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The Pediatrician's Dilemma: Refusing the Refusers of Infant Vaccines

Stan L Block1

  • 1Practicing full time general pediatrics in rural Bardstown, KY for over 33 years; and has published over 160 peer-reviewed medical articles on vaccines, antibiotics, general pediatrics, adolescent medicine, and infectious diseases. He is a full professor of clinical pediatrics on the medical faculties of the University of Louisville, the University of Kentucky (Lexington, KY) and the Pikeville Osteopathic College. He has won numerous national awards for his research, speaks at CME meetings across the U.S., and has been elected to the editorial boards for such prestigious monthly journals such as The Pediatric Infectious Disease Journal, Pediatric Annals (writing a monthly column for over 3 years), Pediatric Drugs, and Infectious Diseases in Children. He was voted the "Best Pediatrician in Nelson County" for the last 6 years.

The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics
|October 20, 2015
PubMed

Insights

Pediatricians face a dilemma with families delaying infant vaccinations. This paper explores reasons why nearly 40% of pediatricians dismiss families who refuse vaccines, impacting pediatric care.

Area of Science:

  • Pediatrics
  • Public Health
  • Vaccine Hesitancy

Background:

  • Increasing rates of families delaying or refusing infant vaccinations present a significant challenge for pediatricians.
  • This trend creates a dilemma regarding patient care standards and practice management.

Purpose of the Study:

  • To explore the rationales behind pediatricians' decisions to dismiss families who refuse vaccinations.
  • To understand the factors contributing to nearly 40% of pediatricians choosing dismissal.

Main Methods:

  • Qualitative analysis of pediatrician decision-making processes regarding vaccine-hesitant families.
  • Review of existing literature on pediatrician-patient relationships and vaccine refusal.

Main Results:

  • A significant percentage of pediatricians (nearly 40%) opt to dismiss families refusing vaccines.
  • The study identifies specific reasons and justifications for this practice management decision.

Conclusions:

  • Pediatrician dismissal of vaccine-refusing families is a notable trend driven by specific rationales.
  • Understanding these reasons is crucial for addressing vaccine hesitancy and maintaining pediatric care standards.

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