The impacts of Chinese cultural adherence to filial piety on the dementia care decision processes in East Asian communities

Objectives Developing knowledge of Chinese cultural adherence to filial piety helps understand Dementia in the Asian Pacific Regions regarding its dementia care practices and medical system cluster around filial piety. Background Chinese filial piety has been deeply rooted in East Asian culture for over five thousand years, affecting life choices, including medical treatments decisions and end‐of‐life care decisions for family members. Regardless of their level of westernization, Chinese filial piety continues to play a key role in determining timely diagnosis, and institutionalization of a person with dementia. As characterized by collectivism, filial piety also explicitly directs informal caregivers' careers paths, mental health, and physical health, especially for females. Consequently, dementia care practices and medical system in East Asian communities cluster around the level of practice of filial piety, which directly affects dementia care decision making processes as well as the welfare of a person with dementia and costs to society. Methods A systematic literature review for the previous decade on filial piety will be employed. Implications: Through developing knowledge of underlying cultural adherence to dementia care practices in East Asian communities, government, social policies, and professionals across the fields as a whole can develop a better supportive environment for persons with dementia and their caregivers.