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The author:(作者)hpmailerpublished in(发表于) 2013/11/19 11:51:32 Survey of 809 medical personnel only 9 people want their children to study medicine
Doctor-patient relationship South thousands of people surveys
90% medical staff who had been hurling
Investigation · medical records
Guangzhou, Shanghai, Liaoning, Zhejiang, Jiangxi, Hubei, October-17 in just 11 days, with successive 6 violent injury incident boils the whole health. Once practice lack of security, the country's more than 9 million medical personnel are bound to feel insecure. Injury medical events, physical and psychological injuries, the doctor-patient relationship, "sick", loss of basic trust with each other, it is one of the root causes of the problem.
Guangzhou, one of China's three major medical centers, outpatient visits of the year 127 million passengers and 2.2 million passengers in hospital, medical tens of thousands of employees. "The industry from work on time, a large number of Group of patients unrest" described, which is true, but do exist.
Between doctors and patients about violence, medical doctor-patient relationship, medical security ... ... From October late began, South are reporter, in conjunction with the Sun Yat-sen University Medical Anthropology and health behavior Research Center takes more than 20 days, to 27 home two level above hospital within of practitioners issued you eye in the of medical with relationship health care personnel article under questionnaire over thousands of, recycling questionnaire 881 copy, set asked 14 items; while, we through big Guangdong network South polls Center launched topic survey, recovered network you eye in the of medical with relationship patients, and family article under questionnaire 8,331 copy, set asked 13 items. We hope that through some local research, opinions, and restore has been complicated by the doctor-patient relationship.
Survey results indicated, in response to issues related to population, just what is the relationship between doctors and patients, there are already 53.23% medical personnel at a loss, but with the crowd believed the doctor-patient relationship is in fact a more to my money, doctors provide services to consumer relations. 65.54% said again when it comes to its patients who have beaten, insulted, and continues to provide professional diagnosis and treatment, but the same 65.54% once people with a real assault, attack the doctor, would choose to actively avoiding the doctor ... ...
Investigation found that encountered in patients with 87.74% of the medical personnel, families selfish piquancy, abusive. Body collision, malicious injury and interfere with the medical order are also very common, so medical workers fear. To this end, 82.08% medical staff would never allow their children to study medicine, doctors and patients in their dispute, conflict in high-risk areas as Pediatrics, Gynecology and obstetrics, outpatient, infusion, IC u, surgery, outpatient areas with few pure ... ...
While in the groups of patients, families, and 82% people who think now is still not easy to see a doctor. Their doctor indifferent arrogance are unable to fit in, most difficult to tolerate checks, a lot. 18.99% surveyed patients realize that medical staff should be given security rights. When disputes arise, 38. respondents said consultations in conjunction with the hospital, but there were nearly 15% will choose to direct confrontation, to interfere with medical order ... ...
The only corner of the complex relationship between doctors and patients.
Detailed statistics, tireless search for, but for the "disease" of doctor-patient relationship, seek another remedy.
Academic support: Sun Yat-sen University Medical Anthropology and health behavior research center
Questions questions and answers
1
Do you think the doctor-patient relationship?
Patient as a consumer relationship, doctors and nurses but road I don't know
In the questionnaire, how it related to this issue is the relationship between doctors and patients, belong to the same question asked. Health care groups, there are treatment experienced patient populations need to be inscribed in reply.
Answers from recycling, a total of 461 staff thought the doctor-patient relationship is complex to the point of not clearly, need to distinguish according to special situations. This accounted for 53.23% of the medical personnel of the reply to this question. In addition, 245 medical personnel are still firmly believes that the doctor-patient relationship is a trust relationship. Only a very small medical staff feel that this is a consumer relationship. There were 129 medical personnel that doctor-patient relationship for the General relief, health care services through sheer help and treatment of patients.
But in the patient group had medical experience, there is a more even distribution, trust, consumer relations, relief, I cannot tell the four options, there is no absolute majority option. Select the largest consumer relationship, there were 2,827 people, 33.93% per cent of all statisticians. Again, nearly a third of the patient populations with 30% people, believing that the doctor-patient relationship as "fiduciary relationship, patients trust doctors with life, health, privacy". Particularly noteworthy is that even medical personnel surveyed choose not to even more options: "save health care through service solely to help patients, treatment", in selected patient groups a total of 864 people over 10% by the surveyed general public, patient groups.
