2. 2
INTRODUCTION:-
What is OPD?
A hospital department where patients receive diagnosis and/or treatment but do
not stay overnight.
Out Patient Department (OPD) Services is one of the important aspects of
Hospital Administration. OPD services otherwise called as Ambulatory Care
Services. It is a shop window for patients, like window-shopping in a super
market where articles are laid down to choseand pick. OPD is the mirror of the
hospital, which reflects the functioning of the hospital being the first point of
contact between the patient and the hospital staff .Patients visit the OPD for
various purposes, like consultation, day care treatment, investigation, referral,
admission and postdischarge follow up. Not only for treatment but also for
preventing and promotive services like, health check up, Immunization, Physio-
therapy and so on.
The Ambulatory Care Services is gaining popularity and is in demand due to
"Day Care Services" and patient need not stay at hospital. This is helping both
the patient and hospital as patient remains at house near the relatives and the
hospital is benefited by less demand on hospital beds there by reducing coston
in patients. Therefore, providing the best OPD Services is one of the primary
goals of Hospital Administrator.
OUT PATIENT DEPARTMENT IN NIMS HOSPITAL
In NIMS hospital outpatient department (OPD) is situated at the basement of
hospital. The infrastructure of OPD is based on modern methods in many
aspects. In NIMS hospital OPD is divided into different functional departments
such as department of surgery, department of orthopaedics, department of
obstetrics gynaecology, department of paediatrics etc. Departmentization of
OPD helps to reduce the crowd in OPD and reduce time. It is more convenient
for patient to get the treatment in their concern department of OPD. The OPD
timing is form 8am to 4pm.
DEPARTMENT OF SURGERY
In OPD of surgery there are two staff nurses and one nursing assistant and six
units which are:-
UNIT-1
Dr. Dev kumar kasliwal- professer& head
Dr. Sunil kumar agrawal- associate professor
3. 3
Dr. Alok kumar maheswari- assistance professor
UNIT-2
Dr. N.K. malpani- professor
Dr. Mohammad abbasli- associate professor
Dr. Jaideep mathur- assistance professor
UNIT-3
Dr.N.S.shekawat- professor
Dr.vineet chaudhary- associate professor
Dr. Mahinderpal kochar- assistance professor
UNIT-4
Dr.jagdish shrma- professor
Dr.G.S.agrawal- associate professor
Dr.O.P. bhandari- assistance professor
UNIT-5
Dr.ashok gupta- professor
Dr.sandeep agrawal- associate professor
Dr.anil nehra- assistance professor
UNIT-6
Dr.ravi kumar mathur- professor
Dr.C.K.paliwal- associate professor
Dr.shyam sing- assistance professor
Department of Surgery has following specialclinics:-
1) Monday- Breast clinic
2) Tuesday- Prostate clinic
3) Wednesday- Thyroid clinic
4) Thursday- Hernia clinic
5) Friday- Colorectal clinic
6) Saturday- Oncology clinic
4. 4
Research Methodology
Research Methodology and design
Introduction
Under this section the chapter will show the methods and techniques that will
be used to collect and analyzedata during research. Areas to be touched on
include research design, target population, types of data, sources of data, tools
to be used to collect data and the sampling design to be used.
Research Methodology:-
A Research Methodology defines the purposeof the research, how it proceeds,
how to measureprogress and whatconstitute success with respect to the
objectives determined for carrying outthe research study.
Researchdesign:-
The research design is descriptivein nature. It is based on data collected
through structured questionnaire from the respondent.
Target Population:-
The study targets the patients of OPD in NIMS hospital Primary data will be
collected through questionnaires which will be the main sourceof data and
SAMPLING DESIGN:-
Sampling is the process ofobtaining about an entire population by examining
only a part of it. Sampling plans calls for three decisions.
a) Sample unit
b) Sample size
c) Sampling procedure
The design to be adopted for the study will be based on convenient sampling.
The population for the study will consist of employees in the NIMS hospital.
5. 5
SAMPLE UNIT
NIMS HOSPITAL
SAMPLE SIZE:- 9
SAMPLING PROCEDURE:-For the study, respondent were selected on the basis
of convenient sampling.
