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    INTRODUCTION:-

    What is OPD?

    A hospital department where patients receive diagnoses and/or treatment but donot 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 chose and 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 post discharge 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 cost onin 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 departmentssuch 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 convenientfor patient to get the treatment in their concern department of OPD.

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    OPD Timing

    9am to 4pm

    DEPARTMENT OF ORTHOPEDIC

    In OPD of orthopaedic there are two staff nurses and one nursing assistant and

    five units which are:-

    UNIT-1

    Dr. Nirmal jain (Professor & head)

    Dr. C.S Ajmani (associate professor)

    Dr. Shiv K. Goyal (assistance professor)

    UNIT-2

    Dr. Harish Chandra (professor)

    Dr. Mukesh tiwari (associate professor)

    Dr. Ashok K.Sharma (assistance professor)

    UNIT-3

    Dr. Satish Chand Sahu (professor)

    Dr. Sumeet Sihghal (associate professor)

    Dr. Abhay S.Jain (assistance professor)

    UNIT-4

    Dr. C.S Sharma (professor)Dr. Rajesh Kanoji (associate professor)

    Dr. Rajiev Siwach (assistance professor)

    UNIT-5

    Dr. Amit Singhal (associate professor)

    Dr. Ashish Sharma (associate professor)Dr. Aseem Kumar (assistance professor)

    Dr. S.S.Soni (assistance professor)

    Department of Surgery has following special clinics:-

    1) Monday- Low back pain & spine clinic2) 2 Monday- Sports injury clinic3) 3 Monday- Arthritis clinic4) 4 Monday- Fracture clinic5) Wednesday- Deformity clinic

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    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 analyze data during research. The research to be carried

    out is on enhancing effective inventory management in APEX hospital. 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 purpose of the research, how it proceeds,

    how to measure progress and what constitute success with respect to the

    objectives determined for carrying out the research study.

    Research design:-

    The research design is descriptive in 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 source of data and

    SAMPLING DESIGN:-

    Sampling is the process of obtaining about an entire population by examiningonly a part of it. Sampling plans calls for three decisions.

    a) Sample unitb) Sample sizec) 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 APEX hospital.

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    SAMPLE UNIT

    NIMS HOSPITAL

    SAMPLE SIZE:- 7

    SAMPLINGPROCEDURE:-For the study, respondent were selected on the

    basis of random sampling.

    SOURCE OF THE DATA:-The study requires both primary and secondary data.

    PRIMARY SOURCE:-

    QuestionnairesSECONDARY SOURCE:-

    Indirect observation Library and research work Internet, web pages and blogs Articles Books

    Secondary data 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 PRESENATION TOOLS USED:-

    Primary data was collected through the questionnaire by distributingquestionnaires; questionnaires with both close ended and open ended

    questions have been used as sample respondents. The facts 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 on the assumptions that the information is

    given by respondent.

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    Sample size is restricted to 9 respondents. Time constraints.

    Data Analysis & Interpretation:-

    1. Satisfaction with the treatment of doctors.a) Satisfied b) dissatisfied c) undecided

    Interpretation:-

    Figure shows that 86% patients were satisfied with the treatment of

    doctors while 14% patients were undecided.

    2. Satisfaction with the environment of hospital.a) Agree b) disagree c) somewhat agree

    Satisfied

    86%

    Dissatisfie

    d

    0%Undecided

    14%

    Agree

    100%

    Disagree

    0%Somewhat

    0%

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    5. Time waited by the patient to be seen by doctor.a) Satisfied b) dissatisfied c) undecided

    Interpretation:-

    Figure shows that 100% patients were satisfied with the time waited by

    the patient to be seen by doctor.

    6. General interest taken by the doctor in the patient as a person.a) Yes b) no c) little bit

    Interpretation:-

    Figure shows that general interest taken by the doctor in the patient as a

    person 86% patient satisfied and 14% patient little bit.

    satisfied

    100%

    dissatisfied

    0%

    undecided0%

    yes

    86%

    no

    0%

    little bit

    14%

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    7. Doubts about the ability of the doctors.a) Yes b) no c) little bit

    Interpretation:-

    Figure shows that 100% patients were satisfied with the doubts about the

    ability of the doctors.

    8. More attention to privacy while receiving medical care.a) Yes b) no c) little bit

    Interpretation:-

    Figure shows that more attention to privacy while receiving medical care

    86% patients satisfied and 14% patients little bit.

    yes

    0%

    no

    100%

    little bit

    0%

    yes

    86%

    no

    0%

    little bit14%

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    9. Thoroughness in treatment and examination.a) Yes b) no c) little bit

    Interpretation:-

    Figure shows that 100% patients were satisfied with the thoroughness in

    treatment and examination.

