Parents sometimes shake when doctors dismiss their families because they refuse the vaccine, the study said. In fact, 18% change their minds frequently or constantly, while another 48% change from time to time. According to a survey, 29% rarely change their minds and 5% do not.
The report states that private practices are community-based, hospital-based, or Health maintenance organization Have a dismissal policy. Practices in the Midwest were less likely to have severance policies than practices in other regions.
Dr. Paul Ofit, director of the Philadelphia Children’s Hospital Vaccine Education Center, said the goal of the dismissal policy was to ensure that children were vaccinated. He was not part of the study.
“Draw a line and say,’You’re asking me to take substandard care, so you can’t choose to delay or reject the vaccine or see you,” Offty said. .. “If this child is injured, I-at some level-will be implicitly liable, because at some level it’s okay if I keep seeing your family. Body. ”
The pediatrician is also responsible for all children in the waiting room. “Sometimes children in the waiting room cannot be vaccinated-they may be too young to take certain medications or be immunocompromised,” Ofitt said.
But the big concern is that if the doctor fires the child, he doesn’t know where the child will end up.
“I don’t think there’s a really good choice for pediatricians in this situation. It’s very difficult,” Ofitt said.
“Many pediatricians feel so strong that the benefits of vaccination far outweigh the risks of taking the extreme steps of not taking families who refuse vaccination,” O’Leary said. I hope you understand. Their career is dedicated to caring for their children. ”
He said many questions remained and this topic needed further study. For example, does a dismissal policy help vaccination rates? What messages do these policies actually send to parents?
The findings were published as a research letter on September 15th. Journal of the American Medical Association..
WebMD News from Health Day
Source: Sean O’Leary, MD, MPH, Professor, Pediatrics, Pediatric Infectious Diseases and General Academic Pediatrics Section, Researchers, Adult and Pediatric Consortium Health Outcome Research and Delivery Science, and Director, Pediatrics-based Research Network, University of Colorado Anschutz Medical Campus and Children’s Hospital Colorado, Aurora. Dr. Paul Offit, Director of Vaccine Education Center, Doctor of Infectious Diseases, Philadelphia Children’s Hospital.Journal of the American Medical Association, September 15, 2020
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