Childhood Immunization: When Physicians and Parents Disagree

Author:

Gilmour Joan1,Harrison Christine2,Asadi Leyla3,Cohen Michael H.4,Vohra Sunita56

Affiliation:

1. Osgoode Hall Law School, York University, Toronto, Ontario, Canada;

2. Department of Bioethics, SickKids Hospital, Toronto, Ontario, Canada;

3. Departments of Medicine and

4. Fenton Nelson LLP, Los Angeles, California; and

5. CARE Program for Integrative Health & Healing, Stollery Children's Hospital, Edmonton, Alberta, Canada

6. Pediatrics, Faculty of Medicine, University of Alberta, Edmonton, Alberta, Canada;

Abstract

Persistent fears about the safety and efficacy of vaccines, and whether immunization programs are still needed, have led a significant minority of parents to refuse vaccination. Are parents within their rights when refusing to consent to vaccination? How ought physicians respond? Focusing on routine childhood immunization, we consider the ethical, legal, and clinical issues raised by 3 aspects of parental vaccine refusal: (1) physician counseling; (2) parental decision-making; and (3) continuing the physician-patient relationship despite disagreement. We also suggest initiatives that could increase confidence in immunization programs.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference105 articles.

1. Public Health Agency of Canada. Canadian immunization guide: seventh edition—2006. Available at: www.phac-aspc.gc.ca/publicat/cig-gci/index-eng.php. Accessed August 20, 2010

2. World Health Organization. Immunization, vaccines and biologicals. Available at: www.who.int/immunization/en. Accessed August 20, 2010

3. Estimating the number needed to vaccinate to prevent disease and death related to human papilloma virus infection;Brisson;CMAJ,2007

4. Statement on human papillomavirus vaccine. An Advisory Committee Statement (ACS);Dobson;Can Commun Dis Rep,2007

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3