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Pain Research and Management
Volume 14 (2009), Issue 4, Pages 287-292
Original Article

Douleurs et conflits : Approche comparative et implications pour la qualité des soins en fin de vie

Emmanuel Kabengele Mpinga,1,2 Henk Verloo,3 Charles-Henri Rapin,4 and Philippe Chastonay1

1Institut de médecine sociale et préventive, Département de médecine et santé communautaires, Faculté de médecine, Université de Genève, Genève, Switzerland
2École suisse de santé publique, Zurich, Switzerland
3Clinique genevoise de Montana, Switzerland
4Ancien directeur du programme transversal « Bien vieillir », Département de médecine et santé communautaires, Hôpitaux universitaires de Genève et Faculté de médecine, Université de Genève, Genève, Switzerland

Copyright © 2009 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Are conflicts to an organization what pain is to an organism?

OBJECTIVES: To explore the similarities and the differences between pain and conflicts in palliative care settings, and to better understand the potential importance of conflicts in end of life quality of care.

METHODS: Comparative and reflective methods focusing on how conflicts and pain are taken care of in health structures.

RESULTS: Pain and conflicts present numerous similarities such as identity, typology, prevalence, warning function, economic and social costs, denial, occultation and hurdles to appropriate management. Differences also exist regarding pain – there are prevention programs on local and international levels; there are specific research and training programs; and there is also some social visibility. This does not yet exist on a larger scale regarding conflicts.

CONCLUSION: Decision makers at clinical and public health levels should probably push to label conflicts as indicators of quality of care and develop appropriate health policy programs.