临床医患共同决策:西方理论与中国文化"碰撞"OA

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.