This document summarizes the results of a patient satisfaction survey conducted at the outpatient department of Medanta-The Medicity hospital. Some of the key findings include:
- 83% of patients felt doctors understood their problems completely or mostly.
- Waiting times were as expected or better than expected for 93% of patients.
- Registration services, staff courtesy, and cleanliness received high satisfaction ratings from over 90% of patients.
- However, only 65% were satisfied with pharmacy services and 29% rated them as satisfactory.
- 64-77% of patients expressed overall satisfaction with OPD services and said they would return for future care.
Patient Satisfaction deals with how patients evaluate the quality of their healthcare experience. It is mainly assessed by conducting Patient Satisfaction Surveys using Healthcare Survey Software to determine the high quality of care, in addition to numerous other dimensions of quality, such as relevance to need, effectiveness, and efficiency.
The presentation describes in brief the patients need, expectations and how to develop the patient care and feedback system to obtain maximum patient satisfaction.
Patient Satisfaction deals with how patients evaluate the quality of their healthcare experience. It is mainly assessed by conducting Patient Satisfaction Surveys using Healthcare Survey Software to determine the high quality of care, in addition to numerous other dimensions of quality, such as relevance to need, effectiveness, and efficiency.
The presentation describes in brief the patients need, expectations and how to develop the patient care and feedback system to obtain maximum patient satisfaction.
Project report on Time and motion study and OPD questionnaire survey.DR RITA SINGH
Association between waiting time and consultation time in Outpatient department and OPD pharmacy and OPD patient satisfaction: A time and motion study and OPD questionnaire Survey
Importance of Measuring Patient SatisfactionZonkaFeedback
Patient Satisfaction is an important metric to measure overall healthcare quality. With the help of Patient Satisfaction Surveys, constant measuring of Patient Satisfaction and improving Patient Experience can be achieved. It is a valuable tool to capture Patient Feedback without much effort.
https://www.zonkafeedback.com/blog/importance-of-measuring-patient-satisfaction
Patient Satisfaction Survey as a Tool Towards Quality Improvement by Dr.Mahbo...Healthcare consultant
A mixed bag of poorly evaluated methods leaves patients frustrated, and doctors little wiser.The best way to ensure that services are responsive to those they aim to serve is to elicit feedback on people’s experiences and encourage providers to deal with any problems thus identified. This has been axiomatic in health policy for many years, but have we got the balance right in primary care? Patients’ experiences have become central to assessing the performance of healthcare systems worldwide and are increasingly being used to inform quality improvement processes. This paper explores the relative value of surveys and detailed patient narratives in identifying priorities for improving breast cancer services as part of a quality improvement process.
This report the detailed analysis of the organization and the overall topic and operational
aspects has been evaluated to analyse the position of the organization.
A Study on Delay in Discharge Process, in One of Multispeciality Hospital in ...ijtsrd
Discharge delays are one of those problems that spoil the overall pleasant experience inside the hospital. The study was conducted to identify the reasons and determinants of discharge delay in acute patients care. Delayed discharge is usually associated with a patient's medical conditions, delayed health care or medical advice, delayed diagnostic services, and delayed related health services. This paper deals with the discharge delay of inpatients in a selected hospital. An annexure was prepared to see the time taken by patients from the time of discharge till they actually leave the hospital premises. The outcome that is expected from this study was to identify the reasons for the delay of discharge and to come up with suggestions to reduce them. K. Revathi | Mrs. U. Suji "A Study on Delay in Discharge Process, in One of Multispeciality Hospital in Tanjore" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-4 , June 2020, URL: https://www.ijtsrd.com/papers/ijtsrd30919.pdf Paper Url :https://www.ijtsrd.com/management/other/30919/a-study-on-delay-in-discharge-process-in-one-of-multispeciality-hospital-in-tanjore/k-revathi
A dissertation report on analysis of patient satisfaction max polyclinic by ...Mohammed Yaser Hussain
Hospitals are increasingly becoming sensitive to the needs of the patients as will the community. It is no longer the sellers [providers] market. Except for the totally free service provided by the Government run hospitals and a few hospitals run by the civic hospitals.
