Impact of Traffic-Induced Delays on Timely Arrival of Medical and Paramedical Staff

Abstract

Background:
Timely arrival of healthcare staff is essential for smooth hospital functioning, patient safety, and efficient service delivery. Traffic congestion is increasingly recognised as a major external determinant affecting staff punctuality, especially in urban and semi-urban medical institutions. Government Medical College, Ayodhya, located along major road intersections, experiences dense traffic during peak hours.

Objectives:
To assess the prevalence, determinants, magnitude, and operational impact of traffic-related late arrival among medical and paramedical staff during November 2021.

Methods:
This prospective observational study included 79 hospital staff members. Daily attendance logs and self-reported proformas were used to document reasons, frequency, and duration of delays. Determinants such as distance from residence, mode of transport, and peak hour traffic intensity were analysed.

Results:
Out of 79 staff, 52 (65.8%) reported at least one episode of late arrival during the study period. Traffic congestion was the leading cause, accounting for 58% of total delays. Staff living >10 km from the hospital had significantly more delays (74%) compared to those living <5 km (22%). The mean delay was 14.6 minutes per episode. Paramedical staff experienced the highest incidence (72%). Morning peak hours (8–10 AM) accounted for 81% of delays.

Conclusion:
Traffic congestion is a major contributor to healthcare workforce delays, significantly affecting hospital workflow, morning rounds, OPD initiation, and efficiency. Institutional and urban planning interventions are required to mitigate this operational burden.