title: [Pain and conflicts: a comparative approach and implications for end-of-life quality of care].
abstract: Are conflicts to an organization what pain is to an organism?
  
  
  OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Institut de médecine sociale et préventive, Département de médecine et santé communautaires, Faculté de médecine, Université de Genève, Genève, Suisse. emmanuel.kabengele@unige.ch
authors.forename: Emmanuel K
authors.initials: EK
authors.lastname: Mpinga
authors.forename: Henk
authors.initials: H
authors.lastname: Verloo
authors.forename: Charles-Henri
authors.initials: CH
authors.lastname: Rapin
authors.forename: Philippe
authors.initials: P
authors.lastname: Chastonay
mesh_terms: D003220:Conflict, Psychological; D003695:Delivery of Health Care; D006801:Humans; D010146:Pain / Q000523:psychology*; D059408:Pain Management; D010166:Palliative Care / Q000523:psychology*; D011634:Public Health; D011787:Quality of Health Care; D012944:Social Support; D013557:Switzerland