Cultural interplay in end-of-life care decisions: comparing advance directive beliefs and preferences among adults in the U.S. and Taiwan

Adults in Taiwan place significant importance on advance directives and demonstrate a greater propensity to engage in end-of-life discussions. They also appear more willing than adults in the U.S. to delegate healthcare decisions to their loved ones. Paradoxically, however, they express concerns about whether these decisions align with their personal preferences, a discrepancy likely influenced by cultural values of filial piety and collectivism in Taiwan.

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Publication Details

Journal
BMC Palliative Care
Published
2025-04-15
DOI
https://doi.org/10.1186/s12904-025-01736-z
Citations
14
Primary Topic
Palliative Care and End-of-Life Issues
Type
article
Field-Weighted Citation Impact
26.30

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article

Cultural interplay in end-of-life care decisions: comparing advance directive beliefs and preferences among adults in the U.S. and Taiwan

Ashley Shayya, Yuchi Young, Thomas O’Grady, Taylor Perre et al.
14 citations
BMC Palliative Care
Palliative Care and End-of-Life Issues
26.30
article

Cultural interplay in end-of-life care decisions: comparing advance directive beliefs and preferences among adults in the U.S. and Taiwan

Ashley Shayya, Yuchi Young, Thomas O’Grady, Taylor Perre, Duan‐Rung Chen
article en
14 citations

Abstract

Adults in Taiwan place significant importance on advance directives and demonstrate a greater propensity to engage in end-of-life discussions. They also appear more willing than adults in the U.S. to delegate healthcare decisions to their loved ones. Paradoxically, however, they express concerns about whether these decisions align with their personal preferences, a discrepancy likely influenced by cultural values of filial piety and collectivism in Taiwan.

BMC Palliative CareVol. 24(1)
Albany College of Pharmacy and Health Sciences (US), University at Albany, State University of New York (US), New York State Psychological Association (US)
Ministry of Education, India
Peace, Justice and strong institutions
Openalex Percentile: Top 0%
Palliative Care and End-of-Life Issues
26.30
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