Evidence map›Paper›PMID 30996599›Full record

ReviewPaediatrics & child health2019

Is physician dismissal of vaccine refusers an acceptable practice in Canada? A 2018 overview.

Noni E MacDonald, Shawn Harmon, Eve Dube, Beth Taylor, Audrey Steenbeek, Natasha Crowcroft, Janice Graham

Open access · bronzeAbstract readReview
In one paragraph

Review in Paediatrics & child health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Fake news and science denier attacks on vaccines. What can you do?Canada communicable disease report = Releve des maladies transmissibles au Canada · 2020
    Article
  2. Article
  3. Vaccine hesitancy in the 'religious'.Paediatrics & child health · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Noni E MacDonaldDepartment of Pediatrics, Dalhousie University, IWK Health Centre, Halifax, Nova Scotia.
Shawn HarmonDepartment of Pediatrics, Dalhousie University, IWK Health Centre, Halifax, Nova Scotia.
Eve DubeInstitut National de Santé Publique du Québec and Université Laval, Québec, Québec.
Beth TaylorSchool of Nursing, Faculty of Health, Dalhousie University, Halifax, Nova Scotia.
Audrey SteenbeekSchool of Nursing, Faculty of Health, Dalhousie University, Halifax, Nova Scotia.
Natasha CrowcroftPublic Health Ontario, Laboratory Medicine and Pathobiology and Dalla Lana School of Public Health University of Toronto, Toronto Ontario.
Janice GrahamDepartment of Pediatrics, Dalhousie University, IWK Health Centre, Halifax, Nova Scotia.
Dalhousie University · CAIzaak Walton Killam Health Centre · CAPublic Health Ontario · CAUniversité Laval · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite robust evidence that routine immunization is effective and safe, some parents refuse some or all vaccines for their children. In 2007, concern that Canadian paediatricians and family physicians might be considering dismissal of vaccine refusers from their practices prompted an ethical, legal, and public health analysis which concluded that dismissal was professionally problematic. We now reassess this important issue in the Canadian context updating ethical, legal, and public health considerations highlighting changes since 2007. In light of the recent strengthening of Ontario's school immunization requirements that include stiffer steps to qualify for a medical, conscience, or religious belief exemption, physicians and health care workers may be under more pressure from vaccine refusers in their practice leading some to contemplate dismissal or even consider no longer offering immunizations at all in their practice. Given the challenges that vaccine refusers may present, we offer an overview for managing vaccine refusal by parents/patients in a medical practice.

Indexed as

EthicsHealth lawPractice dismissalPublic healthVaccine hesitancyVaccine refusal

Identifiers

PMID30996599
PMCPMC6462121
OpenAlexW2894716573

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.