生前预嘱的争论、困境与出路

安宁缓和医疗专栏

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中图分类号：R48 文献标识码：A 文章编号：1000-503X（2025）01-0063-05

DOI：10.3881/j. issn. 1000-503X.16182

Debate，Dilemma，and Solution ofLiving Will

CHEN Long

Department of Global Health，School of Public Health，Peking University，Beijing 1O0191，China

Tel：010-82801620，E-mail：1354651449@qq.com

ABSTRACT：A living will is a record of the patient’s wilingness to choose the medical care plan at the critical or dying stage when the patient is conscious. Due to the influences of traditional ethical ideas，policies， laws，medical servicesupplyand other factors，the social implementation of living wils facegreat obstacles.Therefore，we should strengthen theeducationof citizens’view of lifeand death，improve the specific operation procedures of living wils，and establish a national security system for paliative care，so as to better promote the development of hospice care in China.

Keywords：livingwill；right to life；medical autonomy；palliative care

ActaAcadMedSin，2025，47（1）：63-67

据《中华人民共和国2023年国民经济和社会发展统计公报》显示，截至2023年末，中国60周岁及以上老年人口为29 697万人，占总人口 。（剩余8537字）