ReviewCureus2025
Facilitators and Barriers of Accessibility and Utilization of Healthcare Facilities in India: A Qualitative Metasynthesis.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
India's healthcare system, a blend of public and private providers, faces deep-rooted inequities that hinder access for many. Rural areas lack adequate resources, while financial constraints prevent countless families from affording private care. This qualitative metasynthesis was conducted to explore and analyze the facilitators and barriers that shape access and utilization to both government-run and private healthcare establishments in India, delving deep into the insights provided by qualitative research methodologies. In March 2024, we systematically searched PubMed, Scopus, Embase, and Google Scholar databases for qualitative studies related to facilitators and barriers of accessing government or private healthcare facilities in India. We included qualitative studies and mixed-method studies that reported themes and subthemes related to facilitators and barriers toward accessing government or private healthcare facilities in India. Methodological quality and the risk of bias were assessed using the Critical Appraisal Skills Programme (CASP) checklist for qualitative studies, followed by a comprehensive thematic analysis to distill and synthesize the findings gleaned from the studies. We finally included 36 articles fulfilling the inclusion criteria from 3771 identified records. Our review identified 10 overarching themes, each related to various facilitators and barriers to healthcare access and utilization in India. Facilitators included care accessibility, facility cleanliness, effective information sharing, and staff behavior, while barriers encompassed systemic challenges, patient factors, and physician-related issues. The findings suggest the presence of significant obstacles that impede efficient healthcare delivery and patient satisfaction. Our study emphasized the need for holistic, system-wide interventions that recognize the dynamic nature of healthcare access and can lead to lasting improvements for India's diverse population. Future research should assess the impact of government initiatives and explore strategies to ensure equitable healthcare for India's diverse population.
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Registered trials
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.