ArticleInternational journal of environmental research and public health2022
Confucian Familism and Shared Decision Making in End-of-Life Care for Patients with Advanced Cancers.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Shared decision-making in palliative cancer care: A systematic review and metasynthesis.Palliative medicine · 2024Pooled it
- The "good cancer" paradox: Decisional conflict and unmet support needs in patients with thyroid cancer facing surgical decisions-A mixed-methods study.Asia-Pacific journal of oncology nursing · 2026Article
- Reconstructing the boundary of family involvement in shared decision-making: a confucian benevolence model for the Chinese context.BMC medical ethics · 2026Article
- The Harms of Family-Oriented Informed Consent in Clinical Practice in Two Megacities in Northern China: a Sociological and Ethical Study.Asian bioethics review · 2026Article
- Maintaining personhood within family life: a qualitative study of home-based palliative care for patients with advanced cancer in urban China.BMC palliative care · 2026Article
- Barriers to long-acting injectable antipsychotic use for community-dwelling patients with schizophrenia in China: a qualitative process analysis.BMC psychiatry · 2026Article
- Culturally Informed Communication of Neonatal Death in Chinese Neonatal Intensive Care Units.JAMA network open · 2026Article
- Beyond the Cure: Unveiling the Silent Struggles of Breast Cancer Survivors in Hong Kong.Healthcare (Basel, Switzerland) · 2026Article
- Unpacking Multi-Layered Challenges in Palliative Care Transitions: A Descriptive Qualitative Study of Multidisciplinary Teams in China.Journal of multidisciplinary healthcare · 2026Article
- The Enduring Promise of Personalising Patient Preference Prediction.Neuroethics · 2026Review
- Barriers and facilitators of patient activation among older adults with cancer in China: a descriptive qualitative study based on ecological systems theory.Frontiers in public health · 2026Article
- Health-related quality of life and its influencing factors in Chinese patients with phenylketonuria.Frontiers in pediatrics · 2026Article
- Death literacy as relational capability: Pathways from social capital to emotional support.Palliative care and social practice · 2026Article
- Who defines good and bad? Boundaries of family decision-making in palliative care: reflections and reconstruction based on Eastern culture.Frontiers in psychology · 2026Review
- From cultural constraints to structural resilience: a comparative analysis of end-of-life care policies in China, South Korea, the U.S., and the U.K.Frontiers in public health · 2026Article
- Discharge preparedness in chronic heart failure: a dyadic qualitative study of patient and clinician perspectives.Frontiers in cardiovascular medicine · 2026Article
- The formation of palliative treatment intentions among patients with advanced gynecological cancer in China: A grounded theory study.Asia-Pacific journal of oncology nursing · 2025Article
- Cultural and ethical barriers to implementing end-of-life advance care planning among oncology nursing professionals: a content analysis of open-ended questions.BMC medical ethics · 2025Article
- Navigating the delicate balance of autonomy and harmony: a case study on the cultural adaptation of palliative care interventions in China.BMC palliative care · 2025Article
- Shared Decision-Making Behavior in Surgery Among Early Breast Cancer Patients and Associated Factors Using COM-B Model: A Latent Profile Analysis.Journal of nursing management · 2025Article
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5 authors.
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Abstract
Shared decision-making (SDM) has been institutionally recognized as clinically effective by many Western healthcare systems. Nevertheless, it appears culturally unattractive in China, a country that adheres to Confucian familism which strongly prefers collective family decisions. This study examined this conflict and assessed the influence of Confucian familism on SDM in end-of-life (EOL) care for advanced cancer patients. Between August and November 2018, 188 EOL advanced-cancer patients were randomly recruited from 640 cancer hospital medical records at a Tertiary A-level hospital in Shandong province. Eventually, 164 (87.23%) sample patients were included in the statistical analysis after the non-responsive cases (4.79%) and missing value (7.98%) were removed. SDM was measured through SDM-Q-9, and the patient's siblings were used as indicators of Confucian Familism. Of the 164 patients, the mean SDM score was 38/100; 47.6% were thoroughly unfamiliar with their treatment plans and fell outside the decision-making procedure. Each patient had four siblings on average. Ceteris paribus, more siblings led to lower SDM. Moreover, being 56-65 years old and open-minded were associated with higher SDM, while higher satisfaction of the quality of EOL care yielded lower SDM. In conclusion, Confucian familism weakened patient-clinician SDM in EOL care for advanced cancer patients.
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