目的 探讨当前医患关系对医学生及青年医师从事医师职业的影响,分析其从医意愿减小的原因并提出建议.方法 采用问卷调查法,对医学生、青年医师和患者开展问卷调查,共发放1 500份问卷.问卷主要包括:对医患关系的认知,医学生职业关注点,执业发展看法,心理健康状况等.结果 29.24％的医学生和50.30％的青年医师认为医患关系"非常紧张".66.26％的医学生和70.99％的青年医师认为医师是高风险行业.医疗暴力事件带给医师更大的是心理上的伤害.结论 紧张的医患关系严重影响了医学生和青年医师的心理健康,影响了医学生的择业.负面的医患关系是导致医学生及青年医师从医意愿减小的主要原因.减少这种影响需要重视对医学生及青年医师人文素质、法律意识及医患沟通技巧的培养.%Objective To explore the influence of current doctor-patient relationship on the profession choices of medical students and young doctors, analyze the reasons w hy they are unwilling to become doctors, and give suggestions to solve the problem. Methods Medical students, young doctors, and patients were asked to complete a questionnaire survey ( n = 1 500). Data on recognition of doctor-patient relationship, medical students ' career concerns, career development, and mental health, were collected. Results About 29. 24％ of medical students and 50. 30％ of young doctors believed that the doctor-patient relationship was "very intense"; 66. 26％ of medical students and 70. 99％ of young doctors considered doctor a high-risk job. Medical violence brought more psychological injury to doctors.Conclusion The intense doctor-patient relationship has seriously affected the mental health of medical students and young doctors, and their career choices. The main reason for not wanting to be a doctor is the negative doctor-patient relationship. To reduce this adverse impact, we need to pay attention to the cultivation of humanistic quality, legal consciousness, and communication skills for medical students and young doctors.
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