[정회원 저널]Vaccine Refusal and Trust: The Trouble With Coercion and Education and Suggestions for a Cure 작성자 : 안성현     작성일 : 2016-05-02


Vaccine Refusal and Trust: 
The Trouble With Coercion and Education and Suggestions for a Cure

백신 신뢰와 거부:
치료를 위한 제안과 교육 및 강요의 문제점


Johan Christiaan Bester        



Abstract 

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.

Keywords

Vaccination . Vaccine refusal . Public health


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