id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-258353-uw8padla	Williams, Joshua T.B.	Caring for the Vaccine Hesitant Family: Evidence-Based Alternatives to Dismissal	2020-05-22		.txt	text/plain	2765	182	46	[16] [17] [18] [19] In 2016, the American Academy of Pediatrics' (AAP) Report "Countering Vaccine Hesitancy" characterized dismissal as acceptable only after careful consideration of the situation, transparency with parents about the risks to their child, and openness about practice policies. As an alternative to practice dismissal, there are several evidence-based tools in the provider-parent communication literature that can increase parental vaccine acceptance while keeping children of vaccine-hesitant parents in our practices. A multi-arm randomized trial in 30 pediatric and family medicine clinics across North Carolina found a 5.4% increase (95% CI; 1.1%-9.7%) in HPV vaccination coverage for patients in clinics whose providers received presumptive training, compared with conversation training or usual care. Evidence-based alternatives to dismissal exist, increase parental acceptance of vaccines, will keep under-vaccinated and unvaccinated children with pediatricians, and improve population health. As we work as pediatricians to improve the state of vaccine confidence, let us consider caring for vaccine-hesitant families, one visit at a time.	./cache/cord-258353-uw8padla.txt	./txt/cord-258353-uw8padla.txt