2
How to treat the injury-prone?
Both doctors and patients both hoping the other senses
From the mainstream view of medical staff is not optimistic. 100 optimistic medical personnel think of them, through the media, public opinion against injury behaviors will help patients wake up and improved medical environment. 220 pessimistic medical staff believe that this series of reports, will not contribute to the settlement of contradictions between doctors and patients, because patients will look at the matter from another angle, that through this event, doctors should have been to period of awakening. More 60% answer questions of medical personnel in case of deeper contradictions are not resolved, it will soon be over, and nothing came of it.
From the mainstream view of patients, shares the view that a similar long reports, concerns and does not fundamentally alter the existing relationship between doctors and patients. Think through the injury event, groups of doctors and nurses should wake up more is 1339 people is the belief that the patient should wake up, 660 votes should not be hit, wounding at least twice more than doubled.
3
Doctor and patient can you meet a smile-min malice?
Doctor: I hope so, patients: in other hospitals
Real shame, pain medicine events is high indeed.
Among medical personnel surveyed, there are 254 medical personnel (29.57%) select reject to provide diagnosis and treatment through silent protest this way. However, it is not medical personnel up to the option.
More medical personnel, selected even once the face attack and abuse their patients when they come to visit again, and continue to provide assistance within its capability for treatment. Once the face of perpetrators, 563 medical officers (65.54%) chose to meet a smiling min strange.
Patients like real language, body collided into the medical staff, they only 15.08% total people, can calmly take, conflict will continue to go to the original hospital for medical treatment, but more people will choose to replace a hospital in Guangzhou, and not afraid to find a proper medical personnel. Three surveyed people in the 8,331 of people will choose to replace the hospital, patient groups is the most mainstream of ideas and consensus.
809 medical personnel only 9 people want their children to study medicine
Four medical workers earning less than 5,000 yuan
In the eyes of ordinary people, the medical staff is absolutely Golden Collar nation. But in reality, high medical workers ' income is far from imaginary. Although medical personnel receiving questionnaires, slightly junior to intermediate grade the following medium and even doctors, nurses are the majority. But even senior medical staff, their options are up to 8000-15000 Yuan, a level.
845 medical personnel responded to this question in the income level is below 5,000 yuan to 367 people, 5,313 for Guangzhou last year Yuan/month. Senior physician, Department Deputy Senior Officer or medical personnel, revenue will be slightly higher. But even so, only 109, 12.9% per cent of the total.
Medical questions and answers
Your monthly income levels at which interval?
More than 15,000 0.
8000-15000 12.
5000-8000 43.
5,000, 43.
Touches the side of medical disputes in cycles and frequency
Happens every day 7.
Once a month 36.
Six months or more 35.
Will happen within one week 20.
Medical dispute, you contact which type?
Selfish piquancy, unwarranted verbal abuse 87.
Body collision point 3.
Containment of hospitals, medical order 7.
Malicious damage, acts of violence caused more than minor wounds at least 1.72%
Medical dispute would be protected by law
Medical disputes and medical groups also need help and support. Colleagues, watching patients, hospitals, health administration, police, Catholic and objective media coverage of four environment options. Health workers more likely to be recognized by the hospital and the Administrative Department of public health and support, a total of 402 people, 46.21% per cent, chose the most direct organizing and coordinating resolution. Tolerance, objective media and support from colleagues, the crowd of patients, does not exceed 20% per cent.
A total of 451 medical officer that resolve disputes between doctors and patients is the key, core strengthening legal deterrent against incidents of violence injury from heavy, quick disposal. Worth noting is that 261 medical personnel (more than 30%) considered that mechanisms should be open channels of communication with the patient, along with disputes after the rapid response mechanisms.
In case of medical dispute, who do you most hope to get support?
Catholic and objective media coverage of environment 12.
Colleagues and spectators with 19.
Hospitals and health administrative departments 46.
Strong intervention by the police 21.61%
To resolve disputes between doctors and patients, the key question is whether?
Improve the science literacy 5.
