2023-09-28 14:46:10 +00:00
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abstract: 'Background Social history (SH) makes it possible to learn the social
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environment of children in pediatric practice and enables interventions
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into social risks such as poverty. While SH has been evolving in use as
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an advocacy practice in high-income countries, that seems not to be the
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case in low- and middle-income countries. We explored pediatricians'' and
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pediatric residents'' opinions and experiences of SH with an aim to
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promote advocacy-based SH practices in Turkey. Methods A qualitative
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study conducted involving interviews with pediatrics residents,
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pediatricians and educators, and a focus group with residents.
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Interviews and the focus group were transcribed and reviewed for themes
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using qualitative content analysis. Results The principal objective of
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SH was found to be diagnosis rather than advocacy. Although all
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participants expressed opinions about socioeconomic conditions'' vital
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influence on child health, most reported limited use of SH. When asked
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about social needs screening with SH, most participants opposed with
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various reasons, primarily time concerns and doubts about the necessity
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for each child. Lack of time was reported as the leading barrier to SH
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by participants. Other barriers were identified as lack of structured SH
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education, problems regarding referrals and interdisciplinary work, and
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the biomedical health approach which defines the physician''s role within
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the physical health domain. Conclusions for Practice To achieve an
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advocacy-based SH practice, the biomedical health approach should be
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questioned. Action is needed to implement a social determinants of
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health approach and equity focus to health policies and to medical and
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residency education.'
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affiliation: 'Kanatli, MC (Corresponding Author), Ankara Univ, Sch Med, Dev Behav
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Pediat Div, Dept Pediat, TR-06620 Ankara, Turkey.
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Kanatli, Merve cicek, Ankara Univ, Sch Med, Dev Behav Pediat Div, Dept Pediat, TR-06620
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Ankara, Turkey.
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Yalcin, Siddika Songul, Hacettepe Univ, Unit Social Pediat, Fac Med, Dept Pediat,
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TR-06100 Ankara, Turkey.'
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author: Kanatli, Merve cicek and Yalcin, Siddika Songul
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author-email: mervecicekkanatli@yahoo.com
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author_list:
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- family: Kanatli
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given: Merve cicek
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- family: Yalcin
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given: Siddika Songul
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da: '2023-09-28'
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doi: 10.1007/s10995-021-03191-7
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earlyaccessdate: JUN 2021
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eissn: 1573-6628
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files: []
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issn: 1092-7875
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journal: MATERNAL AND CHILD HEALTH JOURNAL
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keywords: 'Social history; Social determinants of health; Child health advocacy;
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Low- and middle-income countries; Biomedical health approach'
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keywords-plus: HEALTH-CARE; SYSTEMS; EQUITY
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language: English
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month: SEP
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number: '9'
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number-of-cited-references: '35'
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orcid-numbers: 'YALCIN, SIDDIKA SONGUL/0000-0001-9061-4281
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Kanatli, Merve Cicek/0000-0003-4697-9886'
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pages: 1426-1436
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papis_id: 312af8eb5a5c1ad4205bce38f6cd31f9
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ref: Kanatli2021socialdeterminants
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researcherid-numbers: 'YALCIN, SIDDIKA SONGUL/I-9331-2013
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'
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times-cited: '1'
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title: 'Social Determinants Screening with Social History: Pediatrician and Resident
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Perspectives from a Middle-Income Country'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000664402200001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '2'
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volume: '25'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2021'
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