Fulginiti V A
Pediatrics. 1984 Nov;74(5 Pt 2):961-3.
Many physicians and parents consider immunizations routine; as a result, they fail to discuss this important aspect of health care. Parents should be educated about each vaccine and the role it plays in the well-being of their child. To ensure that parents will be able to give informed consent to have their child immunized, the physician should provide information on the nature, prevalence, and risks of the disease; the type of immunization product to be used; expected benefits; risk of side effects; and required follow-up. In addition, the concept of individual immunity as a contribution to community well-being should be discussed. Parents should be appraised of the importance of maintaining accurate immunization records. Verbal communication of this information at the time of vaccination can be reinforced by written documents. One way to verify that parents have understood the information is for the physician to question them at the next office visit.
许多医生和家长认为免疫接种是常规操作;因此,他们没有讨论医疗保健的这一重要方面。应该让家长了解每种疫苗及其在孩子健康中所起的作用。为确保家长能够在知情的情况下同意为孩子进行免疫接种,医生应提供有关疾病的性质、流行情况和风险、将使用的免疫接种产品类型、预期益处、副作用风险以及所需后续跟进的信息。此外,还应讨论个人免疫力对社区福祉的贡献这一概念。应告知家长保持准确免疫接种记录的重要性。在接种疫苗时通过书面文件可以强化对此信息的口头沟通。核实家长是否理解该信息的一种方法是医生在下一次门诊就诊时询问他们。