中国医学伦理学2026，Vol.39Issue(1)：100-104,5.DOI:10.12026/j.issn.1001-8565.2026.01.14
临床医患共同决策:西方理论与中国文化"碰撞"
Clinical doctor-patient shared decision-making:the"collision"between Western theories and Chinese culture
摘要
Abstract
This paper reviewed the development history of doctor-patient shared decision-making(SDM)at home and abroad,emphasizing the importance of cross-cultural analysis in constructing a Chinese doctor-patient SDM model.It also delved into the relationship between Western"individualistic"sociocultural values and doctor-patient SDM,as well as the influence of China's"collectivist"sociocultural values on doctor-patient SDM,revealing significant disparities in doctor-patient SDM models under distinct sociocultural contexts.Although the doctor-patient SDM theory in China originated from the West,this theory requires profound"collision"and adaptation with local Chinese culture to form a localized theory suited to China's national conditions.Through cross-cultural adaptation and integrating China's familism tradition and medical ethics concepts,the future construction of the doctor-patient SDM model in China should emphasize family members'involvement and seek cultural balance to facilitate its widespread application in clinical practice.关键词
医患共同决策/跨文化分析/个人主义/集体主义/家庭参与Key words
doctor-patient shared decision-making/cross-cultural analysis/individualism/collectivism/family involvement分类
医药卫生引用本文复制引用
李梦楠,颜媛媛,付广,陈茜,莫文娟..临床医患共同决策:西方理论与中国文化"碰撞"[J].中国医学伦理学,2026,39(1):100-104,5.基金项目
2022年湖南省社会科学成果评审委员会课题"医护患-家属共同决策实施的障碍因素及研究对策——以胃肠外科为例"(XSP22YBC626) （XSP22YBC626）
