Nishant D Goyal1, Rajesh Kumar Chavan2, Anshul Pahwa3, Vinay Kumar Gautam4, Neeraj Mishra5, Prashant Kumar Tripathi6. 1. Department of Orthopaedics, ShriVasantrao Naik Medical College and Hospital, Yavatmal, Maharashtra, India. 2. Dept of Orthopaedics, ShriVasantrao Naik Medical College and Hospital, Yavatmal, Maharashtra, India. 3. Department of Obstetrics and Gynaecology, ShriVasantrao Naik Medical College and Hospital, Yavatmal, Maharashtra, India. 4. Dept of Orthopaedics,Deenanath Mangeshkar Hospital, Pune, India. 5. Dept of Orthopaedics, Rajawadi General Hospital, Mumbai, India. 6. MAX Hospital, Saket, Delhi, India.
Abstract
BACKGROUND: A heavily loaded subsidized government run OPD at tertiary care hospital normally caters 200-300 patients daily. Constant improvement in management of OPD through new policies are essential for better patient management and for proper utilization of skill, expertises and time of senior faculty. We designed a new concept of OPD TRIAGE for the same. MATERIAL AND METHODS: Study was carried out on 1800 randomly selected patients, 950 each on triage & non triage interventional day.Patients were interviewed and changes in their satisfaction level were noted through a questionnaire. Senior treating faculty were also questioned about their changes in behaviour towards patient due to the intervention. RESULTS: On triage days around 91% patients are satisfied with professional care, depth of relationship, doctor's attitude, counselling from doctor. While on non triage days, this figure is only 51%. Regarding treating doctors, around 93% percent of the time, the consultants were more happy and enthusiastic to consult patients on OPD triage days. While on non triage days it was only 32%. CONCLUSION: The concept of OPD Triage can very efficiently be applied for better management of patients in heavily loaded government OPD setup, which will also help in proper data maintenance, increase patients satisfaction and for efficient utilization of time, skills and expertise of the treating consultant.
BACKGROUND: A heavily loaded subsidized government run OPD at tertiary care hospital normally caters 200-300 patients daily. Constant improvement in management of OPD through new policies are essential for better patient management and for proper utilization of skill, expertises and time of senior faculty. We designed a new concept of OPD TRIAGE for the same. MATERIAL AND METHODS: Study was carried out on 1800 randomly selected patients, 950 each on triage & non triage interventional day.Patients were interviewed and changes in their satisfaction level were noted through a questionnaire. Senior treating faculty were also questioned about their changes in behaviour towards patient due to the intervention. RESULTS: On triage days around 91% patients are satisfied with professional care, depth of relationship, doctor's attitude, counselling from doctor. While on non triage days, this figure is only 51%. Regarding treating doctors, around 93% percent of the time, the consultants were more happy and enthusiastic to consult patients on OPD triage days. While on non triage days it was only 32%. CONCLUSION: The concept of OPD Triage can very efficiently be applied for better management of patients in heavily loaded government OPD setup, which will also help in proper data maintenance, increase patients satisfaction and for efficient utilization of time, skills and expertise of the treating consultant.
Authors: M C Oz; J Zikria; C Mutrie; J P Slater; C Scott; S Lehman; M W Connolly; D T Asher; W Ting; P B Namerow Journal: Heart Surg Forum Date: 2001 Impact factor: 0.676