Vaccine Refusal and Trust: The Trouble With Coercion and Education and Suggestions for a Cure
Auteur Johan Christiaan Bester
Volume 12
Numéro 4
Pages 555-559
Publication Journal of Bioethical Inquiry
ISSN 1176-7529
Date Dec 2015
Résumé There can be little doubt about the ethical imperative to ensure adequate vaccination uptake against certain infectious diseases. In the face of vaccine refusal, health authorities and providers instinctively appeal to coercive approaches or increased education as methods to ensure adequate vaccine uptake. Recently, some have argued that public fear around Ebola should be used as an opportunity for such approaches, should an Ebola vaccine become available. In this article, the author describes the difficulties associated with coercion and education when addressing vaccine opposition. Both coercion and education can cause opposite effects than intended in certain circumstances. The correct area of focus is to address the breakdown in trust within clinical relationships. The author presents suggestions for an approach towards vaccine refusal that may be more promising.
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doi:10.1007/s11673-015-9673-1
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