Clinical doctor-patient shared decision-making： the “collision” between Western theories and Chinese culture
10.12026/j.issn.1001-8565.2026.01.14
- VernacularTitle:临床医患共同决策：西方理论与中国文化“碰撞”
- Author:
Mengnan LI
1
;
Yuanyuan YAN
2
;
Guang FU
2
;
Xi CHEN
2
;
Wenjuan MO
1
Author Information
1. School of Nursing， Hengyang Medical School， University of South China， Hengyang 421001， China
2. Department of Gastrointestinal Surgery， the First Affiliated Hospital of University of South China， Hengyang 421001， China
- Publication Type:Journal Article
- Keywords:
doctor-patient shared decision-making;
cross-cultural analysis;
individualism;
collectivism;
family involvement
- From:
Chinese Medical Ethics
2026;39(1):100-104
- CountryChina
- Language:Chinese
-
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.
