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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (16): 74-78.doi: 10.16460/j.issn1008-9969.2021.16.074

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Power, Rights and Culture: An Implication from Changes of Medical Decision-making Mode

MENG Yi1, CHEN Ling1, ZOU Li-qin2   

  1. 1. School of Law and Sociology, Chongqing Technology and Business University, Chongqing 400067, China;
    2. The First Affiliated Hospital, Army Medical University, Chongqing 400030, China
  • Received:2021-03-23 Online:2021-08-25 Published:2021-09-10

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Abstract: Objective To clarify the historical changes and evolution logic of medical decision-making mode, and to explore an ideal medical decision-making mode. Methods We analyzed and evaluated relevant literature at home and abroad on concept connotation and changes of medical decision-making mode. Results There were three schools in the connotation of medical decision-making in terms of process, result and behavior, but all of them had the problem of unclear decision-making subject. In the history of modern medical development, the medical decision-making mode had undergone three major changes with the cognitive changes of doctors’ rights and patients’ rights, which were paternalistic decision-making model, informed decision-making mode and shared decision-making mode. However, after the spread of modern medicine to China, and the above-mentioned three modes had evolved into Confucian familism because of local culture. Conclusion The ideal medical decision-making mode consists of trusting the authority of doctors, protecting patients' rights, respecting patients’ preferences and local culture in the decision-making process of clinical treatment and nursing programs.

Key words: medical decision-making model, power, rights, culture

CLC Number: 

  • R47
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