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. 2020 Sep 15;324(11):1105–1107. doi: 10.1001/jama.2020.10658

Table 1. Individual Physician Practices and Office Policies for Addressing Vaccine Refusal (N = 303).

Variable No. (%)a
Physician Office policy
Often/always Sometimes Rarely Never Yes No Don’t know
Require parents to sign a form if they refuse vaccination 168 (57) 47 (16) 23 (8) 56 (19) 184 (66) 87 (31) 9 (3)
Dismiss families from your practice if they refuse vaccines in the primary series for their child 109 (37) 28 (9) 17 (6) 141 (48) 141 (51) 135 (49) 2 (1)
Not accept new patients who do not agree to give their child all vaccines according to the recommended vaccination schedule 100 (34) 23 (8) 22 (7) 150 (51) 129 (46) 148 (52) 5 (2)
Not accept new patients who do not agree to give their child some vaccines according to the recommended vaccination schedule 84 (29) 42 (14) 26 (9) 141 (48) 124 (44) 150 (54) 6 (2)
Agree to “spread out” vaccines in the primary series 58 (20) 123 (42) 80 (27) 33 (11) 102 (37) 168 (60) 8 (3)
Not accept new patients who insist on spreading out vaccines 32 (11) 31 (11) 40 (14) 192 (65) 84 (30) 191 (68) 6 (2)
Dismiss new patients who insist on spreading out vaccines 22 (8) 20 (7) 41 (14) 207 (71) 77 (28) 191 (69) 7 (3)
Dismiss families from your practice if they choose to “spread out” vaccines in the primary series for their child 18 (6) 21 (7) 46 (16) 209 (71) 78 (28) 196 (70) 5 (2)
Refer patients to other practitioners within your practice who will allow them to deviate from the recommended vaccination schedule 2 (1) 4 (1) 18 (6) 267 (92) 64 (23) 204 (73) 10 (4)
Refer patients to specific practitioners outside your practice who will allow them to deviate from the recommended vaccination schedule 9 (3) 21 (7) 22 (7) 242 (82) 55 (20) 212 (77) 9 (3)
Parents sign a contract that their children must be up to date by a certain age, but the parents may spread out the vaccines 14 (5) 20 (7) 17 (6) 243 (83) 52 (19) 213 (76) 14 (5)
a

Some percentages may not add up to 100% because of rounding. Missing data for physician practices ranged from 2% to 4% and for office policies from 6% to 9%.