'Parsimonious' versus patient-centered care: quality issues in childhood immunization.

Full Abstract

As currently practiced, the standard of care strictly limiting the number of medical conditions that warrant withholding vaccination may be incompatible with the Institute of Medicine's (IOM) recommendation for patient-centered care. Furthermore, the "parsimonious" approach to accepting contraindications to vaccination is inconsistent with the IOM's recommendation to consider alternative vaccination schedules and policies aimed at redistributing the benefits and burdens of immunization. This critical perspective is examined within the framework of five rules proposed by the IOM. There is an opportunity to improve the quality of childhood immunization by adopting a patient-centered approach, identifying individuals at risk for acute and/or delayed adverse vaccine effects, and developing alternative immunization schedules for these high-risk children.

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Author information

Author/s: Gallagher, Carolyn (C);

Affiliation: cgallagher(-atsign-)med.miami.edu

Journal and publication information

Publication Type: Journal Article

Journal: Journal for healthcare quality : official publication of the National Association for Healthcare Quality (J Healthc Qual), published in United States. (Language: eng)

Reference: -2003 Sep-Oct; vol 25 (issue 5) : pp 28-35

Dates: Created 2003/09/15; Completed 2003/10/21; Revised 2007/11/15;

PMID: 12971101, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Autistic Disorder - chemically induced
Child, Preschool
Decision Making
Guidelines as Topic
Humans
Immunization Programs - standards

Infant
Institute of Medicine (U.S.)
Patient-Centered Care - standards
Quality Assurance, Health Care
United States
Vaccines - administration & dosage; adverse effects

Associated Chemicals: Vaccines (0)

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