Does Quality of Care (QoC) Perception Influence the Quality of Life (QoL) in Women with Endometriosis? Results from an Italian Nationwide Survey during Covid Pandemic

Int J Environ Res Public Health. 2022 Dec 29;20(1):625. doi: 10.3390/ijerph20010625.


(1) Background: Endometriosis is a chronic and progressive illness that generates a slew of issues, lowering the quality of life of women. The purpose of this study was to look at the quality of life in women with endometriosis and how it relates to the quality of care. (2) Methods: This study is an online survey performed in Italy during the COVID pandemic using the Italian version of the Health Questionnaire SF-36 and a questionnaire for assessing the quality of care received. (3) Results: 1052 women with a self-reported diagnosis of endometriosis participated in the survey. The mean levels of Physical Component Summary (PCS) and Mental Component Summary (MCS) were 38.89 ± 10.55 and 34.59 ± 11.17, respectively. A total of 77% of women judged the services they received positively, and 51% considered the coordination between healthcare professionals to be satisfactory. The satisfaction index mean was 23.11 ± 4.80. PCS was positively related to Occupation, high educational level, physical activity, and health care satisfaction. MCS was positively related to higher age, physical activity, and health care satisfaction. (4) Conclusions: The study indicated that satisfaction with health care was a significant predictor of QoL in women with endometriosis, for both physical and mental health.

Keywords: endometriosis; management; mental health; physical health; prevention; public health; quality of healthcare; quality of life; womens health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • COVID-19* / epidemiology
  • Endometriosis* / epidemiology
  • Endometriosis* / psychology
  • Endometriosis* / therapy
  • Female
  • Humans
  • Italy / epidemiology
  • Pandemics
  • Perception
  • Quality of Life / psychology
  • Surveys and Questionnaires

Grants and funding

This research received funding from Department of Life, Health and Environmental Sciences, University of L’Aquila, Italy, UNIVAQ-MESVA-FFO 2022-Cofini.