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dc.contributor.authorSangeeta Sharmaen_US
dc.contributor.authorGulshan R Sethien_US
dc.contributor.authorUsha Guptaen_US
dc.contributor.authorRanjit Roy Chaudhuryen_US
dc.date.accessioned2019-11-05T15:25:45Z
dc.date.available2019-11-05T15:25:45Z
dc.date.issued2015-01
dc.identifier.issn2224-3151 (‎‎‎‎Print)‎‎‎‎
dc.identifier.issn2304-5272 (‎‎‎‎Electronic)‎‎‎‎
dc.identifier.urihttps://apps.who.int/iris/handle/10665/329691
dc.description.abstractThis paper describes 15 years’ experience of the development process of the first set of comprehensive standard treatment guidelines (‎STGs)‎ for India and their adoption or adaptation by various state governments. The aim is to shorten the learning curve for those embarking on a similar exercise, given the key role of high-quality STGs that are accepted by the clinical community in furthering universal health coverage. The main overall obstacles to STG development are: (‎i)‎ weak understanding of the concept; (‎ii)‎ lack of time, enthusiasm and availability of local expertise; and (‎iii)‎ managing consensus between specialists and generalists. Major concerns to prescribers are: encroachment on professional autonomy, loss of treating the patient as an individual and applying the same standards at all levels of health care. Processes to address these challenges are described. At the policy level, major threats to successful completion and focused implementation are: frequent changes in governance, shifts in priorities and discontinuity. In the authors’ experience, compared with each state developing their own STGs afresh, adaptation of pre-existing valid guidelines after an active adaptation process involving local clinical leaders is not only simpler and quicker but also establishes local ownership and facilitates acceptance of a quality document. Executive orders and in-service sensitization programmes to introduce STGs further enhance their adoption in clinical practice.en_US
dc.language.isoenen_US
dc.publisherWorld Health Organization. Regional Office for South-East Asiaen_US
dc.subjectEvidence-based guidelinesen_US
dc.subjectessential medicinesen_US
dc.subjectstandard treatment guidelines (‎STGs)‎en_US
dc.subjectrational use of medicinesen_US
dc.titleBarriers and facilitators to development of standard treatment guidelines in Indiaen_US
dc.typeJournal / periodical articlesen_US
dc.description.startpage86en_US
dc.description.endpage91en_US
dc.relation.ispartofjournalWHO South-East Asia Journal of Public Healthen_US
dc.relation.issue1en_US
dc.relation.volume4en_US


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