepted the advice of the mo
ther-in-law: go to my which is good for other services, however, as a foreigner
who knows no Italian company, has approached the public service. Received a lett
er home to go for a Pap test, but the clinic has met with what he calls an assem
bly line: with people who do not even greet and generally did not respond or res
ponded to its requests. Also cites another approach with the public service for
tests for allergies.: A long and cumbersome bureaucracy with a month of booking
and referrals and buffeting from place to place: in particular recalls waiting o
nly for 2.30 h pay because he had no 220 and especially the elderly were in cris
is .. When the time comes,€prefer to give birth at home in Holland there is a s
ervice for which the staff will assist three weeks before and two weeks after gi
ving birth at home. This service is free for the poorest segments of society. It
'a service which follows the citizens of the Netherlands and abroad: so if you
wanted to could give birth in Italy with the service at 7
home, but in this case would have to pay comprehensive hospitality of medical an
d paramedical staff in the period. Calls to public service in Bologna: not a num
ber.
Student (medical) offsite Soon I will have to address my health! I'll take care
of myself. Study medicine. I'm out here at home and tell the truth I have a doct
or. I have one where I was born, which contact only the bureaucracy. Study tradi
tional medicine but I fully entrust us, especially as long as I can not take med
icines. Live the drug as something external, you know? I heard from a friend, al
ready graduated, acupuncture, but still do not know much. Working in a clinic? T
here never would work, are not interested in certain issues. I've never been in
a clinic, but I know what they are.
8
Age 35-45
Based on your experience and your experience, by whom and how you want it to be
accepted your request for treatment?
She has 36 years dealing with corporate training. Mazzacurati attended the clini
c for the location near his home. Actually has no specific problem: only once a
year ago a survey. And 'quite satisfied: the Dott.sa that the visit is called Ma
si (I) The time for the visit takes about 15 days. Welcomes the fact that you ca
n call directly without intermediaries There is practically waiting time when vi
siting:'s punctuality (therefore can not deal with the realities in the waiting
room) She can be expeditious, but this statement was made with positive meaning,
in the sense of a person who does not waste time. Makes do exams / study only i
f necessary (all visits, only once) His disappointment affects the processes tha
t go through the CUP: to do an ultrasound (ordered by the examining doctor, note
s!) 5 months wait!
9
She is 37 years old, from Bologna, graduate, lives in Castenaso, single. Work to
'UniCredit. Her family doctor is also its gynecologist. So far their relationsh
ip has been limited to periodic inspections. Use public service only for the add
itional insights: examinations, audits, inspections. In this case, is not compla
ining too long: it is relatively satisfied. The PAP test is an automated service
in Castenaso: the results they get home.
She has 45 years living in Bologna a short time living with a partner. It 'used
to INPS. It has a private gynecologist: it argues that those who can afford a pr
ivate doctor. However, had different experiences with the public that keeps this
memory: Does the mammogram at the center of the breast increased each year. Boo
k discussion with an advance of 5 / 6 months. He has no particular criticism to
other notes, because the results come pretty quickly. He attended 6/7anni also m
akes Counseling Via Sant'Isaia. Therapy was to strengthen the perineal muscles.
Later came the Candida: you think the tools used were not well sterilized. 10
For five years he attended the Malpigli for allergy tests and vaccines, but ever
y year a different reference was enough to give the impression each time having
to tell lay things and the sight was a pro forma without any progress. These are
his ideas in public facilities are not state-indeed, often antediluvian if you
do not pay attention and hurried visit your doctor and good care is an exception
Above all, his request would be: time human reservations and find the same refe
rence
She has 39 years, Puglia, graduate, lives in Bologna with journalist husband and
two children. Work with agency P.R. And 'the doctor that directs to public exam
inations and investigations. When she was a student and "did not have the beak o
f a cent" went to public structures (Puglia) now goes to the specialist pay. For
her approach to public is going to do when the depth of visits to general. In t
his case you satisfied with the exception of waiting times: today is waiting to
take an examination in December!
11
He
would
bear
in
Hospital
because
the
calmed
more: but it is displeased been entrusted with the gynecologist who has not foll
owed: "There has never even visited."€Then during the hospitalization of birth
of first child, she met a doctor and subsequently chose him as her gynecologist
but with private visits. Structure so public rebukes: long waiting times disinte
rest "when you do not pay", on the contrary satisfied with the professionalism.
Claims to be neutral with respect to counseling, even says that some of her frie
nds visit them and they are satisfied (including the counseling of S. Felice), h
owever, when it has a negative image defines them: do not express in words but e
xpressions. However, please explain where this idea is not bad it can not determ
ine whether the lack of attention meant as interest to you. Should be in public
if there was a time dedicated to "attention".
