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医疗机构基于某个家庭不让其孩子接种疫苗的决定而将该家庭拒之门外,这合乎道德规范吗?

Is it ethical for a medical practice to dismiss a family based on their decision not to have their child immunized?

作者信息

Nulty Dorothy

机构信息

College of Nursing, University of South Florida, Tampa, USA.

出版信息

JONAS Healthc Law Ethics Regul. 2011 Oct-Dec;13(4):122-4. doi: 10.1097/NHL.0b013e31823a61e5.

DOI:10.1097/NHL.0b013e31823a61e5
PMID:22124471
Abstract

The parents' decision not to have their child immunized stirs up much controversy in the public sector and in the healthcare arena. Much debate surrounds not just the parents' choice but also the practitioner's decision to refuse care based on their refusal. This article presents a common and increasing scenario faced in pediatric practices and explores the ethical implications that it poses for the healthcare provider.

摘要

父母决定不给孩子接种疫苗,这在公共部门和医疗领域引发了诸多争议。不仅围绕父母的选择存在大量争论,而且对于从业者基于父母的拒绝而拒绝提供治疗的决定也有很多讨论。本文呈现了儿科诊所中常见且日益增多的一种情况,并探讨了它给医疗服务提供者带来的伦理问题。

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Is it ethical for a medical practice to dismiss a family based on their decision not to have their child immunized?医疗机构基于某个家庭不让其孩子接种疫苗的决定而将该家庭拒之门外,这合乎道德规范吗?
JONAS Healthc Law Ethics Regul. 2011 Oct-Dec;13(4):122-4. doi: 10.1097/NHL.0b013e31823a61e5.
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Why we should eliminate personal belief exemptions to vaccine mandates.为什么我们应该消除疫苗授权中的个人信仰豁免。
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引用本文的文献

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Dismissal policies for vaccine refusal among US physicians: a literature review.美国医生中疫苗拒绝的解雇政策:文献综述。
Hum Vaccin Immunother. 2020 May 3;16(5):1189-1193. doi: 10.1080/21645515.2020.1724742. Epub 2020 Feb 20.
2
Characteristics of Physicians Who Dismiss Families for Refusing Vaccines.因患者家属拒绝接种疫苗而将其拒之门外的医生的特征。
Pediatrics. 2015 Dec;136(6):1103-11. doi: 10.1542/peds.2015-2086. Epub 2015 Nov 2.
3
Provider dismissal policies and clustering of vaccine-hesitant families: an agent-based modeling approach.
提供者解雇政策和疫苗犹豫家庭的聚类:基于代理的建模方法。
Hum Vaccin Immunother. 2013 Aug;9(8):1819-24. doi: 10.4161/hv.25635. Epub 2013 Jul 5.
4
Addressing heterogeneous parental concerns about vaccination with a multiple-source model: a parent and educator perspective.采用多源模型解决父母对疫苗接种的异质关注:家长和教育工作者的视角。
Hum Vaccin Immunother. 2013 Aug;9(8):1790-4. doi: 10.4161/hv.24888. Epub 2013 May 31.