SOURCE OF THE DATA:-The study requires both primary and secondary
data.
PRIMARY SOURCE:-
Questionnaires
SECONDARYSOURCE:-
Indirect observation
Library and research work
Internet, web pages and blogs
Articles
Books
Secondarydata will be used to analyze the primary data in light of real world
situations.
ANALYSIS OF THE DATA:-
The primary data will be analyzed with the help of statistical tools and
techniques.
DATA PRESENATIONTOOLS USED:-
Primary data was collected through the questionnaire by distributing
questionnaires; questionnaires’ with both close ended and open ended questions
have been used as sample respondents. Thefacts are presented in the form of
pie- charts and bars.
LIMITATIONS OF STUDY:-
The study is confined to NIMS hospital, jaipur only.
The study was conducted onthe assumptions that the information is given
by respondent.
Sample size is restricted to 9 respondents.
Time constraints.
6. 6
Data Analysis & Interpretation:-
1. Satisfaction with the treatment of doctors.
a) Satisfied b) dissatisfied c) undecided
Interpretation:-
Figure shows that 78% patients were satisfied with the treatment of doctors
while 22% patients were undecided.
2. Satisfaction with the environment of hospital.
a) Agree b) disagree c) somewhat agree
Interpretation:-
Figure shows that 89% patients were satisfied with the environment of hospital
and 11% were somewhat agree with the environment of hospital.
3. Satisfaction with getting medical aid in emergency department.
a) Yes b)no c) more or less
Satisfied
78%
Dissatisfi
ed
0%
Undecid
ed
22%
Agree
89%
Disagree
0%
Somewha
t
11%
Yes
56%
No
11%
More or
Less
33%
7. 7
Interpretation:-Figure shows that 56% were satisfied with getting aid
emergency department 33% were more or less and 11% were not satisfied
with medical aid in emergency department.
4. Satisfaction with the amount spent for Medical needs.
a) Yes b) no c) more or less
Interpretation:- Figure shows that 89% patients were satisfied with the
amount spent for medical needs and 11% patients were not satisfied with the
amount spent for medical needs.
5. Time waited by the patient to be seen by doctor.
a) Satisfied b) dissatisfied c) undecided
Interpretation:-Figure shows that 78% patients were satisfied with the time
waited for doctorand 22% were undecided.
6. General interest taken by the doctorin the patient as a person.
a) Yes b) no c) little bit
Interpretation:-Figure shows that 100% patients were satisfied with the
statement.
yes
89%
no
11%
more or
less
0%
satisfied
78%
dissatisfie
d
0%
undecide
d
22%
yes
100%
no
0%
littlebit
0%
8. 8
7. Doubts about the ability of the doctors.
a) Yes b) no c) little bit
Interpretation:-Figure shows that 100% patients had no doubts about the
ability of doctors.
8. More attention to privacy while receiving medical care.
a) Yes b) no c) little bit
Interpretation:-
Figure shows that 100% patients were agree with the statement
9. Thoroughness in treatment and examination.
a) Yes b) no c) little bit
Interpretation:-
Figure shows that 78% patients were agree with the statement and 22%
patients were disagreeing.
yes
0%
no
100%
littlebit
0%
yes
100%
no
0%
littlebit
0%
yes
78%
no
22%
littlebit
0%
9. 9
10.Do doctors listen carefully to what patients say?
a) Yes b) no c) sometime
Interpretation:-Figure shows that 100% patients were agree that doctors listen
carefully to what patients say.
11.Do doctors ignore what patients tell them?
a )Yes b) no c) sometime
Interpretation:-Figure shows that 89% patients were disagree with the
statement and 11%were agree.
12.Admission to this hospital without any trouble.
a) Yes b) no
Interpretation:-Figure shows that 100% patients were agree that they had no
trouble in admission to the hospital.
yes
100%
no
0%
sometim
es
0%
yes
89%
no
11%
sometim
e
0%
yes
100%
no
0%
10. 10
13.Easy access to medical specialists in the hospital.
a) Yes b) no c) more or less
Interpretation:-Figure shows that 67% patients got easy access to medical
specialists in the hospital and 33% did not got the easy access to medical
specialists.