According to Dona Bedian
“Patient satisfaction may be considered to be one of the desired outcomes of care, even on element of health status itself” and that “information about patient satisfaction should be as indispensable to assessment of quality as to the design and management of health care system.
During the recent years the use of patient satisfaction surveys has increased in health care industry due in part to the belief that perception of quality is an important factor in demand for services and that survey result may have significant effect on provider behaviour. According to Ware “patient satisfaction is a determinant of a healthcare provider or system. Use of services complaints and malpractice suits”.
Use of patient satisfaction survey as a tool for quality improvement has become extensive in almost all western countries. Most hospital have a system of obtaining routine feedback from all the discharge patients. The quality improvement task force of the joint commission of accreditation of the health care organization in USA is also encouraging hospitals to mandate surveys are conducted in private hospitals.
Project report on Time and motion study and OPD questionnaire survey.DR RITA SINGH
Association between waiting time and consultation time in Outpatient department and OPD pharmacy and OPD patient satisfaction: A time and motion study and OPD questionnaire Survey
Importance of Measuring Patient SatisfactionZonkaFeedback
Patient Satisfaction is an important metric to measure overall healthcare quality. With the help of Patient Satisfaction Surveys, constant measuring of Patient Satisfaction and improving Patient Experience can be achieved. It is a valuable tool to capture Patient Feedback without much effort.
https://www.zonkafeedback.com/blog/importance-of-measuring-patient-satisfaction
Patient Satisfaction Survey as a Tool Towards Quality Improvement by Dr.Mahbo...Healthcare consultant
A mixed bag of poorly evaluated methods leaves patients frustrated, and doctors little wiser.The best way to ensure that services are responsive to those they aim to serve is to elicit feedback on people’s experiences and encourage providers to deal with any problems thus identified. This has been axiomatic in health policy for many years, but have we got the balance right in primary care? Patients’ experiences have become central to assessing the performance of healthcare systems worldwide and are increasingly being used to inform quality improvement processes. This paper explores the relative value of surveys and detailed patient narratives in identifying priorities for improving breast cancer services as part of a quality improvement process.
This report the detailed analysis of the organization and the overall topic and operational
aspects has been evaluated to analyse the position of the organization.
A Study on Delay in Discharge Process, in One of Multispeciality Hospital in ...ijtsrd
Discharge delays are one of those problems that spoil the overall pleasant experience inside the hospital. The study was conducted to identify the reasons and determinants of discharge delay in acute patients care. Delayed discharge is usually associated with a patient's medical conditions, delayed health care or medical advice, delayed diagnostic services, and delayed related health services. This paper deals with the discharge delay of inpatients in a selected hospital. An annexure was prepared to see the time taken by patients from the time of discharge till they actually leave the hospital premises. The outcome that is expected from this study was to identify the reasons for the delay of discharge and to come up with suggestions to reduce them. K. Revathi | Mrs. U. Suji "A Study on Delay in Discharge Process, in One of Multispeciality Hospital in Tanjore" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-4 , June 2020, URL: https://www.ijtsrd.com/papers/ijtsrd30919.pdf Paper Url :https://www.ijtsrd.com/management/other/30919/a-study-on-delay-in-discharge-process-in-one-of-multispeciality-hospital-in-tanjore/k-revathi
A dissertation report on analysis of patient satisfaction max polyclinic by ...Mohammed Yaser Hussain
Hospitals are increasingly becoming sensitive to the needs of the patients as will the community. It is no longer the sellers [providers] market. Except for the totally free service provided by the Government run hospitals and a few hospitals run by the civic hospitals.
According to Dona Bedian
“Patient satisfaction may be considered to be one of the desired outcomes of care, even on element of health status itself” and that “information about patient satisfaction should be as indispensable to assessment of quality as to the design and management of health care system.
