CHILDHOOD IMMUNIZATION: WHEN PHYSICIANS AND PARENTS DISAGREE.

Tuesday, 9th of July 2013 Print
[source]Journal of Paediatrics[|source]

In this article, we learn that health providers must inquire about childrens and parents beliefs in a respectful manner, maintain an open and understanding relationship with families, and use their role in providing continuing care as an opportunity to educate families and continue discussion. Before providing tips on how to ensure meaningful dialogue on risk and benefits of immunization, the paper counsels that the best place to start such conversations may be reminding the family that physicians and parents share a common goal: the best interests of the child. Full text details available at:  http://pediatrics.aappublications.org/content/128/Supplement_4/S167.long

 

 

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.

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