Integration of social determinant of health in patient’s history-taking in medical education: an educational scholarship and action research study: phase I
Abstract Background and objective One of the most important aspects of health is social health. Addressing social health and social accountability is possible by education of social determinants of health (SDH) to medical students. The aim of current study is to integrate the SDH variables to patien...
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BMC
2024-10-01
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| Online Access: | https://doi.org/10.1186/s12909-024-06172-w |
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| author | Zahra Sadr Seyyed Amir Yasin Ahmadi Batool Tayefi Sedigheh Yousefzadegan Soheila Mahdavynia Ramin Zare Mahmoudabadi Kourosh Kabir Zahra Rampisheh Neda SoleimanvandiAzar Ali Tayebi Ali Mehrabi Marzieh Nojomi |
| author_facet | Zahra Sadr Seyyed Amir Yasin Ahmadi Batool Tayefi Sedigheh Yousefzadegan Soheila Mahdavynia Ramin Zare Mahmoudabadi Kourosh Kabir Zahra Rampisheh Neda SoleimanvandiAzar Ali Tayebi Ali Mehrabi Marzieh Nojomi |
| author_sort | Zahra Sadr |
| collection | DOAJ |
| description | Abstract Background and objective One of the most important aspects of health is social health. Addressing social health and social accountability is possible by education of social determinants of health (SDH) to medical students. The aim of current study is to integrate the SDH variables to patient’s history-taking in medical education during clerkship stage as an action research and scholarship in education. Pediatric patients were selected as the target population for this study. Methods The present study is an action-research including three phases of the program's design, implementation, and evaluation. The present paper reports the results of phase I including the following steps; rapid scoping review and expert panel for development of history-taking form. The goal of this phase was to prepare an SDH checklist for history-taking in the Pediatrics Ward of Firoozabadi Teaching Hospital, Iran University of Medical Sciences, Tehran, Iran. The checklist of history-taking was evaluated in terms of measurability, feasibility, priority, and clarity using a 5-choice Likert scale. Results According to the results of the scoping review and consensus-based methods, the preliminary version of the program was prepared including the SDH history-taking checklist. A total of 21 items were selected after two expert panel rounds. The overall absolute agreement was 0.704 (95% CI: 0.587 – 0.793) which was significantly higher than 0.5 (P < 0.001). The range of scores was 3.5 – 4.83 (out of five). Conclusion We developed a SDH history-taking form including nine domains and 21 items. This form should be piloted and evaluated by an expert panel in the next phases. The present phase of the project proposed a consensus-based program for the imputation of SDH education in the education program of medical students. The reason for the importance of choosing children is that social factors in the group of children can have a greater impact considering the long life ahead and being in the growing age. After the implementation and evaluation phases, this program may be imputed in the medical education curriculum. |
| format | Article |
| id | doaj-art-3c5c2a195d5544dfa65a838f6b5f42e3 |
| institution | OA Journals |
| issn | 1472-6920 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | BMC |
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| series | BMC Medical Education |
| spelling | doaj-art-3c5c2a195d5544dfa65a838f6b5f42e32025-08-20T02:17:46ZengBMCBMC Medical Education1472-69202024-10-0124111110.1186/s12909-024-06172-wIntegration of social determinant of health in patient’s history-taking in medical education: an educational scholarship and action research study: phase IZahra Sadr0Seyyed Amir Yasin Ahmadi1Batool Tayefi2Sedigheh Yousefzadegan3Soheila Mahdavynia4Ramin Zare Mahmoudabadi5Kourosh Kabir6Zahra Rampisheh7Neda SoleimanvandiAzar8Ali Tayebi9Ali Mehrabi10Marzieh Nojomi11Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical SciencesPreventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical SciencesPreventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical SciencesFiroozabadi Clinical Research Development Unit (FACRDU), Department of Pediatrics, School of Medicine, Iran University of Medical SciencesFiroozabadi Clinical Research Development Unit (FACRDU), Department of Pediatrics, School of Medicine, Iran University of Medical SciencesFiroozabadi Clinical Research Development Unit (FACRDU), Department of Pediatrics, School of Medicine, Iran University of Medical SciencesPreventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical SciencesPreventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical SciencesPreventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical SciencesFiroozabadi Clinical Research Development Unit (FACRDU), Department of Surgery, School of Medicine, Iran University of Medical SciencesPreventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical SciencesPreventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical SciencesAbstract Background and objective One of the most important aspects of health is social health. Addressing social health and social accountability is possible by education of social determinants of health (SDH) to medical students. The aim of current study is to integrate the SDH variables to patient’s history-taking in medical education during clerkship stage as an action research and scholarship in education. Pediatric patients were selected as the target population for this study. Methods The present study is an action-research including three phases of the program's design, implementation, and evaluation. The present paper reports the results of phase I including the following steps; rapid scoping review and expert panel for development of history-taking form. The goal of this phase was to prepare an SDH checklist for history-taking in the Pediatrics Ward of Firoozabadi Teaching Hospital, Iran University of Medical Sciences, Tehran, Iran. The checklist of history-taking was evaluated in terms of measurability, feasibility, priority, and clarity using a 5-choice Likert scale. Results According to the results of the scoping review and consensus-based methods, the preliminary version of the program was prepared including the SDH history-taking checklist. A total of 21 items were selected after two expert panel rounds. The overall absolute agreement was 0.704 (95% CI: 0.587 – 0.793) which was significantly higher than 0.5 (P < 0.001). The range of scores was 3.5 – 4.83 (out of five). Conclusion We developed a SDH history-taking form including nine domains and 21 items. This form should be piloted and evaluated by an expert panel in the next phases. The present phase of the project proposed a consensus-based program for the imputation of SDH education in the education program of medical students. The reason for the importance of choosing children is that social factors in the group of children can have a greater impact considering the long life ahead and being in the growing age. After the implementation and evaluation phases, this program may be imputed in the medical education curriculum.https://doi.org/10.1186/s12909-024-06172-wMedical educationSocial determinants of healthSocial accountabilityPediatrics |
| spellingShingle | Zahra Sadr Seyyed Amir Yasin Ahmadi Batool Tayefi Sedigheh Yousefzadegan Soheila Mahdavynia Ramin Zare Mahmoudabadi Kourosh Kabir Zahra Rampisheh Neda SoleimanvandiAzar Ali Tayebi Ali Mehrabi Marzieh Nojomi Integration of social determinant of health in patient’s history-taking in medical education: an educational scholarship and action research study: phase I BMC Medical Education Medical education Social determinants of health Social accountability Pediatrics |
| title | Integration of social determinant of health in patient’s history-taking in medical education: an educational scholarship and action research study: phase I |
| title_full | Integration of social determinant of health in patient’s history-taking in medical education: an educational scholarship and action research study: phase I |
| title_fullStr | Integration of social determinant of health in patient’s history-taking in medical education: an educational scholarship and action research study: phase I |
| title_full_unstemmed | Integration of social determinant of health in patient’s history-taking in medical education: an educational scholarship and action research study: phase I |
| title_short | Integration of social determinant of health in patient’s history-taking in medical education: an educational scholarship and action research study: phase I |
| title_sort | integration of social determinant of health in patient s history taking in medical education an educational scholarship and action research study phase i |
| topic | Medical education Social determinants of health Social accountability Pediatrics |
| url | https://doi.org/10.1186/s12909-024-06172-w |
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