@article{WU2026, 
author = {Yan WU},
title = {Reconciling Individual Autonomy and Family Decision-Making in Palliative Care in China},
year = {2026},
journal = {Medical Journal of Peking Union Medical College Hospital},
volume = {17},
number = {4},
pages = {1187-1192},
keywords = {palliative care, autonomy, family-centered decision-making, cross-cultural ethics, informed consent},
url = {https://www.sciopen.com/article/10.12290/xhyxzz.2025-1047},
doi = {10.12290/xhyxzz.2025-1047},
abstract = {As pilot programs for hospice and palliative care deepen in China, conflicts have emerged in clinical practice between Western ethical principles centered on "patient autonomy" and the traditional Chinese family-centered decision-making model, leading to widespread dilemmas regarding informed consent and family conflicts in decision-making. The sinicization of palliative care practice should not involve simply replacing one model with another. Instead, it should be based on a profound understanding of the local culture to achieve "relational autonomy", thereby constructing a palliative care ethical system that genuinely aligns with China's national context and can effectively guide clinical practice.}
}