Childhood Immunization: When Physicians and Parents Disagree

Gilmour, Joan M.; Harrison, Christine; Asadi, Leyla; Cohen, Morris; Vohra, Sunita

doi:10.1542/peds.2010-2720e

Cited by 38 publications

(40 citation statements)

References 38 publications

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“…As conquistas advindas com os avanços da imunização são muito relevantes, no entanto, há que se preocupar com os movimentos anti-vacinas, que espalham dúvidas sobre segurança e eficácia (25) e geram temores para os pais, com persistência da recusa pela vacinação de seus filhos (25,26). Essa recusa configura-se como uma situação delicada e complexa, pois suscita conflito entre o direito dos pais à informação, aos esclarecimentos científicos e à educação, por meio da escolha e tomada de decisão para aquilo que consideram melhor para seus filhos (25,27).…”

Section: Discussão E Conclusãounclassified

“…Iniciativas que possam contribuir para o aumento da confiança nos programas de imunização são recomendadas (26), com ampla divulgação pública de campanhas educativas sobre todas as vacinas disponíveis para a população. Nesse sentido, os fatores favoráveis ao sucesso da imunização estão ligados à credibilidade de um programa de vacinação, assegurada por meio da segurança e eficácia do produto, e ao reconhecimento, por parte da população, de que a vacinação se configura uma medida vital para o controle de parcela significativa de doenças (1).…”

Section: Discussão E Conclusãounclassified

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O Direito À Imunização Na Infância E Adolescência: Uma Revisão Narrativa

Wolkers¹,

Santos

Yakuwa³

et al. 2016

Cienc. enferm.

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RESUMOObjetivo: Identificar os fatores que limitam a garantia do direito à imunização na infância e adolescência. Mé-todo: Trata-se de uma revisão narrativa da literatura para atender a seguinte questão norteadora: qual o estado da arte referente ao direito à imunização na infância e adolescência? As buscas de artigos foram realizadas nas bases de dados PubMed, BDENF e LILACS, e na biblioteca virtual SciELO, utilizando os descritores: imunização, criança, adolescente, direitos humanos e suas versões em inglês. Foram selecionados e analisados quinze artigos. Resultados: Foram identificados fatores que limitam a garantia do direito à imunização na infância e adolescência e questões éticas envolvendo a vacinação, como a obrigatoriedade, o consentimento e o conflito de direitos, que impõem desafios e exigem dos profissionais de saúde conhecimentos atualizados, posturas abertas ao diálogo e práticas de educação em saúde e em defesa dos direitos. Conclusão: O compromisso dos profissionais é vital para a manutenção de níveis elevados de vacinação, contribuindo para a promoção e proteção da saúde da criança e do adolescente.

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Section: Discussão E Conclusãounclassified

O Direito À Imunização Na Infância E Adolescência: Uma Revisão Narrativa

Wolkers¹,

Santos

Yakuwa³

et al. 2016

Cienc. enferm.

View full text Add to dashboard Cite

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“…2 We have suggested several concrete strategies for encouraging and optimizing open communication in other articles of this supplemental issue of Pediatrics. [3][4][5][6][7] …”

Section: Communication Among Everyone Involved Is Keymentioning

confidence: 99%

“…Collaboration among parents and health care providers is ideal, but when conflict exists, parents' wishes should prevail unless serious, unreasonable harm to the child is likely. 3,8 However, there are limits on parental authority. If treating health care providers conclude that there is only 1 justifiable course of action, given the child's condition and what is predictable about the treatment's effectiveness and the consequences of nontreatment, they should provide the family with the available information about treatment options, make a recommendation about treatment, and explain their reasons.…”

Section: Clarifying Children=s Best Interests and Parents' Decision-mmentioning

confidence: 99%

Concluding Comments: Maximizing Good Patient Care and Minimizing Potential Liability When Considering Complementary and Alternative Medicine

