Douglas J Opel
Biographic Data
| ID | 6077746 |
|---|---|
| NAME | Douglas J Opel |
| GIVEN NAMES | Douglas J |
| FAMILY NAME | Opel |
| SIGNATURE | OPEL D J |
| AFFILIATIONS | Seattle Children's Hospital |
| ORCID | 0000-0001-7021-191X |
| VERIFIED | Yes |
| TOTAL WORKS | 8 |
| TOTAL CITATIONS | 15 |
| WORKS AS AUTHOR | 8 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2011 |
| LATEST PUBLICATION YEAR | 2022 |
| H-INDEX | 2 |
Addressing racism in the healthcare encounter
Justice is a core principle in bioethics, and a fair opportunity to achieve health is central to this principle. Racism and other forms of prejudice, discrimination, or bias directed against people on the basis of their membership in a particular racial or ethnic group are known contributors to health inequity, defined as unjust differences in health or access to care. Though hospital‐based ethics committees and consultation services routinely ad…
Amplifying Appeals to the Common Good in Covid-19 Vaccine Messaging
This Viewpoint highlights how appeals to self-interest as a means to encourage vaccination have come to prevail in the pandemic, and suggests a transition from this approach to appeals that reclaim a spirit of solidarity
Demonstrating ‘respect for persons’ in clinical research
The ethical principle of ‘respect for persons’ in clinical research has traditionally focused on protecting individuals’ autonomy rights, but respect for participants also includes broader, although less well understood, ethical obligations to regard individuals’ rights, needs, interests and feelings. However, there is little empirical evidence about how to effectively convey respect to potential and current participants. To fill this gap, we con…
Nudge or Grudge? Choice Architecture and Parental Decision‐Making
Richard Thaler and Cass Sunstein define a nudge as “any aspect of the choice architecture that alters people's behavior in a predictable way without forbidding any options or significantly changing their economic incentives.” Much has been written about the ethics of nudging competent adult patients. Less has been written about the ethics of nudging surrogates’ decision‐making and how the ethical considerations and arguments in that context might…
Parental Refusal of Childhood Vaccines and Medical Neglect Laws
Objectives. To examine the relation of vaccine refusal and medical neglect under child welfare laws. Methods. We used the Westlaw legal database to search court opinions from 1905 to 2016 and identified cases in which vaccine refusal was the sole or a primary reason in a neglect proceeding. We also delineated if religious or philosophical exemptions from required school immunizations were available at the time of adjudication. Results. Our search…
The Influence of Provider Communication Behaviors on Parental Vaccine Acceptance and Visit Experience
Objectives. We investigated how provider vaccine communication behaviors influence parental vaccination acceptance and visit experience. Methods. In a cross-sectional observational study, we videotaped provider–parent vaccine discussions (n = 111). We coded visits for the format providers used for initiating the vaccine discussion (participatory vs presumptive), parental verbal resistance to vaccines after provider initiation (yes vs no), and pro…
Physician, Patient, Parent
I have Crohn's disease. This essay is about how my experiences with this disease have shaped my perceptions of boundaries in medicine, particularly around the issue of self‐disclosure. I became a pediatrician first, then a parent, and now a patient, and with each new role, I have become increasingly confused on where boundaries regarding self‐disclosures in medicine lie. I'd like to make the case for more of a reframing and a blurring of personal…
Development of a survey to identify vaccine-hesitant parents
OBJECTIVE: To develop a survey to accurately assess parental vaccine hesitancy. RESULTS: The initial survey contained 17 items in four content domains: (1) immunization behavior; (2) beliefs about vaccine safety and efficacy; (3) attitudes about vaccine mandates and exemptions; and (4) trust. Focus group data yielded an additional 10 survey items. Expert review of the survey resulted in the deletion of nine of 27 items and revisions to 11 of the …
The Influence of Provider Communication Behaviors on Parental Vaccine Acceptance and Visit Experience
Objectives. We investigated how provider vaccine communication behaviors influence parental vaccination acceptance and visit experience. Methods. In a cross-sectional observational study, we videotaped provider–parent vaccine discussions (n = 111). We coded visits for the format providers used for initiating the vaccine discussion (participatory vs presumptive), parental verbal resistance to vaccines after provider initiation (yes vs no), and pro…
