Evidence map›Paper›PMID 41291731›Full record

ArticleBMC health services research2025

Bridging the gap between evidence and practice: a national level initiative to implement Standard Treatment Guidelines (STGs) in clinical practice.

Sangeeta Sharma, C B Tripathi, K N Annapoorna, Siddhi Satish Dhond, Deepika Sharma, J N Srivastava, Atul Kotwal

Abstract read
In one paragraph

Article in BMC health services research, 2025. 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. 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

7 authors.

Sangeeta SharmaDepartment of Neuropsychopharmacology, Institute of Human Behaviour & Allied Sciences Dilshad Garden, Delhi, India. sharmasangeeta2003@gmail.com.ORCID http://orcid.org/0000-0001-7411-5335
C B TripathiDepartment of Biostatistics, Institute of Human Behaviour & Allied Sciences Dilshad Garden, Delhi, India.ORCID http://orcid.org/0000-0003-1092-0620
K N AnnapoornaQuality & Patient Safety, National Health Systems Resource Center, Ministry of Health, Government of India, New Delhi, India.
Siddhi Satish DhondQuality & Patient Safety, National Health Systems Resource Center, Ministry of Health, Government of India, New Delhi, India.
Deepika SharmaQuality & Patient Safety, National Health Systems Resource Center, Ministry of Health, Government of India, New Delhi, India.
J N SrivastavaQuality & Patient Safety, National Health Systems Resource Center, Ministry of Health, Government of India, New Delhi, India.
Atul KotwalNational Health Systems Resource Center, Ministry of Health, Government of India, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth outcomes in Low- and Middle-Income Countries (LMICs) have improved, but poor-quality care, driven by inconsistent clinical practices due to differences in training, settings, and resources, remains a major barrier. Lack of adherence to Standard Treatment Guidelines (STGs) increases healthcare costs and worsens outcomes, especially in rural areas with limited access to continuing education and specialist care.

methodsFrom July 2022 to June 2023, 12 monthly, case-based webinars on high-priority conditions (e.g., hypertension, diabetes, epilepsy, COPD, burns, poisoning, trauma, dog and snake bites). Open to pan-India participation from all levels of the health system, these sessions used pre- and post-tests to measure learning.

findingsA total of 7,404 providers participated (mean 617/session), with 1,468 completing both tests. Baseline scores were lowest for pediatric care, chronic disease, and envenomation topics. Post-webinar scores rose significantly in every session (p < 0.001), with the largest gains where initial knowledge was poorest. Improvements were uniform across doctors and nurses, public and private sectors, and all care levels, particularly in primary and secondary settings. The initiative reduced isolation, raised awareness of evidence-based practices, and highlighted care inconsistencies.

interpretationThis nationwide digital educational initiative significantly improved provider knowledge and engagement through expert-led, case-based sessions. This scalable, cost-effective model holds promise for reducing practice variation and strengthening evidence-based care in resource-limited settings.

Indexed as

Guideline AdherencePractice Guidelines as TopicDeveloping CountriesHumansIndiaImplementationPatient SafetyQuality healthcareRational Use of MedicinesStandard Treatment Guidelines

Identifiers

PMID41291731
PMCPMC12648937

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.