Legal deterrent, violent injury medical event, disposed of 53.
Protected medical institution, preferably with police stationed in 9.
Open communication, including communication between doctor and patient, disputes fast disposal mechanism of 31.22%
Disputes between doctors and patients, Pediatric Gynecology highest level of risk
809 medical personnel in response to a question, that the practice environment is also good, only 9 people want their children to study medicine, 136 of them believe that medical practice environment will continue to improve. Over more than 600 other respondents are practicing medicine to social acceptance is too low, insecurity, such factors as income, job seriously wrong against children to practise medicine in the future. This part of the population, accounted for more than 80% of the total number.
Medical staff present a relatively high risk (prone to disputes between doctors and patients and are transformed into the doctor-patient contradiction) section also must be divided. Paediatrics, obstetrics and gynaecology, outpatient, infusion area for the highest level of risk for hospital departments. With more than 85% of the medical officers as an option in the above section. In addition, ICU, operating rooms, CCU and other needs in the face of illness, injury, death, administrative offices are also very high risk.
Your current medical conditions do you think? Children study medicine is what you want?
Social acceptance is too low, not wanting to 29.
Believe it will continue to improve, by children to choose their own 16.
Nice to practice medicine, hope hospital, 1.11%
Workload and serious inequalities of income, not wanting to 53.
Do you think is the most prone to conflicts and disputes between doctors and patients place?
Paediatrics, obstetrics and gynaecology, 54.
ICU 8 .83%
Outpatient, infusion area 32.
Theatre or other 4.
Six medical personnel
Consider medical high
The surveyed medical disputes in medical staff contact, due to hard on economic, fast and effective method of treatment of patients with, and confidence in the doctors lack, like comparing similar efficacy of patient costs were the main reason. Two factors together, accounted for 70%. On the social reality, 65.53% medical staff also feel that the current exorbitant medical expenses, medical care system lacks.
Of course, doctors and nurses also happen to them because in self. This which including on medical acts disposal misconduct of reflection, 22.67% of medical personnel awareness to this points; has on flawless detailed, and in-depth communication of reflection, 329 name (accounted for than 38.26%) of medical personnel realized has this a causes; also has on juxtaposition of Yu themselves groups in the very less part black sheep of denounced, 18.95% of medical personnel think themselves team in the has black sheep, they in corrupt medical personnel of image.
How do you think should be the protection of patients ' rights?
By objective and impartial third party 52.
Hospitals, the Administration's internal review mechanisms 20.
Special medical disputes tribunal, CD 26.
There are some black sheep 18.
Current doctor-patient relationship, the doctor has the responsibility to do? Reason is?
Any medical treatment there are some risks, doctors without fault 20.
Improper disposal of medical acts 22.
Flawless and thorough communication with patients ' 38.
Do you think that is cause the social dimensions of the doctor-patient contradiction?
Pursuit of medical results, ignore the medical reality of social atmosphere 24.
Formal mechanisms were too long, patients unwilling to address through formal channels 5.
Primary stability needs strong aspirations are concentrated in the health field easily bullied by the soft persimmon 3.
High medical costs, a lack of health insurance system 65.
You come in contact with the medical disputes because of what occurred?
Patients are too tough, hard on the economy's quick and efficient treatments 39.
Obvious faults with medical procedure of Chinese medicine for 1.39%
Poor communication, patients of medical knowledge is difficult to understand the professional 27.
Patients too much distrust of doctors, like comparing similar patients, efficacy or cost of 31.71%
Patients, community groups quiz
Nearly four out of five patients that a doctor is high income group
Although the actual questionnaires from physician groups reflect medical personnel was not a gold collar, high income, local despot groups, but among community groups, medical personnel continues to be nothing short of high-income groups. Gold collar, found that medical personnel were people of higher income groups, there were 6,544, 77% per cent of respondents. Of course, that professional medical work is hard, and people tired, less money, security or no security, there were 792 people, accounting for about 9.32%.
In your eyes, the medical work is?
People tired, less money and often beaten
9.
Higher-income groups, job of Golden collars
13.
More than white-collar class, respected
Higher-income groups, red envelope, health rebates at any time 63.
