Connect
MJA
MJA

Doctors’ “judgements” and parents’ “wishes”: ethical implications in conflict situations

Rosalind J McDougall and Lynn Gillam
Med J Aust 2014; 200 (7): . || doi: 10.5694/mja13.11326
Published online: 21 April 2014

Through our language, we are unthinkingly privileging doctors’ views over those of parents

In paediatric hospitals, conflicts sometimes arise between parents and doctors about the appropriate medical treatment for a child. Parents sometimes seek a treatment, such as ongoing ventilation or additional radiotherapy, that the medical team considers inappropriate for that particular child. Alternatively, parents sometimes refuse treatments that the child’s doctors view as essential. Some of these cases end up in court, while others are resolved within the hospital.


  • 1 Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC.
  • 2 Children’s Bioethics Centre, Royal Children’s Hospital, Melbourne, VIC.


Correspondence: rmcdo@unimelb.edu.au

Acknowledgements: 

We thank Alison Brookes for research assistance. Rosalind McDougall is funded by Australian Research Council Discovery Early Career Researcher Award DE120100488.

Competing interests:

No relevant disclosures.

  • 1. Brazier M. Letting Charlotte die. J Med Ethics 2004; 30: 519-520.
  • 2. Hui E. Parental refusal of life-saving treatments for adolescents: Chinese familism in medical decision-making re-visited. Bioethics 2008; 22: 286-295.
  • 3. Ruppe MD, Feudtner C, Hexem KR, et al. Family factors affect clinician attitudes in pediatric end-of-life decision making: a randomized vignette study. J Pain Symptom Manage 2013; 45: 832-840.
  • 4. Street RL, Gordon H, Haidet P. Physicians’ communication and perceptions of patients: is it how they look, how they talk, or is it just the doctor? Soc Sci Med 2007; 65: 586-598.
  • 5. Hafferty FW, Franks R. The hidden curriculum, ethics teaching, and the structure of medical education. Acad Med 1994; 69: 861-871.
  • 6. Hinds PH, Oakes LL, Hicks J, et al. “Trying to be a good parent” as defined by interviews with parents who made phase I, terminal care, and resuscitation decisions for their children. J Clin Oncol 2009; 27: 5979-5985.

Author

remove_circle_outline Delete Author
add_circle_outline Add Author

Comment
Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.