The implementation of dignified death in China faces multiple practical obstacles.Economic conditions,resource allocation,cultural values and other social factors profoundly shape different groups’ understanding and implementation of dignified death.Against this background,the factors directly constraining its practice are concentrated in several areas:the value tension between traditional filial piety ethics and the concept of self-determination in life,theoretical disagreements and the dilemma of balancing interests at the end of life,the inherent role conflict of physicians and the blurred boundaries of their legal liability,the challenge of verifying patients’ decision-making capacity and the authenticity of their wishes,and dificiencies in the supply of hospice care resources and service systems.Analysis indicates that the practice of dignified death in China remains inadequate,and its transition from conceptual recognition to practical application is systematically constrained by the above multiple factors.The key to advancing this process lies in achieving a positive interaction between values and institutions.Thus,a thorough understanding of the difficulties encountered in the local exploration of dignified death,along with corresponding adjustment in societal attitudes and institutional coordination,constitutes the prerequisite and foundation for moving it toward practice.