Four out of five patients think treatment is not convenient, because can't put numbers
Difficult problems, is already a cliché, but how hard, and why it will be hard, views from the patient group most directly visible, because its source remains tense.
8,331 patients groups surveyed, that doctor is not convenient, is not a good 82%, because they will not or difficult to hang, that he wants to hang on.
On your hospital please?
Convenient to, basically, to put the
15.
Very convenient, along with a registered
2.
Very easy, simply can't put it, 49.
Not very convenient, it's hard to hang on hang
32.
General disease, your treatment options?
Always choose the general hospitals at the district level, three levels of hospital 39.
Regardless of the severity, the best choice for the disease hospital 10.
Choose private and hospital services 10.
Select the nearest community health institutions 38.
There is a dispute, patients are more willing to work with the hospital rational consultation
Disputes on the disposal, to patients and hospitals rational consultations on an equal footing, there were 3,180 (38.42%) select this item only 1114 people will choose to interfere with medical order direct confrontation.
Worth noting is that through legal avenues and the proportion of third-party intermediary, respectively, accounted for and 8.01%, was less than the total media exposure of the 25.26%. Media in doctor-patient dispute in the Department's position is quite important.
Medical dispute occurred, the patient diagnosis and treatment of patients, doctors look for similar instantly reviews hospitals, is also a common phenomenon in medical disputes in China. There have been disputes, 3,263 patients has the most expertise coming from this way. Find solicitors seeking legal advice is ranked only 2,181 people, 26.55%.
When a dispute arose, as a patient, your source of medical expertise?
Treating doctors patiently explain 20.
Looking for patient, looking for a familiar doctor reviews 39.
Help fellow family members 12.
Looking for a lawyer for legal advice 26.
When a dispute arose, would you do it?
Direct confrontation would interfere with the normal order in hospitals 13.
Rational consultations and hospital 38.
Through court proceedings 8.
Through third-party expertise recognized institutions to 14.
Looking for media exposure 25.
The most unacceptable lot inspection
33.27% of the most unacceptable arrogance of medical and nursing staff. However, this is not a criticism in patients with the most root disputes between doctors and patients, the largest sources of the doctors had opened up a whole bunch of invalid expensive investigation projects and drug, 4,060 patients in the course of treatment in similar circumstances.
Even so, more than 80% patients and will not sell them to attack, verbally abusive. Instead, when they see medical personnel by violent attacks, the patient groups with more than 80% would dislike this extreme approach, 51.24% patients will call solidarity with doctors.
Based on this judgment, from patient groups the vast majority of people will realize that health care groups should be given adequate security protection. 1578 (18.99% per cent) patients should be given the right to medical personnel security, 4,638 (55.81% per cent) patients think, in ensuring the safety of medical personnel taking into account the rights of patients ' rights.
Make balance between rights of both doctors and patients, that is because under the existing health care system, arguing that patients are about 61.81% of respondents of the weak.
Your doctors, nurses, what behavior most unacceptable?
Arrogant attitude, never keen to answer patient questions 33.
Nurses ' occupational quality is poor, doing rescue, treatment of patients 9.
Open a bunch of expensive inspection program and the drug 47.
Treatment cannot be provided in a timely manner and quickly, not alleviate, but increased 9.
Do you step up attacks, verbally abusive caregivers?
Absolutely not, because it is in violation of the law of 29.
Generally not, I'll try to respect their labor 53.
Typically, if he didn't provide me with the medical effects of the cost 6.
And many health care workers are owed up to 11.02%
When injury occurs, affecting your normal when visiting a doctor, would you?
Annoying, my doctor 18.
I do nothing, I buy soy sauce 19.
Helping doctors, or at least not hit 10.
Help alarm, or is better to wait for the police to deal with 51.24%
You think you have to give doctors more protection, even legal protection?
It should be, they have the right to security of 18.
Should not, existing protection mechanisms have been improved, well as long as implementation 8.
Be sure, after a dispute, claim means fewer patients with 16.
But at the same time to guarantee the rights of medical incidents occurring in patients after 55.
Under the current medical system, who are weak?
Doctor 3.
Hospital 0.
In patients with 61.81%
Are possible, depending on the circumstances may be, 34.