14.Satisfaction with the nursing care in the hospitals.
a) Yes b) no c) more or less
Interpretation:- Figure shows that 56% patients were satisfied with the
nursing care in hospital ,22% more or less and 22% were not satisfied.
15.Nurses in the hospital are discourteous.
a) Yes b) no c) more or less
yes
67%
no
33%
more or
less
0%
yes
11%
no
56%
more
or less
33%
yes
56%
no
22%
more or
less
22%
11. 11
Interpretation:-Figure shows that 56% patients expressed that nurses in the
hospital are not discourteous, 11% expressed yes and 33% more or less.
16.Satisfaction with the services provided in the OPD.
a)Yes b) no c) little bit
Interpretation:-
Figure shows that 78% patients were satisfied with the services provided in
the OPD and 22% were little bit.
17.Amount of time patient had to wait long before having X-rays performed.
a)Satisfied b) dissatisfied c) undecided
Interpretation:-
Figure shows that 67% patients were satisfied with the amount of time wait for
X-ray performed., 11% dissatisfied and 22% were undecided.
yes
78%
no
0%
littlebit
22%
satisfied
67%
dissatisfied
11%
undecided
22%
12. 12
18.Satisfaction with the general cleanliness of the hospital.
a)Yes b) no c) not at all
Interpretation:-
Figure shows that 78% patients were satisfied with the general cleanliness of the
hospital, 22% not at all.
19.Maintenance of toilets in the hospital.
a) Yes b) no c) adequate
Interpretation:-
Figure shows that 56% patients were not satisfied with the maintenance of the
toilet in the hospital and 44% were feel that maintenance of the toilet was
adequate.
yes
78%
no
0%
not atall
22%
yes
0%
no
56%
adequate
44%
13. 13
20.Satisfaction with the hospital food.
a) Satisfied b) dissatisfied c) undecided
Interpretation:-
Figure shows that 45% patients were dissatisfied with the hospital food 11%
were satisfied and 44% were undecided.
21.Satisfaction with the hospital drinking water facility.
a) Satisfied b) dissatisfied c) undecided
Interpretation:-
Figure shoes that 78% patients were satisfied with the drinking water facilities
in the hospital and 22% were undecided.
satisfied
11%
dissatisfied
45%
undecided
44%
satisfied
78%
dissatisfied
0%
undecided
22%
14. 14
Finding & Inferences
The primary data, which is collected with the help of questionnaire,
represent many essentials findings about the OPD of NIMS hospital
78% patients were satisfied with the treatment of the doctors and
89%patients were satisfied with the environment of the hospital.
56% were satisfied with getting aid emergency department and
89% were satisfied with the amount spent for medical needs.
Doctors in NIMS hospital take general interest in the patients as
a person and they listen carefully the problems of the patients.
The health care providers in NIMS hospital provide more
attention to privacy of the patients while receiving medical care
and do not ignore what patients tell them.
NIMS hospital provides thoroughness in treatment and
examination.
Patients can get admission to the hospital without any trouble
and easy access to medical specialist in the hospital.
Nursing staff in the department of surgery are courteous and
most of the patients are satisfied with nursing care.
78% patients were satisfied with the services provided in the
OPD and general cleanness of the hospital.
Patients were dissatisfied with the maintenance of toilets in the
hospital and the maintenance of the drinking water facility.
Patients were dissatisfied with the food quality of the hospital.
15. 15
CONCLUSION:-
NIMS hospital is providing adequate services at reasonable prise
in OPD.
NIMS hospital OPD reduces the crowed and waiting time foe
patient.
NIMS hospital provide clean environment to the patient in OPD
In NIMS hospital doctors are providing considerable services to
the patients in OPD.
Patients are satisfied with the nursing care in the OPD( in
department of surgery)
Patients are not satisfied with the food and maintenance of
toilets in the hospital.
RECOMMANDATIONS:-
NIMS hospital should provide training to the nursing staff.
NIMS hospital should provide good food to the patients.
NIMS hospital should improve the maintenance of toilets in
hospital.
Hospital should provide effective inquiry counters or help desk
of patients.