    10.Do doctors listen carefully to what patients say?a) Yes b) no c) sometime

    Interpretation:-

    Figure shows that doctors listen carefully to what patients 86% patientssay yes and 14% patients say sometime.

    yes

    100%

    no0%

    little bit0%

    yes

    86%

    no

    0%

    sometime

    s

    14%

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    11.Do doctors ignore what patients tell them?a) Yes b) no c) sometime

    Interpretation:-

    Figure shows that doctors ignore what patients tell 86% patients say yes

    and 14% patients say sometime.

    12.Admission to this hospital without any trouble.a) Yes b) no

    Interpretation:-

    Figure shows that admission to this hospital without any trouble 86%

    patients say yes and 14% patient say no.

    Yes

    86%

    No

    0%

    Sometime

    14%

    yes

    86%

    no

    14%

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    13.Easy access to medical specialists in the hospital.a) Yes b) no c) more or less

    Interpretation:-

    Figure shows that easy access to medical specialists in the hospital 43%

    patients say yes, 28% patients day no and 29% patients say more or less.

    14.Satisfaction with the nursing care in the hospitals.a) Yes b) no c) more or less

    Interpretation:-

    Figure shows that satisfaction with the nursing care in the hospitals 64%

    patients say yes, 25% patients say no and 11% patient say more or less.

    yes

    43%

    no

    28%

    more

    or less

    29%

    yes

    64%

    no

    25%

    more or

    less

    11%

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    15.Nurses in the hospital are discourteous.a) Yes b) no c) more or less

    Interpretation:-

    Figure shows that nurses in the hospital are discourteous 86% patient say

    yes and 14% patient say no.

    16.Satisfaction with the services provided in the OPD.a)Yes b) no c) little bit

    Interpretation:-

    Figure shows that 100% patients were satisfied with the satisfaction with

    the services provided in the OPD.

    yes

    86%

    no

    14%

    more or less

    0%

    yes

    100%

    no

    0%

    little bit

    0%

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    17.Amount of time patient had to wait long before having X-rays performed.a) Satisfied b) dissatisfied c) undecided

    Interpretation:-

    Figure shows that 100% patients were satisfied with the amount of the

    patient had to long before having X-rays performed.

    18.Satisfaction with the general cleanliness of the hospital.a) Yes b) no c) not at all

    Interpretation:-

    Figure shows that Satisfaction with the general cleanliness of the hospital

    57% patient say yes, 29% patient say no and 14% patient say not at all.

    satisfied

    100%

    dissatisfied

    0%

    undecided

    0%

    yes

    57%

    no

    29%

    not at all

    14%

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    19.Maintenance of toilets in the hospital.a) Yes b) no c) adequate

    Interpretation:-

    Figure shows that 100% patients were dissatisfied with the Maintenance

    of toilets in the hospital.

    20.Satisfaction with the hospital food.a) Satisfied b) dissatisfied c) undecided

    Interpretation:-

    Figure shows that satisfaction with the hospital food 14% patient

    satisfied, 72% patient dissatisfied and 14% patient undecided.

    yes

    0%

    no

    100%

    not at all

    0%

    satisfied

    14%

    dissatisfied

    72%

    undecided

    14%

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    Findings& inferences:-

    86% patients were satisfied with the treatments of doctors inOPD of orthopaedics.

    Patients were satisfied with the environment of the hospital andthe amount paid by the patients on the medical aid.

    Patients have no doubt on the treatments of the doctors and86%take interest in the patients as a person in OPD of orthopaedics.

    64% patients were satisfied with the care of nursing staff and86% patients expressed that nursing staff are discourteous in

    OPD of orthopaedics.

    43% patients got easy asses to the medical specialists.Patients got easy admission in the hospital and they were

    satisfied with the services in the OPD.

    Patients expressed that doctors do not ignore what the patientssays and listen carefully to the patients.

    57% patients were satisfied with the general cleanness of thehospital.

    Patients were satisfied whit the time waited for the X- ray andthoroughness in the treatments

    Patients were dissatisfied with the maintaining of the toilets inthe hospital .

    72% patients were dissatisfied with the food of the hospital.

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    Conclusions:-

    NIMS hospital provides good services at the reasonable prise inthe OPD.

    NIMS hospital provides clean environment in the hospital.In NIMS hospital doctors are providing good services in theOPD.

    NIMS hospital reduces the waiting time of the patients in theOPD.

    Patients were not satisfied with the nursing staff of the OPD( inorthopaedics department)

    Patients were not satisfied with the toilet maintains and foodservices of the hospital.

    Recommendations:-

    NIMS hospital should improve the maintenance of the toilet inthe OPD.

    NIMS hospital should provide training to the nursing staffs ofOPD.NIMS hospital should improve the quality of food in hospital.NIMS hospital should improve the general cleanness in the

    OPD.

    NIMS hospital should provide easy access of the patients forspecialists in OPD.