Guangzhou area ⅱ readers see a pile of reading
Thematic planning as a whole: Wang Daobin Li Ling glass little celebration
(Original title: the doctor-patient contradiction doctors patients can look forward to each other, "Awakening")
医患关系南都千人大调查
近九成医务人员称曾遭谩骂
调查·病历
上海、辽宁、广州、湖北、浙江、江西，10月17-27日短短11天时间里，接连发生的6起暴力伤医事件让整个医卫领域沸腾了。一旦行医安全没有保障，全国900多万医务人员势必人人自危。伤医事件让医生身心受伤，而医患关系“生病”、失去彼此基本的信任，则是问题的根源之一。
广州，作为中国三大医疗中心之一，年度门诊量1.27亿人次，住院量220万人次，医疗从业人员数万。“这个行业准点下班，大量的患者群就会动荡”这样的描述，是真实不过的客观存在。
医患双方如何看待医患关系、医疗暴力、医疗安全……从10月下旬开始，南都记者会同中山大学医学人类学与健康行为研究中心耗时20多天，向27家二级以上医院内的从业人员发出《你眼中的医患关系医护人员篇》问卷超过千份，回收问卷881份，设问14项；同时，我们通过大粤网南方民调中心发起专题调查，收回网络《你眼中的医患关系患者、家属篇》问卷8331份，设问13项。我们希望通过一些局域的调查、观点的呈现，还原已经复杂化的医患关系。
调查结果显示，在回答了相关问题的人群中，对于医患关系究竟是什么，已经有53 .23%的医务人员茫然了，但患者人群更多地相信医患关系实际上是一种我出钱了，医生提供服务的消费关系。65.54%的医生表示会在再次碰到曾经殴打、辱骂过自己的患者时，继续为其提供专业的诊疗，但同样有65 .54%的患者一旦真实殴打、攻击过医生，会选择主动回避这个医生……
调查发现，有87.74%的医务人员遭遇过患者、家属的恶语相向、谩骂。肢体冲撞、恶意伤害和干扰医疗正常秩序的现象也非常常见，令医务人员人心惶惶。为此，82.08%的医务人员绝对不允许自己的子女学医，他们心目中医患纠纷、冲突高危地区为儿科、妇产科、门急诊、输液区、IC U、手术室，门诊区域几无净土……
而在患者、家属群体中，他们中有82%的人认为现在看病仍不方便。他们对医生冷漠傲慢的态度无法适从，最难容忍大检查、大处方。18.99%受访患者意识到应该给医务人员安全权利。一旦出现纠纷，38 .42%的受访者表示会同医院协商，但也有将近15%的会选择直接对抗，不惜干扰医疗秩序……
这仅仅只是复杂医患关系的一隅。
琐碎的统计、不懈的探寻，只为给“病”了的医患关系，寻求一剂良方。
学术支持：中山大学医学人类学与健康行为研究中心
同题问答
如何看待医患关系？
患者视为消费关系，医生护士却道说不清
在调查问卷当中，医患关系究竟是何种关系这一问题，属于同题设问。无论医护群体，还是有过就医经历的患者群体都需要进行同题答复。
从回收答案来看，一共有461名医务人员认为医患关系已经复杂到说不清楚的地步，需要根据特殊的情境来加以区分。这占到了回答此问题的医务人员的53.23%。除此之外，有245名医务人员依然坚定地认为医患关系是一种信托关系。只有极少的医护人员觉得这是一种消费关系。另外有129名医务人员认为医患关系为普通的救助关系，医护通过服务纯粹帮助、治疗患者。
但在有过就医经历的患者群体中，则出现了较为平均的分布，信托关系、消费关系、救助关系、说不清楚四大选项中，没有绝对的过半数选项。但选择消费关系的人员最多，一共2827人，占全部参加统计人员的33.93%。也有将近30%的患者群体共计2481人，认为医患关系为“信托关系，患者将生命健康、个人隐私托付给了医生”。尤其值得注意的是，即便是被调查医务人员自己都选择不多的选项：“救助关系，医护通过服务纯粹帮助、治疗患者”，在患者群体一共有864人选择，超过参与调查市民、患者群体的一成。
