Does Immunization Refusal Warrant Discontinuing a Physician-Patient Relationship?
In an editorial accompanying the article, J.W. Hendricks, M.D., of Pediatric and Adolescent Care, L.L.P., Tulsa, Okla., writes: “Dismissing a patient is a rare occurrence for most physicians. I have found a vaccine refusal fowm to be helpful in continuing a relationship with a family who refuses some or all vaccined. The form doesn’t (and can’t) address issues like ‘mutual trust’ or ‘lack of shared goals for the child.’ Although subjective, these two factors often weigh heavier than a simple refusal of recommended care. I feel a straightforward immunization refusal does not by itself damage trust, breach shared goals, or necessarily lead to a ‘my way or the highway’ confrontation. This is supported by a recent clinical report from the American Academy of Pediatrics Committee on Bioethics. A future survey to tease out these issues would be helpful.” (Arch Pediatr Adolesc Med.
