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He had a good relationship with his primary hematologist and primary nurse, but with other health care providers, there was evident friction. Sometimes, he was simply rude, rolling over and pretending to sleep in response to questions about his symptoms. When frustrated or convinced that his pain was not being addressed appropriately, he was prone to yelling and cursing at his nurses. After members of the health care team complained, their supervisor decided to transfer the patient to an adult general medicine service. Reasons cited for the transition included the stressful work environment created by the patient's actions, his refusal to follow directives from staff (although he was generally adherent to treatment), and the hypothetical harm to other young patients who might witness his behavior. Was this a just outcome? Is it ever permissible to deny access to pediatric care to a patient whose best interests would be served by it? Can access be withheld for \u201cbad\u201d behavior, and can transfer of care be wielded as a punishment?<\/jats:italic><\/jats:p>","DOI":"10.1002\/hast.929","type":"journal-article","created":{"date-parts":[[2018,12,26]],"date-time":"2018-12-26T16:52:19Z","timestamp":1545843139000},"page":"7-11","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Who Deserves Access to Care in Children's Hospitals?"],"prefix":"10.1002","volume":"48","author":[{"given":"Amy E.","family":"Caruso Brown","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Frega","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,26]]},"reference":[{"key":"e_1_2_8_1_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2011.01354.x"},{"issue":"3","key":"e_1_2_8_2_1","article-title":"Age Limit of Pediatrics","volume":"140","author":"A. 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A.","year":"2015","journal-title":"UCLA Law Review"},{"issue":"2","key":"e_1_2_8_17_1","first-page":"526","article-title":"Education not Incarceration: A Conceptual Model for Reducing Racial and Ethnic Disproportionality in School Discipline","volume":"5","author":"McIntosh K.","year":"2014","journal-title":"Journal of Applied Research on Children"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956797615624492"},{"key":"e_1_2_8_19_1","unstructured":"ZEMPSKY \u201cPain Scores: Are They Used in Sickle Cell Pain?\u201d; R. Epstein J. Blake and T. Gonz\u00e1lez \u201cGirlhood Interrupted: The Erasure of Black Girls' Childhood \u201dGeorgetown Law 2017 https:\/\/www.law.georgetown.edu\/poverty-inequality-center\/wp-content\/uploads\/sites\/14\/2017\/08\/girlhood-interrupted.pdf."},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.22016"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-3737.2006.00324.x"},{"key":"e_1_2_8_22_1","unstructured":"R.Bernstein \u201cLet Kids Just be Kids \u201dNew York Times July 26 2017."}],"container-title":["Hastings Center Report"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhast.929","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hast.929","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hast.929","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hast.929","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,27]],"date-time":"2023-08-27T06:35:44Z","timestamp":1693118144000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hast.929"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1002\/hast.929"],"URL":"https:\/\/doi.org\/10.1002\/hast.929","archive":["Portico"],"relation":{},"ISSN":["0093-0334","1552-146X"],"issn-type":[{"value":"0093-0334","type":"print"},{"value":"1552-146X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11]]},"assertion":[{"value":"2018-12-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}