2011

Self Cite

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Our goal for this supplemental issue of Pediatrics was to consider what practitioners, parents, patients, institutions, and policy-makers need to take into account to make good decisions about using complementary and alternative medicine (CAM) to treat children and to develop guidelines for appropriate use. We began by explaining underlying concepts and principles in ethical, legal, and clinical reasoning and then used case scenarios to explore how they apply and identify gaps that remain in practice and policy. In this concluding article, we review our major findings, summarize our recommendations, and suggest further research. We focus on several key areas: practitioner and patient/parent relationships; decision-making; dispute resolution; standards of practice; hospital/health facility policies; patient safety; education; and research. Ethical principles, standards, and rules applicable when making decisions about conventional care for children apply to decision-making about CAM as well. The same is true of legal reasoning. Although CAM use has seldom led to litigation, general legal principles relied on in cases involving conventional medical care provide the starting point for analysis. Similarly, with respect to clinical decision-making, clinicians are guided by clinical judgment and the best interests of their patient. Whether a therapy is CAM or conventional, clinicians must weigh the relative risks and benefits of therapeutic options and take into account their patient's values, beliefs, and preferences. Consequently, many of our observations apply to conventional and CAM care and to both adult and pediatric patients.

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“…13,[15][16][17][18][19] Deterrent factors influencing personal decision-making in relation to HPV vaccination have been identified and analyzed and have highlighted, in particular, concerns surrounding vaccine effectiveness and an over-perception of the risk of side effects. [20][21][22] In the analysis of current opposition trends to systematic vaccination, arguments pertaining to the subjective and/or emotional realms allowing for a greater possibility of manipulation, rather than those of scientific evidence, were found. ReseARcH PAPeR 3 times or more.…”

mentioning

confidence: 99%

Dr Google

Pías‐Peleteiro

Cortés-Bordoy

Martinón-Torres

2013

Human Vaccines & Immunotherapeutics

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IntroductionThe Internet currently stands out as an emerging information provider for the general public, in all subject areas including health. It continues to expand at a rapid rate, both in registered data volume and in web users.1 Increased Internet accessibility as well as the autonomy granted to the user in targeted searches have facilitated the use of the Internet tool and have opened up a new dimension in the chain of information transfer and medical advice. 2,3 Traditional sources of medical advice and health education, largely linked to the figure of the specialized physician, may be displaced and even challenged by this new communication agent, the boundaries of which are not set or controlled by the medical experts themselves. A survey conducted in seven European countries showed that the Internet follows doctors very closely as the second most important source of information for women in those countries, on topics related to the human papillomavirus (HPV) and its vaccine. 4 HPV vaccination has positive indications that have been widely demonstrated in target groups and supported by high quality tests, contained in each vaccine's specification sheet. [5][6][7][8][9][10] Most European countries actively recommend vaccination and include these vaccines in their systematic vaccination programs. 11,12 In Spain the Objectives:To assess and analyze the information and recommendations provided by Google Web search™ (Google) in relation to web searches on the HPV vaccine, indications for females and males and possible adverse effects.Results: In the comprehensive analysis of results, 72.2% of websites offer information favorable to HPV vaccination, with varying degrees of content detail, vs. 27.8% with highly dissuasive content in relation to HPV vaccination. The most frequent type of site is the blog or forum. The information found is frequently incomplete, poorly structured, and often lacking in updates, bibliography and adequate citations, as well as sound credibility criteria (scientific association accreditation and/or trust mark system).Materials and Methods: Descriptive cross-sectional study of the results of 14 web searches. comprehensive analysis of results based on general recommendation given (favorable/dissuasive), as well as compliance with pre-established criteria, namely design, content and credibility. sub-analysis of results according to site category: general information, blog/forum and press. Conclusions: Google, as a tool which users employ to locate medical information and advice, is not specialized in providing information that is necessarily rigorous or valid from a scientific perspective. search results and ranking based on Google's generalized algorithms can lead users to poorly grounded opinions and statements, which may impact HPV vaccination perception and subsequent decision making. Dr GoogleWhat about the human papillomavirus vaccine?Leticia Pías-Peleteiro, Keywords: human papillomavirus, HPV, HPV vaccination, Google, internet cohort for systematic vaccination includes girls bet...

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Childhood Immunization: When Physicians and Parents Disagree

Cited by 38 publications

References 38 publications

O Direito À Imunização Na Infância E Adolescência: Uma Revisão Narrativa

O Direito À Imunização Na Infância E Adolescência: Uma Revisão Narrativa

Concluding Comments: Maximizing Good Patient Care and Minimizing Potential Liability When Considering Complementary and Alternative Medicine

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