如何看待伤医事件频发？
医患双方都盼着对方醒悟
来自医务人员的主流看法并不乐观。他们中只有100名乐观医务人员觉得，经过媒体、舆论讨伐伤医行为，将有利于患者方面醒悟和从医环境改善。有220名悲观的医务人员则认为这一系列的报道，将无助于医患矛盾的解决，因为患方会从另一个角度看待这个问题，觉得通过这一事件，已到了医生应该觉醒的时间段。更有六成回答问题的医务人员，觉得在深层次矛盾不解决的情况下，事情会很快过去，不了了之。
来自患者方面的主流看法，同样认为类似的连篇累牍的报道、关注，并不会从根本上改变现有的医患关系。其中认为通过伤医事件，医生护士群体应该觉醒的人数为1339人，是认为患者应该觉醒，至少不应打人、伤人的660票的两倍多。
医患能相逢一笑泯恩仇吗？
医生：但愿如此，患者：换家医院呗
现实中的辱医、伤医事件确实高发。
在参与调查的医务人员中，有254名医务人员(占29.57%)选择拒绝为其提供诊治，通过这一方式进行无声的抗议。但这不是医务人员最多的选项。
更多的医务人员，选择了即便面对曾经攻击、辱骂过他们的患者，再次前来就诊时，继续为其提供力所能及的治疗。面对曾经的施暴者，563名医务人员(占65.54%)选择了相逢一笑泯恩仇。
患者方面如真实语言、肢体上冲撞过医务人员，他们只有15.08%共1212人，能够坦然承受，会继续前往原冲突发生医院就医，但更多的人会选择更换一家医院，反正在广州，并不怕找不到合适的医务人员。8331名参与调查市民中有65.54%的人会选择更换医院，是患者群体最为主流的想法、共识。
809名医务人员仅9人希望子女学医
四成医务人员称收入不到5000元
在普通人的眼中，医务人员那是绝对的金领一族。但现实中，医务人员的收入远没有想象中的高。虽然接受问卷调查的医务人员中，以中级职称以下的中等甚至稍低年资的医生、护士居多。但即便是高年资的医务人员，他们的选项也最多在8000-15000元这一个层级。
在回答了这个问题的845名医务人员中，收入水平处于5000元以下的为367人，而广州市去年社平工资为5313元/月。高年资医生、科室主任或正副高级职称持有医护人员，收入会略高一些。但即便如此，也仅109人，占总数的12.90%。
医务人员问答
你的月收入水平在哪个区间？
15000以上0 .59%
8000-15000 12 .90%
5000-8000 43 .08%
5000以下43 .43%
接触到身边发生医疗纠纷的周期与频率
每天都发生7 .79%
一个月发生一次36 .05%
半年或以上发生一次35 .81%
一周内总会发生20 .35%
医疗纠纷中，你最多接触的是哪种类型？
恶语相向，无理谩骂87 .74%
肢体冲撞，指指点点3 .09%
围堵医院，影响医疗秩序7 .45%
恶意伤害，至少造成轻微伤以上暴力行为1.72%
发生医疗纠纷最希望得到法律保护
发生了医疗纠纷，医务人员群体也需要得到帮助和支持。在同事、围观患者，医院、卫生行政部门，警方，宽容、客观的媒体报道环境四大选项中。医务人员更倾向得到医院和卫生行政部门的认可和支持，一共有402人，占比46.21%，选择了找自己最直接的组织协调解决。宽容、客观的媒体和来自同事、围观患者的支持，占比均不超过两成。
一共有451名医务人员觉得解决医患纠纷的关键、核心在于加强法律的震慑作用，对暴力伤医事件从重、从快处置。值得注意的是，有261名医务人员(超过30%)认为应该与患者畅通各种渠道的沟通机制，同时建立纠纷后的快速处置机制。
一旦发生医疗纠纷，你最希望得到谁的支持？
宽容、客观的媒体报道环境12 .53%
同事和围观患者19 .66%
医院和卫生行政部门46 .21%
警方强力介入21.61%
要解决医患纠纷，问题的关键在于？
提高患者科学素养5 .62%
法律震慑，对暴力伤医事件，从重处置53 .95%
