Vaccine refusal is increasing. Objectives were to assess frequency of declining or dismissing patients who refuse vaccines, which vaccine(s) prompt pediatricians to decline/dismiss patients, and demographics of pediatricians who decline/dismiss patients. Active members of the Oklahoma American Academy of Pediatricians (AAP) were surveyed. Chi-square tests with non-overlapping 95% confidence intervals compared proportions of providers across various metrics. In all, 47% (48/103) versus 35% (34/98) reported declining versus dismissing patients for refusing vaccines, respectively. Pediatricians were unlikely to decline/dismiss patients if they refused influenza, human papilloma virus (HPV), or MenB vaccines. Pediatricians with more years in practice were less likely to decline 15% (9/62) versus 44% (16/36), P = 0.002 and dismiss 8% (5/62) versus 33% (12/36), P = 0.002 patients. Rural pediatricians were less likely than urban to decline 12% (2/17) versus 29% (26/89), P = NS and dismiss patients 0% (0/17) versus 21% (19/89), P = 0.04. Dismissing/declining patients for vaccine refusal is more common among Oklahoma pediatricians than nationally reported. Patterns differ by practice setting, years in practice, and specific vaccine refused.

拒绝接种疫苗的情况正在增加。目的是评估拒绝或解雇拒绝疫苗的患者的频率、哪些疫苗促使儿科医生拒绝/解雇患者，以及拒绝/解雇患者的儿科医生的人口统计数据。俄克拉荷马州美国儿科医师学会 (AAP) 的活跃成员接受了调查。采用非重叠 95% 置信区间的卡方检验比较了各种指标的提供商比例。总体而言，分别有 47% (48/103) 和 35% (34/98) 的患者报告因拒绝接种疫苗而拒绝接种疫苗或解雇患者。如果患者拒绝接种流感、人乳头瘤病毒 (HPV) 或 MenB 疫苗，儿科医生不太可能拒绝/解雇患者。执业年限较长的儿科医生拒绝接受的可能性较小，分别为 15% (9/62) 和 44% (16/36)， P = 0.002；解雇的可能性分别为 8% (5/62) 和 33% (12/36)， P = 0.002 名患者。与城市相比，农村儿科医生下降的可能性较小，分别为 12% (2/17) 和 29% (26/89)， P = NS，并且解雇患者的可能性分别为 0% (0/17) 和 21% (19/89)， P = 0.04 。俄克拉荷马州儿科医生因拒绝接种疫苗而解雇/拒绝患者的情况比全国报道的更为常见。模式因实践环境、实践年限和拒绝的特定疫苗而异。