12
Age 45-55
Based on your experience and your experience, by whom and how you want it to be
accepted your request for treatment?
Woman nearby says to himself: Adriatic origin, 52 years old, divorced, lives in
the center of Bologna with the second husband handles the perfume of which the h
older is a job that has always done and that she likes, even if it is more diffi
cult than it looks from the psychological point of view in relationship with / t
o customers. And 'happy to be able to make his store a meeting place, almost a s
alon where clients often become friends. Pathophobia are, I fear the disease, do
ctors have always attended, but fidandomene little. The one that I trust is the
psychotherapist who visit me, listen to me and convince me to take my head (I ha
ve a phobia of pressure, I grew as I measure). I trust my gynecologist also quit
e following me since he was a young doctor. But all of this to the sound of penn
ies. I was very afraid of menopause and I took a lot of information before takin
g hormone replacement therapy, also controlled by many types of examinations.
13
Much depends on the training of doctors, but, bearing in mind that health is cal
led the company, not too much to expect. Now she is getting worse. For example,
the hospital does not give you more non-essential drugs such as painkillers. Let
alone for the treatment of pain!
Women's semi-close says of himself: I have 51 years, not Bologna, unmarried, no
children, employment consultant, live in downtown Bologna and I am well. Are pre
-menopausal and I have a bad relationship with medicine. I do everything private
ly, go to the doctor, I diagnose, I pay, then gives way to distrust and do my ow
n thing. I trust most of homeopathy and a pharmacist I know. But do routine exam
s every year: colposcopy, abdominal ultrasound, etc.. As a child I had a doctor
uncle and my mother telephoned him that we cared by phone. Then I had a terrible
experience when my mother died of cancer and did not understand anything. I fin
d that hospitals, even here in Bologna, are terrible - the emergency room if you
bored is not an emergency - I had a recent experience with an eye that hurt me
(but I did not know if it was an emergency or not) . The single is the Bellure w
here paramedical staff is more prepared. I would like a free and efficient healt
h care. I want to be visited with great care and good advice for my well-being,
taking into account
14
me being very sensitive and can not stand heavy care and drastic solutions. That
's why I'm better with homeopathy which I use one pharmacist I know.
She says: First of all, trust me when I was young I always follow the same perso
n that I trust because I can have a real dialogue with you is absolutely crucial
for me, so that lack of dialogue and trust the doctor changed base, it is impor
tant to the human aspect of therapy. Just for ease of communication and access f
or the warm welcome I have often used the counseling center at different stages
of my "reproductive life, particularly after childbirth. It 'been for me a place
without filters medical bureaucracy without detachment that often characterizes
the medical profession and is in fact an "exercise of power" on the patient. Co
mpared to a man who also addressed health in different ways, this is important f
or us women, we have a different approach: more careful, even strict with oursel
ves: I also prefer the relationship with an operation "that has the same Hormone
s and can put his experience in the doctor-patient relationship. Should it excee
d the limit of a simple "feminine" roles and tied to traditional ways, to resume
points of view closer to the "real situation of women and feminism (now absent?
). Today it seems that there are no references, there are dreams and goals to ac
hieve, as it was for the years of feminist movements.€I'm worried about the pos
sibility of a "step backwards" on the real freedom of choice and autonomy of wom
en: for example the interference of the church and also for risk counseling.
15
Age: over 55
Based on your experience and your experience, by whom and how you want it to be
accepted your request for treatment?
First woman far prefer a woman already sensitive to the speech of a specific fem
ale subjectivity and psychology (with a sensitivity 16
issues of women, the context in which it operates and with the ability / desire
to direct questions to collect data and also not clearly explained or obvious to
the user). It is important to the 'investigation' by the operator on the lifest
yles, habits, attention to the prevention of users, even, indeed especially, aga
inst younger who are often unaware, inattentive even on issues considered obviou
s and already experienced by older women. And 'necessary therefore an ability to
separate solicitation. In the "like" to be upheld even have valuable space avai
lability and courtesy of the operator, a relaxing environment, which has to be o
pen and not intimidating, as well as time is not pressing, pressing in so that t
he user feels welcomed and is induced to open up. Thereby to enhance the compete
nce of operators / players, the willingness to listen respectfully: with a kind
of interactivity (one might even think of a "preparation" of / patient visits, p
erhaps by making a pattern of information-objective factors) . So obvious is the
absolute certainty of privacy. Fundamental is the choice-choice-
operator / user from the user and continuity of care relationship, bearing in mi
nd the strong value of the 'placebo effect', which weighs up to 40% chance of re
covery).
