目的:了解医务人员对医患关系及医疗纠纷认知。方法:抽取广东省6家乡镇卫生院407名医务人员对其进行问卷调查,运用SPSS 17.0进行统计分析。结果:82.2%医务人员认为医患关系日趋紧张,65.9%认为发生失误时应寻找理由辩解,62.6%认为应自我宣传、展示业绩,50.4%认为应主动讨好患者。对医患纠纷,39.1%医务人员认为是与患者沟通不良,23.8%是服务态度不好;药价过高是“看病贵难”的首因(占19.7%)。其次是医院制度缺陷、检查费过高,分别为16.6%、16.0%。对过度医疗,50.4%认为是医生自保,26.7%认为是医院奖励制度所致。患者抱怨最多的是药价贵(占30.7%),其次为排队时间长(占24.8%),再次是医生态度差(占16.6%)。结论:绝大多数医务人员认为医患关系日趋紧张,对防范医疗纠纷缺乏信心,有半数以上的人把寻找理由辩解、自我宣传、主动讨好患作为防范医疗纠纷的重要措施。 Objective: To understand the medical staff on the doctor-patient relationship and medical dispute cognition. Methods: A total of 407 medical staff from 6 township hospitals in Guangdong Province were investigated by questionnaire and SPSS 17.0 was used for statistical analysis. Results: 82.2% of medical staffs think that the relationship between doctor and patient is becoming increasingly tense. 65.9% of them think that they should find reasons to justify mistakes, 62.6% think they should advertise themselves and show performance, and 50.4% think they should take the initiative to please patients. 39.1% of the doctors and patients said they had poor communication with patients, 23.8% said they were not in a good attitude and that the drug price was too high, which was the first reason for the difficulty of seeing a doctor (19.7%). Followed by the hospital system defects, inspection fees are too high, respectively, 16.6%, 16.0%. For over-medical treatment, 50.4% considered doctors self-insured and 26.7% thought to be hospital rewards system. Patients complained about the most expensive drugs (30.7%), followed by queuing for a long time (24.8%), and again the doctor’s attitude is poor (16.6%). Conclusion: The vast majority of medical staffs think that the relationship between doctors and patients is increasingly tense. They lack confidence in the prevention of medical disputes. More than half of them regard seeking reasons as justification, self-advocacy and proactive soliciting of patients as important measures to prevent medical disputes.