The challenge of how to promote the utilization of hospice care and achieve the goal of“good death”for terminal cancer patients through shared decision -making has become a pressing practical issue that needs to be addressed. This article provided a literature review on the theoretical framework，patient decision aids，and current implementation status of shared - decision - making for cancer patients in hospice care both domestically and internationally. We then identified barriers based on the Consolidated Framework for Implementation Research. Finally，we proposed intervention strategies driven by shared decision - making to enhance the hospice care use by cancer patients，including（1）developing patient decision aids for hospice care among cancer patients adapted to local contexts；（2）enhancing the internal and external environments for shared decision - making through the construction of social norms and interdisciplinary collaborations；（3）addressing individual-level barriers based on patient needs assessment and continuous training of service providers；（4） continuously improving and optimizing shared decision - making through monitoring and evaluating the effectiveness of patient-aid tools.