Women with experience I think the general medical care should request from a pre
cise understanding of their needs, so there may be broad and indiscriminate. In
a situation where supply is diverse, as 17
the current here, everyone has to understand what exactly each time he wants. It
should be well prepared its first question, every care is also a 'self-healing,
so you need to understand what and who you need more. First we need a course of
accurate information, which may follow the experience of this person / company
you chose. I would not entrust a priori to anyone then becomes indifferent to ch
oose between public or private operators of the kind of concealers. For example
in my path to a more gynecological care not "empathetic" I was satisfied that bo
th the experience of two gynecologists, but I found myself better with gynecolog
ists, using conventional and unconventional medicine. And 'fundamental fact can
also offer that, besides being qualified welcome more points on the total sick,
not the disease.
She has 61 years and a daughter in a private doctor where does ultrasound to new
mothers. For this reason almost never attended public facilities: the daughter
always sends specialists know and trust. Until a few years ago did the ultrasoun
d at Sant 'Orsola. But after one of them was recommended to do ultrasound and re
sonance. Concerned turned to her daughter who sent by an individual where it has
been said that "those of Ursula were to report" Following this incident, he sto
pped all his acquaintances in public health.
18
The public can report only what has been told. The daughter, for example, has se
rved in the counseling of Sant'Isaia Street and drew a good opinion of doctors w
ho worked there much to recommend it to the mother but in their private practice
s and never in public context, because "there is is Hurry, hurry, more concerned
by several issues, sometimes with instruments and not the last time. "Because s
he does not go in public buildings: they used the same protocols and the same fo
r everyone then why not customize the intervention did not guarantee to find the
next visit the same doctor who ah AMonitoring previously because he wants time
spent carefully.
Women's semi-close to him says: are the province of Emilia, is one of the first
women to separate in my country and I'm glad I did. I have always made home unti
l I tried to make the entrepreneur in the sense that I attempted to manage a nur
sing home. Now retired, live in the hills and the low pension payment by the car
egiver. I've always been fortunate in the choices that affect health,€but I hav
e always done a lot of my head. Currently I go a lot with natural things, by con
trolling osteoporosis with densitometry, then speak with the doctor. Story to my
doctor more than what he asks, he listens, then gives me and I choose carefully
, taking my responsibilities. To choose is a right and enrichment. 19
I wish I takes care who had an open mind, to let self-manage.
Woman nearby says to himself, retired, active in socio-cultural, former teacher,
with separate adult daughter, from Bologna, but fortunately I live to far up th
e hill, because I hate the polluted air of Bologna. Whenever possible, I always
turned to public service, but I noticed the strong deficiencies in the report an
d information: general practitioners are not trained about - should have another
kind of approach - do not give you the opportunity to choose what kind of medic
al cure. I was patient Tiarini Street and there I found what I was looking for:
host choice (I did not care hormone replacement) and then I have saved so many l
aps. The hope for the future is that there is a hundred Tiarini multiplied and a
mplified where have all the information, exams, against fragmentation.
Woman nearby says to himself, are free from marriage, no children, live in Bolog
na, but Friulian origin. The only trust I have is with the acupuncturist who kee
ps me in check everything, because I have the exact feeling that the good doctor
takes into account the totality of the person.
20
For me in my relationship with medicine, there was a turning point with self-hel
p gave me awareness of my body and knowing that it is important to liaise and th
en have some reclaiming her health. In the hospital where I was operated on uter
us, I experienced depersonalization, I felt treated like a piece of meat. I have
not had problems with menopause, apart from a depletion of energy.
Woman nearby says to himself: former teacher, originally from Sicily, I live in
Bologna, free of double bonds, have an adult child. Always remember the past onl
y male doctors. My mother took me, her present, by medical men who do not pontif
icate and write prescriptions legibly. Now the doctors say everything and are te
rrified by the possibility of denunciation. I often say, do not tell me nothing-
I prefer the mystery (my limit), but I met. Adulthood, after '68, I went to wome
n, especially gynecologists and dentists, I find them more prepared and polite.
Went public in the evenings are now resigned myself to the lengthy private and d
epersonalization; fortunately I always had little to do with ASL counseling, etc
.. because I just control. I am convinced that if you're free and happy, if you
go back to your desires, unless you get sick, at least this is my experience. Fo
r the future I would like the health care was free, friendly and polite, it was
taken care of the psychological aspect, which
21
alternative medicines were inexpensive, so you can choose. I would, but this is
utopia, there was a machine that gives me a total feedback of how I made a quick
check-up discussion with someone / a that I trust.
