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Hosseini S H, Kalateh Sadati A, Afshani S A, Honarvar B. Levels of Socialization of Pediatric Specialists and Residents in Child Health Advocacy; A Qualitative Study in Medical Universities of Region Six. sjsph 2025; 23 (1) :63-78
URL: http://sjsph.tums.ac.ir/article-1-6399-en.html
URL: http://sjsph.tums.ac.ir/article-1-6399-en.html
1- Ph.D. Student, Department of Sociology, Faculty of Social Sciences, Yazd University, Yazd, Iran, Ph.D. Student, Department of Sociology, Faculty of Social Sciences, Yazd University, Yazd, Iran
2- Associate Professor, Department of Sociology, Faculty of Social Sciences, Yazd University, Yazd, Iran ,asadati@yazd.ac.ir
3- Ph.D. Professor, Department of Sociology, Faculty of Social Sciences, Yazd University, Yazd, Iran, Ph.D. Professor, Department of Sociology, Faculty of Social Sciences, Yazd University, Yazd, Iran
4- Ph.D. Professor, Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran, Ph.D. Professor, Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
2- Associate Professor, Department of Sociology, Faculty of Social Sciences, Yazd University, Yazd, Iran ,
3- Ph.D. Professor, Department of Sociology, Faculty of Social Sciences, Yazd University, Yazd, Iran, Ph.D. Professor, Department of Sociology, Faculty of Social Sciences, Yazd University, Yazd, Iran
4- Ph.D. Professor, Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran, Ph.D. Professor, Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract: (673 Views)
Background and Aim: Health advocacy is a learnable skill and professional attribute acquired through the process of professional socialization, in which health professionals, particularly physicians, play an active role in supporting patients’ rights. The aim of this study was to explore the professional socialization of pediatricians in advocating for children’s health.
Materials and Methods: This qualitative and exploratory study presents finding derived for the first time within the context of Iranian medical education, through the conceptualization of narrative data obtained from semi-structured interviews. Participants included 19 pediatricians and pediatric residents from medical universities in Iran’s Sixth Health Education Region, centered at Zanjan University of Medical Sciences. The sample size and data volume were determined by the criterion of data saturation, and participant recruitment followed purposive linear and exponential snowball sampling. Coding and conceptualization were conducted through an inductive–deductive thematic analysis using MAXQDA 20 software. The credibility and dependability of the findings were ensured through analytical comparison by the researcher and peer review.
Results: A total of three main themes, twenty subthemes, and 199 basic themes were identified, showing that pediatricians are socialized at micro, meso, and macro levels for child health advocacy. The main themes were: the active physician (micro-level or individual socialization within the doctor–child communication context), the advocate institution (meso-level or organizational socialization within the doctor–staff–organization context), and the structuring of the defending physician (macro-level or collective socialization within the doctor–structures–society context), all reflecting how pediatricians become socialized as child health advocates.
Conclusion: By strengthening the positive aspects and addressing the negative factors of professional socialization, the socialization of pediatricians as child health advocates can be enhanced at the micro, meso, and macro levels.
Materials and Methods: This qualitative and exploratory study presents finding derived for the first time within the context of Iranian medical education, through the conceptualization of narrative data obtained from semi-structured interviews. Participants included 19 pediatricians and pediatric residents from medical universities in Iran’s Sixth Health Education Region, centered at Zanjan University of Medical Sciences. The sample size and data volume were determined by the criterion of data saturation, and participant recruitment followed purposive linear and exponential snowball sampling. Coding and conceptualization were conducted through an inductive–deductive thematic analysis using MAXQDA 20 software. The credibility and dependability of the findings were ensured through analytical comparison by the researcher and peer review.
Results: A total of three main themes, twenty subthemes, and 199 basic themes were identified, showing that pediatricians are socialized at micro, meso, and macro levels for child health advocacy. The main themes were: the active physician (micro-level or individual socialization within the doctor–child communication context), the advocate institution (meso-level or organizational socialization within the doctor–staff–organization context), and the structuring of the defending physician (macro-level or collective socialization within the doctor–structures–society context), all reflecting how pediatricians become socialized as child health advocates.
Conclusion: By strengthening the positive aspects and addressing the negative factors of professional socialization, the socialization of pediatricians as child health advocates can be enhanced at the micro, meso, and macro levels.
Keywords: Advocacy, Child Advocacy, Education, Patient Advocacy, Pediatricians, Professional Socialization
Type of Study: Research |
Subject:
Public Health
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