During the recent years the use of patient satisfaction surveys has increased in health care industry due in part to the belief that perception of quality is an important factor in demand for services and that survey result may have significant effect on provider behaviour. According to Ware “patient satisfaction is a determinant of a healthcare provider or system. Use of services complaints and malpractice suits”.
Use of patient satisfaction survey as a tool for quality improvement has become extensive in almost all western countries. Most hospital have a system of obtaining routine feedback from all the discharge patients. The quality improvement task force of the joint commission of accreditation of the health care organization in USA is also encouraging hospitals to mandate surveys are conducted in private hospitals.
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Patient satisfaction surveys should focus on meaningful informationCare Analytics
In today’s highly competitive market, tracking patient satisfaction levels is absolutely critical a facilities success. The patient satisfaction survey is an increasingly essential and useful tracking tool. Meaningful customer satisfaction surveys designed for a patient target a variety of operational issues ranging from the overall experience to physician style and demeanor.
Check-In Kiosk Eval Class of 2014 Aslie (Ashlie) Burnett.docxspoonerneddy
Check-In Kiosk
Eval Class of 2014
Aslie (Ashlie) Burnett-Project Facilitator
Overview
Michael E. DeBakey Veterans Affairs Hospital has been a leader in quality care since the 1930s, by serving, honoring, providing care to the men and women who are America’s Veterans. We have upgraded the facility and enriched technology to better meet the needs of our veterans- we are now excited to introduce a first-ever check-in kiosk .
Reason for Action
Problem Statement
In 2014 MEVAMC had reduced usage of innovative technology and complaints of long lines and long wait times lead to external customer dissatisfaction.
Business Case
The delay affects the customer's gratification, institutional status in the waiting area of the hospital corrective actions from higher authorities in reply to client criticisms and puts extra pressure on internal clients.
3
Reason for Action
Aim/Goal: Within 90 days, MEDVAMC Emerging VA Leaders will introduce the self-check-in kiosk, increase users' understanding of its functional purpose and benefits, improve patient satisfaction by reducing wait time and improve the kiosk check-in by 20%.
Scope: The check-in process for patients
Start: When the patient arrive to the clinic
Stops: When the patient is called to the back to see a provider.
Constraints: limited knowledge of kiosk
Start with areas that have high number of repeat patients
Start with check in and payments, then add functions as desired
Use a greeter during initial rollout
Place the kiosks in an obvious location
Enable as many languages as you reasonably expect to use
System selectin
Freestanding kiosk and countertop kiosk
4
6 Ambassadors
3 Actors
4 Graphic designers
3 people from volunteer services
Sponsor (Adam Walmus, MEDVAMC Director (2014)
Valerie Williams, Education/ EVAL coordinator
Joycelyn Westbrook
Larry Wilkerson
Kendra Price-Mayes
Team member/ Project Facilitator: Aslie Burnett
Natalie Delahoussaye
Merisha Freeney
Gregory Austin
Karl Murray
Shauna Babers
Grant Lenued
Chakita James
Tonya Hackney
Katress King
Sharice Easterling
Diana Pham
Shirley Collins
Rickey Reed
Members from Volunteer services
Surveys: were done with 98 patients from the 100 surveyed cases to estimate self-check-in awareness level, check-in experience, successful check-ins, timeliness of check in process, and why they used the kiosk.
Kiosk Interactions Report: Displayed how many interactions vs. transactions
A team was formed to survey customers in three piolet areas: Dental, Dermatology, & Eye clinics.
The Current State
Based on the current state, out of 79 patient complaints the top dental complaints were dental eligibility and patient access/ wait time.
Based on the all employee survey the top complaints were low moral amongst dental personnel and staff shortage/ burnout
Voice of customer: SHEP survey’s, v-signal, and share your experience
Voice of customer: All employee survey’s
Low Moral -15%
Patient Access/Wait time-.
