Conceptual Analysis of Article 78 of the Medical Regulations of the Shenzhen Special Economic Zone of China on Advance Medical Directive

Bao Wei1, Nur Khalidah Dahlan1, Mohd Zamre Mohd Zahir1
1Faculty of Law, The National University of Malaysia, Bangi, Selangor, Malaysia
Published: 10/06/2026
: Bao Wei, Nur Khalidah Dahlan, Mohd Zamre Mohd Zahir. Conceptual Analysis of Article 78 of the Medical Regulations of the Shenzhen Special Economic Zone of China on Advance Medical Directive. Cultura Científica, 2026 Issue 24. pg. 530-541.

Abstract

Advance medical directive refers to arrangements made in advance by a competent individual, or the expression of their wishes regarding their medical care, in the event that they become incapacitated in the future. The development of a legal framework for advance medical directives in China is currently in its infancy. In June 2022, the Shenzhen Special Economic Zone in China amended the Shenzhen Special Economic Zone Medical Regulations to confer legal validity on advance medical directives. Prior to this, China had no formal legislation regarding advance medical directives. However, the legal definition of a Advance medical directive provided in Article 78 of the Shenzhen Special Economic Zone Medical Regulations is ambiguous, resulting in a lack of enforceability. This also hinders the further promotion of advance medical directives. This paper employs the methodology of legal doctrine to examine the concept of advance medical directive as set out in Article 78 of the Shenzhen Special Economic Zone Medical Regulations, analysing the legal attributes of this concept within the current Chinese legal system. It offers recommendations from a theoretical perspective regarding the issue of the ambiguity of legal provisions concerning advance medical directives in China.

Keywords: advance medical directives; living wills; the medical regulation of shenzhen special economic zone;will;contract

Resumen

Advance medical directive refers to arrangements made in advance by a competent individual, or the expression of their wishes regarding their medical care, in the event that they become incapacitated in the future. The development of a legal framework for advance medical directives in China is currently in its infancy. In June 2022, the Shenzhen Special Economic Zone in China amended the Shenzhen Special Economic Zone Medical Regulations to confer legal validity on advance medical directives. Prior to this, China had no formal legislation regarding advance medical directives. However, the legal definition of a Advance medical directive provided in Article 78 of the Shenzhen Special Economic Zone Medical Regulations is ambiguous, resulting in a lack of enforceability. This also hinders the further promotion of advance medical directives. This paper employs the methodology of legal doctrine to examine the concept of advance medical directive as set out in Article 78 of the Shenzhen Special Economic Zone Medical Regulations, analysing the legal attributes of this concept within the current Chinese legal system. It offers recommendations from a theoretical perspective regarding the issue of the ambiguity of legal provisions concerning advance medical directives in China.

Palabras clave: advance medical directives; living wills; the medical regulation of shenzhen special economic zone;will;contract
Bao Wei
Faculty of Law, The National University of Malaysia, Bangi, Selangor, Malaysia
Nur Khalidah Dahlan
Faculty of Law, The National University of Malaysia, Bangi, Selangor, Malaysia
Mohd Zamre Mohd Zahir
Faculty of Law, The National University of Malaysia, Bangi, Selangor, Malaysia

How to cite:

Bao Wei, Nur Khalidah Dahlan, Mohd Zamre Mohd Zahir. Conceptual Analysis of Article 78 of the Medical Regulations of the Shenzhen Special Economic Zone of China on Advance Medical Directive. Cultura Científica, 2026 Issue 24. pg. 530-541.

Publication History

Copyright © 2026, Bao Wei, Nur Khalidah Dahlan, Mohd Zamre Mohd Zahir. Published by Cultura Científica. This article is published as open access under the Creative Commons Attribution 4.0 International (CC BY 4.0) license (http://creativecommons.org/licenses/by/4.0/).

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