The medical decision-making rights of designated guardians are an extension of the medical autonomy of the ward and an essential expression of autonomy.However,due to the lack of refinement in China's designated guardianship system and the Civil Code's Article 1219 granting medical decision-making rights only to close relatives without mentioning designated guardians,challenges arise in integrating guardianship with medical decision-making.This study provides an overview of the medical decision-making rights of designated guardians,clarifying their definition and legal basis.It explores their acquisition,scope of responsibilities,and priority in relation to the consent rights of close relatives.The study also analyzes forms of infringement by designated guardians in medical decisions and proposes feasible measures to protect the medical autonomy of wards.By improving the application of the designated guardianship system in medical activities,this research aims to maximize the medical autonomy of wards.
medical decision-making rightsdesignated guardianshipautonomyprotection mechanisms