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Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
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The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
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2. OUTPATIENT DEPARTMENT OF A HOSPITAL
An outpatient
department or
outpatient clinic is
the part of a hospital
designed for the
treatment of
outpatients, people
with health problems
who visit the hospital
for diagnosis or
treatment, but do not
at this time require a
bed or to be admitted
for overnight care.
Modern outpatient
3. WHAT IS PATIENT SATISFACTION
Patient satisfaction is a measure of
the extent to which a patient is
content with the health care which
they received from their health care
provider.
In evaluations of health care quality,
patient satisfaction is a performance
indicator measured in a self-report
4.
5. • To determine the level of patient satisfaction towards OPD
services with reference to physical facilities, medical
equipments, staff services.
• To describe accessibility of patients towards OPD services at
Medanta-The Medicity hospital.
• To describe experience of patients in terms of convenience,
medical expenses and quality of care towards OPD health
care services.
• To determine the association between accessibility,
experience and patient satisfaction concerning the OPD
services at Medanta-The Medicity hospital.
• To describe the patients suggestion on improving the
services in the Outpatient Department.
6. METHODOLOGY
The study was conducted among 110 patients
attending OPD of Medanta-The Medicity , Gurgaon
during the period from 01/07/2017 to 31/08/2017. The
patients were selected randomly from various
specialties. In order to get the details from patients,
a questionnaire was designed to include questions
eliciting awareness of patients about the outpatient
department services, logistic arrangements in the
outpatient departments, waiting time, facilities,
perception about the performance of staff,
appointment system, behavior of staff, support
services and any other suggestions from patients.
7. METHODOLOGY ( CONT..)
•Sample Size
•To know about the patient’s feedback for the Out Patient department, 10 persons from each
department, a total of 110 people were interviewed through an out-patient feedback form.
•Data Collection Technique
•Interview of patients
•Fill up of Out-patient feedback Form
•Data Collection Tool
Structured questionnaire which contains open ended and multiple choice questions are used to get data.
wStatistical Tools
The statistical tools used for analyzing the data collected are simple Percentage method and
Chart.
The data for the research has been collected using questionnaire. The Questionnaire was
distributed randomly to a sample of patients and 110 patients have responded.
•Types of Data
•Primary Data:-
In this method, data are collected directly from the field through questionnaires.
•Secondary Data:-
In this method, data are collected from departmental statistics.
8.
9. QUESTION 1:- To What Extent Did The
Doctor Understand Your Problem ?
Completely
Mostly
Somewhat
Not at all
83%
15%
3%
9%
INFERENCE- From the above
graph, it can be observed that
most of the patients are satisfied
with the extent of problem
TOTAL 110
10. QUESTION 2- How Would You Describe The
Waiting Time For The Doctor ?
BETTER THAN
EXPECTED
45
AS EXPECTED
48
LONGER THAN
EXPECTED
14
UNSATISFACTORY
3
TOTAL
110
As Expected
Better Than
Expected
Longer Than
Expected
Unsatisfactory
48%
45%
14%
3%
INFERENCE-Fromtheabove
graph,itcanbeobservedthat
thewaitingtimeforthedoctors
isaspertheexpectationofthe
12. QUESTION 4 :- How courteous and
helpful were the front desk staffs ?
COMPLETELY 85
MOSTLY 18
SOMEWHAT 6
NOT AT ALL 1
TOTAL 110
Completely
Mostly
Somewhat
Not at all
85%18%
6%
1%
INFERENCE- From the above
graph, it can be observed that
most of the patients are satisfied
with the behavior of the front
desk staffs.
13. QUESTION 5- WereTheFrontOfficeStaffs
WillingToHelpYouWithYourQuery?
COMPLETELY 96
MOSTLY 6
SOMEWHAT 5
NOT AT ALL 3
TOTAL 110
Completely
Mostly
Somewhat
Not at all
96%
6%
5%
3%
INFERENCE- From the above
graph, it can be observed that
most of the patients are satisfied
with the helpfulness of the front
desk staffs.
14. QUESTION 6- How Would You Rate The
Pharmacy Services In The Hospital ?
