Dismissal policies for vaccine refusal among US physicians: a literature review

Childhood vaccination is one of the greatest public health achievements of the 20th century, yet increasingly, parents question the safety of and need for vaccines. This has led to increased rates of vaccine delay and refusal and outbreaks of vaccine-preventable diseases. Physicians struggle with ho...

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Main Authors: Tamara B. Garcia, Sean T. O’Leary
Format: Article
Language:English
Published: Taylor & Francis Group 2020-05-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2020.1724742
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author Tamara B. Garcia
Sean T. O’Leary
author_facet Tamara B. Garcia
Sean T. O’Leary
author_sort Tamara B. Garcia
collection DOAJ
description Childhood vaccination is one of the greatest public health achievements of the 20th century, yet increasingly, parents question the safety of and need for vaccines. This has led to increased rates of vaccine delay and refusal and outbreaks of vaccine-preventable diseases. Physicians struggle with how to respond to families who refuse vaccines, as there are few known effective interventions to convince a family to vaccinate. In the United States, the practice of dismissing families for vaccine refusal appears to be increasing as a strategy for dealing with vaccine refusal. In this review, we review the literature surrounding this controversial practice, starting with the impact that vaccine-refusing families have on medical practices, followed by a review of dismissal policies of US physicians, and ending with a discussion of the ethics of this practice.
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spelling doaj.art-60fb8bb0861c4a52bf1c19d6f681befc2023-09-22T08:45:35ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2020-05-011651189119310.1080/21645515.2020.17247421724742Dismissal policies for vaccine refusal among US physicians: a literature reviewTamara B. Garcia0Sean T. O’Leary1University of Colorado Anschutz Medical Campus and Children’s Hospital ColoradoUniversity of Colorado Anschutz Medical Campus and Children’s Hospital ColoradoChildhood vaccination is one of the greatest public health achievements of the 20th century, yet increasingly, parents question the safety of and need for vaccines. This has led to increased rates of vaccine delay and refusal and outbreaks of vaccine-preventable diseases. Physicians struggle with how to respond to families who refuse vaccines, as there are few known effective interventions to convince a family to vaccinate. In the United States, the practice of dismissing families for vaccine refusal appears to be increasing as a strategy for dealing with vaccine refusal. In this review, we review the literature surrounding this controversial practice, starting with the impact that vaccine-refusing families have on medical practices, followed by a review of dismissal policies of US physicians, and ending with a discussion of the ethics of this practice.http://dx.doi.org/10.1080/21645515.2020.1724742vaccinepolicypediatricianrefusalethicshesitancy
spellingShingle Tamara B. Garcia
Sean T. O’Leary
Dismissal policies for vaccine refusal among US physicians: a literature review
Human Vaccines & Immunotherapeutics
vaccine
policy
pediatrician
refusal
ethics
hesitancy
title Dismissal policies for vaccine refusal among US physicians: a literature review
title_full Dismissal policies for vaccine refusal among US physicians: a literature review
title_fullStr Dismissal policies for vaccine refusal among US physicians: a literature review
title_full_unstemmed Dismissal policies for vaccine refusal among US physicians: a literature review
title_short Dismissal policies for vaccine refusal among US physicians: a literature review
title_sort dismissal policies for vaccine refusal among us physicians a literature review
topic vaccine
policy
pediatrician
refusal
ethics
hesitancy
url http://dx.doi.org/10.1080/21645515.2020.1724742
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