中国香港地区预设医疗指示的经验与启示

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中图分类号：D922.16 文献标识码：A 文章编号：1000-503X（2025）01-0068-06

DOI：10.3881/j.issn.1000-503X.16193

Experience and Implications on Advance Medical Directives in Hong Kong

GAO Xiaoyi

School of Health Humanities，Capital Medical University，Beijing1Ooo69，China

Tel：13466763237，E-mail：gaoxiaoyi0422@163.com

ABSTRACT：Advance medical directives alow patients to plan in advance their medical decisions in the event of incurable diseases orat the end of their lives when they have the capacity to make such decisions.This institutionaldesignnotonlybreaks through thetraditional medical decision-making modeland enables patients to makeautonomous decisions across time and space，but also demonstrates the law’s respect for and protection of patients’right to makeautonomous decisions and their dignity of life.The Hong Kong Special Administrative Region submited thebillrelated toadvance medical directives totheLegislativeCouncil forreviewattheendof 2023.On November 20，2024，the Advance Decision on Life-Sustaining Treatment Bill was pased，a move that is of great significance toregulating the legal isues in medical decision-making.Thispaperwilldelve into the basic principles，main contents，and related considerations of advance medical directives in Hong Kong，aiming to provide insights and references for the future improvement of relevant laws in the Chinese mainland.

Key words：Hong Kong；advance medical directive；advance care planning；hospice care

ActaAcadMedSin，2025，47（1）：68-73

在确保尊重患者自主意愿的前提下，提升生命末期的生活质量是实现生命全周期健康服务与保障的重要组成部分，在此过程中保障患者的自主权至关重要。（剩余11131字）