Li En-Chang, Wang Zhen, Zhang Wen-Ying, Zhao Liang-Yu
Editorial Department of Chinese Medical Ethics, Medical School of Xi'an Jiaotong University, Xi'an, 710061, China,
Chin J Integr Med. 2014 Nov;20(11):876-80. doi: 10.1007/s11655-014-1987-z. Epub 2014 Sep 24.
In China, there are three basic clinical decision-making modes for patients, namely patients' autonomous decision-making mode, family decision-making mode and patient and family codetermination. They were produced under the unique background of Chinese medicine, Confucian philosophy and law in China. In this paper, the concepts, advantages and disadvantages of these three decision-making modes were analyzed. In addition, some suggestions were put forward for the improvement. The first is that we suggest to establish standards for choosing decision-making modes; the second is to further learn and publicize relevant laws; thirdly, the legal system needs to be further refined; and the last one is to carry out ethical ward round.
在中国，患者有三种基本的临床决策模式，即患者自主决策模式、家庭决策模式和患者与家庭共同决策模式。它们是在中国独特的医学、儒家哲学和法律背景下产生的。本文分析了这三种决策模式的概念、优缺点。此外，还提出了一些改进建议。首先，我们建议建立决策模式选择标准；其次，要进一步学习和宣传相关法律；第三，法律制度需要进一步完善；最后是开展伦理查房。