Parental Refusal of Childhood Vaccines and Medical Neglect Laws
Objectives. To examine the relation of vaccine refusal and medical neglect under child welfare laws. Methods. We used the Westlaw legal database to search court opinions from 1905 to 2016 and identified cases in which vaccine refusal was the sole or a primary reason in a neglect proceeding. We also delineated if religious or philosophical exemptions from required school immunizations were available at the time of adjudication. Results. Our search…
Development of a survey to identify vaccine-hesitant parents
OBJECTIVE: To develop a survey to accurately assess parental vaccine hesitancy. RESULTS: The initial survey contained 17 items in four content domains: (1) immunization behavior; (2) beliefs about vaccine safety and efficacy; (3) attitudes about vaccine mandates and exemptions; and (4) trust. Focus group data yielded an additional 10 survey items. Expert review of the survey resulted in the deletion of nine of 27 items and revisions to 11 of the …
Physician, Patient, Parent
I have Crohn's disease. This essay is about how my experiences with this disease have shaped my perceptions of boundaries in medicine, particularly around the issue of self‐disclosure. I became a pediatrician first, then a parent, and now a patient, and with each new role, I have become increasingly confused on where boundaries regarding self‐disclosures in medicine lie. I'd like to make the case for more of a reframing and a blurring of personal…
The Influence of Provider Communication Behaviors on Parental Vaccine Acceptance and Visit Experience
Objectives. We investigated how provider vaccine communication behaviors influence parental vaccination acceptance and visit experience. Methods. In a cross-sectional observational study, we videotaped provider–parent vaccine discussions (n = 111). We coded visits for the format providers used for initiating the vaccine discussion (participatory vs presumptive), parental verbal resistance to vaccines after provider initiation (yes vs no), and pro…
Parental Refusal of Childhood Vaccines and Medical Neglect Laws
Objectives. To examine the relation of vaccine refusal and medical neglect under child welfare laws. Methods. We used the Westlaw legal database to search court opinions from 1905 to 2016 and identified cases in which vaccine refusal was the sole or a primary reason in a neglect proceeding. We also delineated if religious or philosophical exemptions from required school immunizations were available at the time of adjudication. Results. Our search…
Nudge or Grudge? Choice Architecture and Parental Decision‐Making
Richard Thaler and Cass Sunstein define a nudge as “any aspect of the choice architecture that alters people's behavior in a predictable way without forbidding any options or significantly changing their economic incentives.” Much has been written about the ethics of nudging competent adult patients. Less has been written about the ethics of nudging surrogates’ decision‐making and how the ethical considerations and arguments in that context might…
Demonstrating ‘respect for persons’ in clinical research
The ethical principle of ‘respect for persons’ in clinical research has traditionally focused on protecting individuals’ autonomy rights, but respect for participants also includes broader, although less well understood, ethical obligations to regard individuals’ rights, needs, interests and feelings. However, there is little empirical evidence about how to effectively convey respect to potential and current participants. To fill this gap, we con…
Addressing racism in the healthcare encounter
Justice is a core principle in bioethics, and a fair opportunity to achieve health is central to this principle. Racism and other forms of prejudice, discrimination, or bias directed against people on the basis of their membership in a particular racial or ethnic group are known contributors to health inequity, defined as unjust differences in health or access to care. Though hospital‐based ethics committees and consultation services routinely ad…
Amplifying Appeals to the Common Good in Covid-19 Vaccine Messaging
This Viewpoint highlights how appeals to self-interest as a means to encourage vaccination have come to prevail in the pandemic, and suggests a transition from this approach to appeals that reclaim a spirit of solidarity
Psychology (7 works) · Medicine (6 works) · Political science (5 works) · Law (4 works) · Vaccine Coverage and Hesitancy (4 works) · Ethics and Legal Issues in Pediatric Healthcare (3 works) · Family medicine (3 works) · Social Psychology (3 works) · Vaccination (3 works) · Autonomy (2 works)