Schwartz Jason L, Caplan Arthur L
Department of History and Sociology of Science, Center for Bioethics, University of Pennsylvania, 3401 Market Street, Suite 320, Philadelphia, PA 19104, USA.
Prim Care. 2011 Dec;38(4):717-28, ix. doi: 10.1016/j.pop.2011.07.009. Epub 2011 Sep 17.
Among the obstacles to the success of vaccination programs is the apparent recent increase in hesitancy and outright resistance to the recommended vaccination schedule by some parents and patients. This article reviews the spectrum of patient or parental attitudes that may be described as vaccine refusal, explores related ethical considerations in the context of the doctor-patient relationship and public health, and evaluates the possible responses of physicians when encountering resistance to vaccination recommendations. Health care providers should view individuals hesitant about or opposed to vaccines not as frustrations or threats to public health, but as opportunities to educate and inform.
疫苗接种计划成功的障碍之一是，近期一些家长和患者对推荐的疫苗接种计划明显表现出越来越多的犹豫甚至是直接抵制。本文回顾了可被描述为疫苗拒绝的患者或家长态度范围，探讨了医患关系和公共卫生背景下的相关伦理考量，并评估了医生在遇到对疫苗接种建议的抵制时可能的应对措施。医疗保健提供者不应将对疫苗犹豫不决或持反对态度的人视为对公共卫生的困扰或威胁，而应将其视为教育和宣传的机会。
