A time and motion study in outdoor patient department of rural health training centre of tertiary medical college in Konkan region, India

Rahul Rajaram Chopade, Narendra K. Sharma, Suresh M. Sundar


Background: Purpose of time motion study is to know the time taken in different service delivery points in outpatient department (OPD), for specific activity, work function or mechanical process and to assess the perception of beneficiaries regarding the total time spent in the OPD. Therefore, the present study was conducted to study the operational efficiency and also to find the time required for various activities at different service points at rural health training centre attached to medical college.

Methods: It was a cross-sectional study carried out in rural health training centre attached to BKL Walawalkar rural medical college, Sawarde), district Ratnagiri, Maharashtra, India over period of 6 month from July 2018 to December 2018. About 300 patients were included in the study.

Results: According to 26.67% study participants, total time was too long. 26% study participants were not satisfied about the total time taken in the OPD while 50.34% study participants were satisfied regarding the total time.

Conclusions: Patients satisfaction is the most important criterion to be met if more people are to be drawn into the hospital. Thus, improving the satisfaction of patients towards health care services by reducing their waiting time, by attending the patient in time will help to create a positive image of hospital in the mind of people and community.


Time motion study, Rural hospital, OPD

Full Text:



Abotsi AK. A time and motion study of the time burden on health workers administering expanded programme of immunization and intermittent preventive treatment for infants in the Upper East Region of Ghana. Afr J Interdisciplinary Studies. 2011;4(2):37–43.

Saint S, Howell JD, Krein SL. Implementation science: how to jump-start infection prevention. Infection Control Hospital Epidemiol. 2010;31(1):S14–S17.

Barnes RM. Motion and Time study. 2nd ed. New York: John Wiley & Sons Inc; 1940.

Lopetegui M, Yen PY, Lai A, Jeffries J, Embi P, Payne P. Time motion studies in healthcare: what are we talking about? J Biomed Informatics. 2014;49:292–9.

Rahim E, Rahman M, Talukdar AM, Anwar KS. Waiting Time of the Patients at Medical College OPD of Dhaka Medical College Hospital. J Med Sci Res. 2007;08:16-20.

Aswar NR, Kale KM, Rewatkar MP. Patients’ waiting time and their satisfaction of health care services provided at outpatient department of Government Medical College, Nanded (Maharashtra, India). Int J Health Sci Res. 2014;4(4):21-27.

Oche UIMO, Umar AS. Patient waiting time in a tertiary health institution in Northern Nigeria. J Public Health Epidemiol. 2011;3(2):78-82.

Director General of Health Service. Standards for district hospitals. Development of health care quality assurance project. 1997: 9-15.

Manna N, Samsuzzaman M, Das S. IOSR J Dent Med Sci. 2014;13(7):34-37.

Chetwynd SJ. Satisfaction and dissatisfaction with the public and private hospitals. New Zealand Medical J. 1988;101(853):563-9.

Kumari R, Idris MZ, Bhushan V, Khanna A. Agarwal M, Singh SK. Study on patient satisfaction in the Government allopathic health facilities of Lucknow district, India. Indian J Community Med. 2009;34(1):35-42.

Bilkish NP, Sangita SC, Prakash A, Manjunath KS. A cross sectional study of patient’s satisfaction towards services received at tertiary care hospital on OPD basis. National J Community Med. 2012;3:232-7.