ABOVE
EXPECTATION
34
SATISFACTORY 29
REASONABLE 32
UNSATISFACTORY 15
TOTAL 110
ABOVE
EXPECTATIO
N
REASONABLE
SATISFACTO
RY
UNSATISFAC
TORY
34%
32%
29%
15%
INFERENCE- From the
above graph, it can be
observed that most of the
patients are not satisfied
with the pharmacy
services.
16. QUESTION 8- How Was Your
Experience At The Food Court ?
ABOVE
EXPECTATION
92
SATISFACTORY 8
FAIR 6
BELOW
EXPECTATION
4
TOTAL 110
ABOVE
EXPECTATION
SATISFACTORY
FAIR
BELOW
EXPECTATION
92%8%
6% 4%
INFERENCE- From the above graph, it
can be observed that most of the
patients are satisfied with the food court
services.
17. QUESTION 9- DOES OUR STAFFS HAVE RESPECT
AND CONCERN FOR YOUR PRIVACY AND COMFORT ?
COMPLETELY 94
MOSTLY 6
SOMEWHAT 6
NOT AT ALL 4
TOTAL 110
COMPLETELY
MOSTLY
SOMEWHAT
NOT AT ALL
94%6%
6%
4%
INFERENCE- From the above graph,
it can be observed that the patients are
satisfied the way the hospital staffs
respected their privacy and comfort.
18. QUESTION 10- Would you visit medanta for future
healthcare needs?
DEFINI
TELY
YES
64
PROBA
BLY
YES
35
PROBA 8
Definitely
Yes
Probably
Yes
probably
No
Definitely
No
64%
35%
8%
3%
INFERENCE- From the
above graph, it can be
observed that most of
the patients are satisfied
with the hospital
services and would like
19. RECOMMENDA
TIONSConsumer satisfaction is recognized as an important parameter for assessing the
quality of patient care services being delivered by healthcare organizations.
Satisfaction regarding the attitude of providers toward these services is expected to
affect treatment outcome and prognosis. Patient satisfaction is thus, a
multidimensional concept and a subjective phenomenon that is linked to perceived
needs, expectations and experience of care.
• A patient satisfaction survey on 110 patients at Medanta-The Medicity hospital found
a staggering 70% of respondents were frustrated by wait times at the doctor’s office.
Almost every patient has experience wasting time away in a medical office.
• The patients intending to utilize the OPD Services will have his or her first interface
with the hospital at the OPD Registration counter. It is vital for patients to receive
adequate information at the Registration counter, as many of them may be utilizing
the OPD services for the first time. 95-100% of the patients expressed satisfaction with
the information received from the registration counters.
20. RECOMMENDATIONS ( CONTD…)
•Staff behavior, particularly polite and courteous behaviour
has been accepted as a necessity for hospital OPD services.
It was found that 90% patients remarked that OPD staff was
courteous and friendly, indicating politeness of paramedical
staff. Proper training of the staffs is extremely important to
maintain the brand image of the hospital in an efficient
manner.
•Waiting time, regardless of the length of the actual wait is an
important area to address enhancing overall satisfaction
ratings. It was observed that patients are generally
dissatisfied with the waiting time at various interfaces with
the hospital services. Increased waiting time could be
addressed by application of Queuing model at the
Registration area, Consultation rooms and pharmacy counter
to appreciate need for additional service stations. Separate
counter for senior citizens at various bottlenecks may be a
long term solution to address their concern at various
interfaces. When waiting time becomes inevitable, waiting
21. Patient satisfaction surveys
have evolved into a powerful
management and marketing tool,
being widely used by various
hospitals to capture the “Voice
of the Consumer” and
understand the views of the
patients in respect of services
being provided. Despite certain
structural constraints, 64-77% of
all patients have expressed
overall satisfaction judgment
with OPD Services, thus bearing
testimony to the efforts of the
hospital management towards
improvement of services being
provided at the hospital OPD.
Moreover, the hospital authority
may derive actionable inputs