重点保护医疗机构，最好有警察进驻9 .21%
畅通沟通机制，包括医患沟通，纠纷后的快速处置机制31.22%
医患纠纷，儿科妇产科最高危
在回答了问题的809名医务人员中，认为行医环境还不错，希望孩子学医的仅有9人，相信行医环境会不断改善的有136人。其他600多名受访对象，纷纷以社会认可度太低、行医安全无保障，收入、工作严重不对等因素反对孩子将来行医。这部分人群，占总调查人数的80%以上。
医务人员对目前相对高危(容易发生医患纠纷，演变成医患矛盾)的科室也有一定划分。儿科、妇产科、门急诊、输液区为最高危的医院科室。有超过85%的医务人员选择在上述科室。此外，ICU、手术室、CCU等需要在一线直面疾病、伤害、死亡的科室，也非常高危。
你对现在的从医环境如何看待？希望后代学医吗？
社会认可度太低，不希望29 .05%
相信会不断改善，由孩子自行选择16 .81%
行医环境还不错，希望学医1.11%
收入与工作量严重不对等，不希望53 .03%
你认为最容易发生医患冲突、纠纷的地方是？
儿科、妇产科54 .94%
门急诊、输液区32 .06%
手术室或其他 4 .18%
六成医务人员
认为医疗费高
在受调查医务人员接触的医疗纠纷中，由于患者苛责经济的、快速高效的治疗方法，以及对医生欠缺起码的信任，喜欢比较同类病患的疗效费用是最为主要的原因。两大因素相加，占了70%。在社会现实层面上，65.53%医务人员也觉得目前的医疗费用高昂，医疗保障制度欠缺。
当然，医生护士们也在自省发生在自己身上的原因。这其中包括对医疗行为处置失当的反省，22.67%的医务人员认识到此点；有对无暇细致、深入沟通的反思，329名(占比38.26%)的医务人员意识到了这一原因；也有对混迹于自己群体中极少部分害群之马的声讨，18.95%的医务人员觉得自己队伍中有害群之马，他们在败坏医务人员的形象。
你认为应该如何保护患方权利？
通过客观公正的第三方机构52 .84%
医院、行政部门的内部审查机制20 .39%
开设特别医疗纠纷庭，快审快裁26 .30%
存在部分害群之马18 .95%
造成目前医患关系，医生方面有责任吗？原因是？
任何医疗行为都存在一定风险，医生无过错20 .12%
确有医疗行为中处置不当22 .67%
无暇与患方进行全面细致沟通38 .26%
你认为造成医患矛盾的社会层面原因在于？
追求医疗效果，忽视医学现实的社会氛围24 .80%
正规处理机制过于漫长，患方不愿循正规途径解决5 .72%
基层维稳需求强烈，医疗领域是诉求集中又容易欺负的软柿子3 .95%
高昂的医疗费用，欠缺的医疗保障制度65 .53%
你所接触的医疗纠纷发生原因在于什么？
患者过于难缠，苛责经济的快速的高效治疗方法 39 .45%
医疗过程中医方发生明显的过错 1.39%
沟通不畅，患方难于理解专业的医疗知识 27 .41%
患方表现得过于不信任医生，喜欢比较同类病人的疗效、费用 31.71%
患者、市民群体问答
近八成患者认为医生是高收入群体
虽然从医生群体的实际调查问卷反映，医务人员并非什么高收入、金领、土豪群体，但在市民群体当中，医务人员依然是不折不扣的高收入群体。认定医务人员是金领、高收入群体的市民，一共有6544人，占被调查对象的77%。当然，认为医务工作是辛苦职业，人累、钱少，安全还没保障的，也有792人，约占9.32%。
在你眼中，医务工作是？
人累，钱少，还常常被打
9 .32%
高收入群体，工作体面的金领
13 .46%
白领以上阶层，工作受尊重
13 .70%
高收入群体，随时都有红包、医疗回扣63 .52%
八成患者认为就医不方便，因为挂不上号
看病难问题，已然是老生常谈，但具体是如何难，为什么会难，来自患者群体的看法最为直观，因为号源依然紧张。
在接受调查的8331名患者群体中，认为看病很不方便、不太方便的占了82%，因为他们根本或很难挂上自己想挂的号。
你上医院看病方便吗？
比较方便，基本能挂上号
