title: Strategic ambiguities in the process of consent: role of the family in decisions to forgo life-sustaining treatment for incompetent elderly patients.
abstract: This paper evaluates the Hong Kong approach to consent regarding the forgoing of life-sustaining treatment for incompetent elderly patients. It analyzes the contextualized approach in the Hong Kong process-based, consensus-building model, in contrast to other role-based models which emphasize the establishment of a system of formal laws and a clear locus of decisional authority. Without embracing relativism, the paper argues that the Hong Kong model offers an instructive example of how strategic ambiguities can both make good sense within particular cultural context and serve important moral goals.
authors.affiliation: United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong. cytse@ha.org.hk
authors.forename: Chun-yan
authors.initials: CY
authors.lastname: Tse
authors.forename: Julia
authors.initials: J
authors.lastname: Tao
authors.forename: Tse
authors.initials: T
authors.lastname: Chun-yan
mesh_terms: D000368:Aged; D032903:Confucianism; D003469:Culture; D003657:Decision Making; D004992:Ethics, Medical; D005066:Euthanasia, Passive / Q000941:ethics / Q000331:legislation & jurisprudence; D005190:Family; D006723:Hong Kong; D006801:Humans; D007258:Informed Consent / Q000941:ethics / Q000331:legislation & jurisprudence; D016743:Mental Competency; D017410:Practice Guidelines as Topic; D011368:Professional-Family Relations; D012068:Religion and Medicine; D013727:Terminal Care