Evidence map›Paper›PMID 39323563›Full record

ReviewThe Lancet regional health. Southeast Asia2024

Reimagining India's National Telemedicine Service to improve access to care.

Biswanath Ghosh Dastidar, Anant R Jani, Shailesh Suri, Vikranth Harthikote Nagaraja

Abstract readReview
In one paragraph

Review in The Lancet regional health. Southeast Asia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
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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

4 authors.

Biswanath Ghosh DastidarDepartment of Obstetrics and Gynaecology and Centre of Excellence (CoE) in Assisted Reproductive Technology (ART), Institute of Postgraduate Medical Education & Research (IPGMER) and SSKM Hospital, Kolkata, 700020, India.
Anant R JaniOxford India Centre for Sustainable Development, University of Oxford, Oxford, OX2 6HD, UK.
Shailesh SuriOxford India Centre for Sustainable Development, University of Oxford, Oxford, OX2 6HD, UK.
Vikranth Harthikote NagarajaOxford India Centre for Sustainable Development, University of Oxford, Oxford, OX2 6HD, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

India's free-to-use National Telemedicine Service, eSanjeevani, has provided over 276 million consultations and shown promise to reduce systemic inequalities in access to care. However, recent reports of dropping footfall have raised questions about the potential of eSanjeevani to bridge service provision gaps in India. We reveal important problems linked to the design and practice of triage and tele-referral nationally within eSanjeevani, corroborated by the experience of one of the co-authors' practice of Obstetrics and Gynaecology on the platform since 2022. Some of these factors include sub-optimal integration of general practitioners within the tele-referral pathway; inadequate training of health-workers leading to inappropriate and ineffective consultations; outdated or absent technological support; the absence of mechanisms for re-referrals; and lack of feedback loops. We propose measures to re-imagine eSanjeevani to become a more effective tool towards improving public health outcomes and achieving universal health coverage in India.

Indexed as

Access to careeSanjeevaniHealth policyIndia's National Telemedicine ServicePublic healthTraining and SOPs for tele-referralTriage & screening

Identifiers

PMID39323563
PMCPMC11422547

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.