15 .96%
很方便，随到随挂号
2 .16%
极不方便，根本挂不上号49 .22%
不太方便，很难挂上想挂的号
32 .67%
发生一般性疾病后，你的就医选择是？
就近选择一般的区级医院、三级医院就诊39 .78%
不论病情轻重，选择该疾病最好的医院10 .88%
选择民营，服务好的医院10 .50%
就近选择社区卫生机构38 .84%
发生纠纷，患者更愿与医院理性协商
在纠纷的处置上，患者方面其实最愿意的还是和医院进行平等的理性协商，共有3180人(占38.42%)选择此项，只有1114人会选择不惜干扰医疗秩序的直接对抗方式。
值得注意的是，选择通过法律途径和第三方调解机构的比例，分别仅占8.01%和14.85%，总数尚不及找媒体曝光的25.26%。媒体在医患纠纷中所处的地位，也颇显举足轻重。
医疗纠纷发生后，患者方面找病友、找同类相熟的医生点评医院诊疗行为的现象，在中国的医疗纠纷中也是一个普遍现象。出现了纠纷，3263名患者的专业知识最多来自这一途径。找律师寻求法律意见的则排名稍后，仅2181人，占26.55%。
发生纠纷后，作为患者，你的医疗专业知识来源？
治疗医生耐心细致的解释20 .82%
找病友，找熟悉的医生点评39 .72%
找老乡家人提供帮助12 .92%
找律师给法律意见26 .55%
发生纠纷后，会怎么做？
直接对抗，不惜干扰医院正常秩序13 .46%
与医院理性协商38 .42%
通过法院起诉8 .01%
通过第三方认定机构给专业鉴定14 .85%
找媒体曝光25 .26%
患者最不能接受大处方大检查
33.27%的患者最不能接受医护人员的傲慢态度。不过，这不是患者微词最多的医患纠纷根源，最大的根源来自医生开出了一大堆无效的昂贵的排查项目和药物，4060名患者在求医过程中有过类似的遭遇。
即便如此，超过80%的患者并不会出手攻击、出言辱骂。相反，当他们目睹医务人员被暴力攻击时，有超过80%的患者群体会反感这一极端做法，51.24%的患者会报警声援医生。
也正是基于这样的判断，来自患者群体的绝大部分人士，会意识到应该给予医护群体充分的安全保护。1578人(占比18.99%)的患者认为应该给医务人员安全权利；4638人(占比55.81%)的患者认为，在保证医务人员安全权利的同时兼顾患方权利。
之所以提出兼顾医患双方的权利，那是因为在现行的医疗体制下，认为患方是弱者的约占调查对象的61.81%。
你对医生、护士的哪些行为最不能接受？
傲慢的态度，从不热心地解答患者的问题33 .27%
医护人员职业素养差，未尽全力抢救、治疗患者9 .01%
开一堆昂贵的排查项目和药物47 .89%
无法提供及时、快速地治疗，病没缓解，反而加重9 .83%
你会出手攻击、出言辱骂医护人员吗？
绝对不会，因为那是违反法律的29 .21%
一般不会，我会尽量尊重其劳动53 .62%
一般会，如果他没给我提供与医疗费用相对应的疗效6 .16%
会，很多医护人员就是欠收拾11.02%
当身边发生伤医行为，影响你的正常就医时，你会？
非常讨厌，影响我看病了18 .54%
关我啥事，我打酱油的19 .79%
帮助医生，至少不能动手打人10 .43%
帮助报警，还是等警方来处理比较好51.24%
你觉得应该给医生更多的安全保护，甚至法律保护吗？
应该的，他们有安全权利18 .99%
不应该，现有的保护机制已经完善，只要落实就好8 .33%
千万别，以后发生纠纷了，患者的申索途径更少了16 .87%
可以有，但同时要保证发生医疗事故后患者的权利55 .81%
现行医疗体制下，究竟谁是弱者？
医生3 .28%
医院0 .38%
患者61.81%
都有可能，视情况而定34 .54%
广州地区读者详见AⅡ叠读本
专题统筹：王道斌 李陵玻 安小庆
(原标题：医患矛盾 医生患者都盼对方“醒悟”)
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