Evidence map›Paper›PMID 39879233›Full record

ArticlePLOS global public health2025

The landscape of family medicine in India - A cross-sectional survey study.

Archna Gupta, Raman Kumar, Ramakrishna Prasad, Sunil Abraham, Nisanth Menon Nedungalaparambil, Paul Krueger, Carolyn Steele Gray, Megan Landes, Sanjeev Sridharan, Onil Bhattacharyya

Abstract read
In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Archna GuptaDepartment of Family and Community Medicine, St. Michaels Hospital, Toronto, Canada.ORCID https://orcid.org/0000-0001-5915-7609
Raman KumarAcademy of Family Physicians of India, New Delhi, India.
Ramakrishna PrasadAcademy of Family Physicians of India, New Delhi, India.
Sunil AbrahamDepartment of Family Medicine, Christian Medical College, Vellore, Tamil Nadu, India.ORCID https://orcid.org/0000-0001-7703-1882
Nisanth Menon NedungalaparambilDepartment of Emergency Medicine, AIMS, Thrissur, Kerala, India.ORCID https://orcid.org/0000-0003-3347-8775
Paul KruegerDepartment of Family and Community Medicine, University of Toronto, Toronto, Canada.ORCID https://orcid.org/0000-0003-0585-3363
Carolyn Steele GrayInstitute of Health, Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
Megan LandesDepartment of Family and Community Medicine, University of Toronto, Toronto, Canada.
Sanjeev SridharanInstitute of Health, Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
Onil BhattacharyyaDepartment of Family and Community Medicine, University of Toronto, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Family medicine was recognized as a distinct specialty in India in the early 1980s, but it is at an early stage of implementation. There are few training programs, and little is known about family physicians' training, perceptions, and current practices. This paper describes the findings from the first national survey of family medicine in India. We administered the Landscape of Family Medicine in India survey to members of the Academy of Family Physicians of India and used a respondent-driven sampling approach to increase our reach between November 2020 and March 2021. Descriptive statistics were used to describe the data. Chi-square tests of independence were used to explore differences between family physicians who completed full-time in-person training versus those who completed part-time, blended or distance training and to look for associations between services provided and the rurality of practice location. We had 272 respondents. 61.0% of respondents completed a full-time in-person residency program, while 39.0% completed a part-time distance or blended-type program. Most respondents reported that postgraduate training in family medicine increased their confidence in practice, their scope of primary care practice, and the ability to work as a team with non-physician primary care providers, irrespective of the type of training. Family physicians appear to engage in comprehensive practice, with 88.9% practicing outpatient family medicine. Our sample found that the proportion of family physicians working in rural areas is higher than the proportion of all physicians in India, with 39.3% of our sample working rurally. Those who work rurally were more likely to offer minor office-based surgeries, casting and splints, and conduct vaginal deliveries. 48.3% of respondents work principally in the primary care sector. Postgraduate family medicine training should be scaled up to support improving gaps seen in primary care and primary health care.

Identifiers

PMID39879233
PMCPMC11778780

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Registered trials

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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.