title: Should Pediatric Practices Have Policies to Not Care for Children With Vaccine-Hesitant Parents?
abstract: One of the most divisive issues in pediatrics today concerns the proper response by pediatricians to parents who refuse routine childhood immunizations for their children. Many pediatricians refuse to care for such families. Others continue to provide care and continue to try to convince parents that the benefits of immunizations far outweigh the risks. Two of the most powerful arguments in favor of dismissing such parents are as follows: (1) their refusal suggests such lack of trust in the physicians' recommendations that it undermines the basis for a meaningful physician-patient-parent relationship; and (2) unimmunized children present an unacceptable risk to other children in the physicians' waiting rooms. This article examines those arguments.
authors: Division of Infectious Diseases, Department of Pediatrics, Nemours Children's Hospital, Orlando, Florida.|Department of Pediatrics, University of Central Florida College of Medicine, Orlando, Florida.
authors: Kenneth
authors: K
authors: Alexander
authors: Nemours Children's Primary Care, Orlando, Florida.
authors: Tomas A
authors: TA
authors: Lacy
authors: Division of Infectious Diseases, and.
authors: Angela L
authors: AL
authors: Myers
authors: Bioethics Center, Children's Mercy Hospital and Clinics, Kansas City, Missouri jlantos@cmh.edu.
authors: John D
authors: JD
authors: Lantos
mesh_terms: D002648:Child; D003140:Communicable Disease Control; D003141:Communicable Diseases / Q000635:transmission; D006801:Humans; D010290:Parents; D000072143:Pediatricians; D010824:Physicians' Offices; D011368:Professional-Family Relations / Q000941:ethics*; D035502:Trust; D000072758:Vaccination Refusal / Q000941:ethics