Practice Pressure: More and More Pediatricians Dropping Families Who Refuse to Vaccinate
(HealthDay News) — About 20 percent of U.S. pediatricians regularly drop families who refuse to have their children vaccinated, according to a report published online Nov. 2 in Pediatrics.
Doctors in the South and Northeast were more likely to take this stance, lead author Sean O'Leary, M.D., M.P.H., a pediatric infectious disease specialist at Children's Hospital Colorado in Denver, told HealthDay. The researchers conducted a survey of 815 pediatricians and family physicians in 2012. About 66 percent of the doctors responded to the survey.
According to the researchers, those surveyed said it's generally rare for a parent to refuse a vaccination for their child. Overall, 83 percent of doctors reported that 1 percent or fewer parents refuse one or more infant vaccines in a typical month. When that happens, 21 percent of pediatricians and 4 percent of family physicians said they "always" or "often" dismiss families. Pediatricians likely to dismiss families over vaccination are nearly five times more likely to be in private practice, and four times more likely to be from the South or a state that does not allow philosophical exemptions from vaccination.
But O'Leary said he's heard anecdotally that pediatricians across the nation have come under pressure to refuse to take on unvaccinated children, following the Disneyland measles outbreak that occurred earlier this year. "I'm hearing the practice has become more common, particularly in California, following the outbreak," O'Leary said. "Parents say, 'I don't want to take my child to a clinic with non-vaccinators and expose them to risk,' so there is parental pressure on some pediatricians."