怨恨是导致医患关系紧张的情感动因。患者的怨恨投射于个人、医疗机构和政策制度,呈现出梯度结构。患者的怨恨情绪产生于无助,滋生于比较,诱发于伤害,导源于价值失范。医疗机构要通过加强医德医风建设、完善医患沟通机制、积极应对医疗纠纷,努力化解患者的怨恨,着力构建和谐的医患关系。 Resentment is the emotional motivation that causes the tension between doctors and patients. Patient’s resentment casts on individual, medical institution and policy system, presenting a gradient structure. The patient’s resentment stems from helplessness, breeding in comparison, induced by injury, leading to loss of value from anomie. Medical institutions should strive to build a harmonious relationship between doctors and patients through strengthening the construction of medical ethics and medical ethics, improving the doctor-patient communication mechanism, actively responding to medical disputes, striving to resolve patient resentment.