Evidence map›Paper›PMID 38893690›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Private Doctors' Perspective towards "Patient First" in TB Diagnostic Cascade, Hisar, India.

Sanjeev Saini, Banuru Muralidhara Prasad, Ajay Mahajan, Akshay Duhan, Anuj Jangra, Jitendra Gauttam, Mandeep Malik, Jyoti Kayesth, Bhavin Vadera, Reeti Desai Hobson

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sanjeev SainiInfectious Disease Detection and Surveillance (IDDS), ICF, New Delhi 110037, India.
Banuru Muralidhara PrasadInfectious Disease Detection and Surveillance (IDDS), ICF, New Delhi 110037, India.
Ajay MahajanState Indian Medical Association, Hisar 125001, Haryana, India.
Akshay DuhanDirectorate of Health Services, Government of Haryana, Hisar 125001, Haryana, India.
Anuj JangraPandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak 124001, Haryana, India.
Jitendra GauttamJoint Effort for Elimination of Tuberculosis, JEET, Hisar 125001, Haryana, India.
Mandeep MalikDirectorate of Health Services, Government of Haryana, Hisar 125001, Haryana, India.
Jyoti KayesthInfectious Disease Detection and Surveillance (IDDS), ICF, New Delhi 110037, India.
Bhavin VaderaUnited States Agency for International Development, New Delhi 110021, India.
Reeti Desai HobsonInfectious Disease Detection and Surveillance (IDDS), ICF, Rockville, MD 20850, USA.

Funding

United States Agency for International Development GS00Q14OADU119
6 · The paper itself

Abstract

TB diagnosis has been simplified in India following advances in available diagnostic tools. This facilitates private doctors' "patient first" approach toward early diagnosis; however, costs remain high. India's NTEP established a TB diagnostic network, which is free for patients and incentivizes private doctors to participate. Drawing from this context led to the design and implementation of the One-Stop TB Diagnostic Solution model, which was conducted in the Hisar district, Haryana, allowing specimens from presumptive TB patients from private doctors to be collected and tested as per NTEPs diagnostic algorithm. A subset of data pertaining to private doctors was analyzed for the project period. Qualitative data were also collected by interviewing doctors using a snowball method to capture doctors' perception about the model. Out of 1159 specimens collected from 60 facilities, MTB was detected in 32% and rifampicin resistance was detected in 7% specimens. All specimens went through the diagnostic algorithm. Thirty doctors interviewed were satisfied with the services offered and were appreciative of the program that implements this "patient centric" model. Results from implementation indicate the need to strengthen private diagnostics through a certification process to ensure provision of quality TB diagnostic services.

Indexed as

diagnostic algorithmone-stop modelprivate doctorsprivate laboratorytuberculosis

Identifiers

PMID38893690
PMCPMC11171542

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.