Analysis and discussion of the doctor-patient double subject game in medical decision-making
10.12026/j.issn.1001-8565.2025.05.03
- VernacularTitle:医疗决策中医患双主体博弈的分析与讨论
- Author:
Tinghui HUANG
1
;
Zenghui HUO
1
Author Information
1. School of Humanities， Beijing University of Chinese Medicine， Beijing 102400， China
- Publication Type:Journal Article
- Keywords:
medical decision-making;
doctor-patient game;
patient autonomy
- From:
Chinese Medical Ethics
2025;38(5):559-564
- CountryChina
- Language:Chinese
-
Abstract:
With the construction of a pluralistic value system， the concept of patient autonomy has gradually been established. The paternalistic medical decision-making model has been widely questioned and criticized， gradually losing its dominant position. Due to the differences in positions and values， there are conceptual differences and decision-making conflicts between doctors and patients， and the doctor-patient game runs throughout the entire medical decision-making process. However， after analyzing the advantages and disadvantages of both the paternalistic medical decision-making model and the patient autonomous decision-making model， it can be found that blindly devaluing any medical decision-making model is not the optimal solution to maximize patients’ rights and interests. The medical side needs to fully respect patient autonomy， while the patient side should also clarify the concept of equal rights and responsibilities. Through the optimization of the policies and systems， both doctors and patients can cultivate independent decision-making personalities and rational thinking abilities， ultimately achieving doctor-patient consensus through equal dialogue and communication.