FOCUS GROUP * social center Mazzacorati 09/07/2007 Survey Group (the question is
asked at the beginning possibly in reference to past, present and future) Note
6 women were present unknown to me (away), apart one, the manager, I organized t
he meeting.
Distant woman says of himself: I am alive and Bologna in Bologna, but young, I t
raveled the world as a pop singer. Grandmother and grandmother are doing is what
I like best, the song ... now that is gone. As a youth I used a good old doctor
who knew my family - too well. Now I complain because the practitioner did not
visit me and I do not even measure the pressure. Shortage of doctors able to mak
e a diagnosis - that I've had an early menopause, with densitometry I discovered
a severe osteoporosis and I can not take calcium, but traditional doctors I hav
e understood and solved nothing - 22
also tests them individually, I always read I started to diet and solve the powe
r. They are always broken, but I am already lucky because I have my son who is a
psychiatrist and is my doctor. I wish I ordered what I did to heal-but by whom
I run? I feel discovery, because everything is in experimental bones.
Distant woman says of himself: I live in Bologna, but I come from Milan where I
was the seamstress. I am married, have two adult children and am about to become
a grandmother these days.€At the clinic we are always just gone with the child
ren when they were little. As a young man, when I was in Milan and I was the sea
mstress, I had the doctor of my private mutual-luckily I never needed the hospit
al, why should I pay! I had no problem with the menopause, except the bones. In
fact I have the bust and orthotics that I ordered the Practice Mengoli physiatri
st and I trust him. The practitioner takes the crabs: I ordered the examinations
and hospital emergency stomach have grumbled because there was no urgency. Now
I need an eye examination and it takes six months. Waiting times are too long.
23
Distant woman says of himself: Valle d'Aosta are, but I live in Bologna. Housewi
fe, have two grown sons, and grandmother are already a granddaughter. I had a ba
d experience in childbirth in Rome: the child was born and the doctor jumped on
me and caused an internal injury with prolapse. Made of prolapse, the operation
fails. I had a heavy chill menopause and cardiovascular failure. Addressed by th
e doctor, I turned to public service-V Dei Mille - where they put me on a diet a
nd where do I close monitoring. But I can not dieting, and since I am not dead,
I got 12 kg. and continue to take medication. I would like to be considered and
followed as a human being whole and entire. I wish health was like in Val D'Aost
a, where the doctor goes to see the patient without calling him and pays part of
the Region. I would be more followed and not pay for medicines.
Distant woman says of himself: I live in Bologna, but come from the province of
Tuscany, I have two sons and grandmother of two granddaughters. As a girl I had
big problems. I came with menopause cholesterol and even strokes, then an operat
ion to the breast. I keep up with life-saving pills that give me the center of c
holesterol St. Ursula where I keep under constant scrutiny, because it produces
much cholesterol.
24
I also go to the doctor for basic controls, but there is too dense, not talking
and they always send you from one place to another. I would like the family doct
or was no longer available.
Distant woman says of himself: born "sideways", daughter of NN, as I said once,
I wanted none and I have taken off this complex. I always seem to be worth less
than others I have a daughter and grandmother. As a girl I had a hard life, but
I was pretty good health. I went to school in the morning and afternoon service.
I did all the work, except the prostitute the woman, work in paddy fields, more
"ass soaking. For 15 years I took the brace, but I also saw that my husband has
had health problems for him and this made me feel important. With menopause, I
had the chill, but I like to go to the gynecologist and went on for my back I di
d all the tests imaginable, but doctors do not diagnose and not never get to kno
w why. I wish there were delays and I wish there was a center where you can do e
verything. I drive 500 and still went well until Loiano, but later, who takes me
around?
Distant woman says of himself: Modena are home, but I live in Bologna - I was a
school friend of Pavarotti-teacher and I graduated
25
I taught for 25 years - before I teach many trades. I'm single. Until the menopa
use have been pretty good with menopause (surgical) and then the end of the worl
d: diabetes, stroke, glaucoma, cataracts. I have not given up, even, I was stubb
orn, stubborn: I attended a trial at St Ursula for 5 years with a drug for strok
e and I went well. I'm glad of St. Ursula, saved my life. I then tried a practit
ioner I can trust and in fact, changed after 3 doctors, I found a doctor who lis
tens to me, tells me my medicine and good care. Mammography Mengoli I can to, bu
t after 70 will not send the notice-not good, because it seems that it is worth
less.
26