Policies to remove parents’ ability to opt-out from school immunization requirements on the basis of religious or personal beliefs (ie, nonmedical exemptions) may be a useful strategy to increase immunization rates and prevent outbreaks of vaccine-preventable disease. However, there is uncertainty about the effectiveness of this strategy and the range of possible outcomes. We advocate for a more deliberative process through which a broad range of outcomes is scrutinized and the balance of values underlying the policy decision to eliminate nonmedical exemptions is clearly articulated. We identify 3 outcomes that require particular consideration before policies to eliminate nonmedical exemptions are implemented widely and outline a process for making the values underlying such policies more explicit.

中文翻译：

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实现最佳的儿童疫苗政策

取消父母基于宗教或个人信仰（即非医疗豁免）选择退出学校免疫要求的能力的政策可能是提高免疫率和预防疫苗可预防疾病爆发的有用策略。但是，该策略的有效性和可能结果的范围存在不确定性。我们提倡一个更加慎重的过程，通过该过程来审查广泛的结果，并明确阐明消除非医疗豁免的政策决定所依据的价值观平衡。我们确定了在广泛实施消除非医疗豁免的政策之前需要特别考虑的 3 个结果，并概述了使这些政策背后的价值更加明确的过程。