Managing Conflict When There’s Disagreement in Care Between Medical Providers, Caregivers, and Patient

  • Ernest FrugéEmail author
  • Michael Sprehe
  • Laura Loftis
  • Melody Brown-Hellsten
  • Courtenay Bruce


The medical care of children with life-threatening and life-limiting illness is a crucible containing many volatile issues and complicated circumstances that predictably provoke conflict between well-meaning people. This chapter will review the prototypical types of conflicts that occur in the practice of pediatric hematology/oncology and propose methods of managing these conflicts that hinge on established ethical principles and disciplined reasoning. We draw on the broader field of conflict management for an empirically grounded understanding of conflict and conflict resolution strategies.


Conflict management Conflict resolution Shared decision making Goals Best interest Patient family Hematology/oncology Critical care medicine Intensive care Children Pediatrics Ethics 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Ernest Frugé
    • 1
    • 2
    Email author
  • Michael Sprehe
    • 3
    • 4
  • Laura Loftis
    • 5
    • 6
  • Melody Brown-Hellsten
    • 7
    • 8
  • Courtenay Bruce
    • 9
  1. 1.Department of Pediatrics, Hematology-Oncology Section and Center for Medical Ethics & Health PolicyBaylor College of MedicineHoustonUSA
  2. 2.Psychosocial DivisionTexas Children’s Cancer & Hematology CentersHoustonUSA
  3. 3.Department of Pediatrics, Hematology-Oncology SectionBaylor College of MedicineHoustonUSA
  4. 4.Hematology-Oncology, Children’s MinnesotaMinneapolisUSA
  5. 5.Department of Pediatrics, Critical Care Medicine Section and Center for Medical Ethics & Health PolicyBaylor College of MedicineHoustonUSA
  6. 6.Intensive Care ServiceTexas Children’s HospitalHoustonUSA
  7. 7.Department of Pediatrics, Hematology-Oncology SectionBaylor College of MedicineHoustonUSA
  8. 8.Palliative Care ProgramTexas Children’s HospitalHoustonUSA
  9. 9.Institute for Academic Medicine, Department of MedicineHouston Methodist HospitalHoustonUSA

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