ABSTRACT
Objective:To explore the problems influencing doctor-patient harmony, and provide basis for im-proving the doctor-patient relationship. Method: China Knowledge Resource Integrated Database ( CNKI) and other databases were retrieved, keywords retrieved"doctor-patient harmony or doctor-patient relationship or doc-tor-patient dispute or doctor-patient conflict or doctor-patient communication or doctor-patient trust", ab-stracts retrieved"problem or challenge or obstacle or crisis" and the retrieval period was set"2009-2016", form-ing a collection of literature. Then boundary analysis method was used to determine whether the problem was satu-rated or not, and finally "macro model of health system" was used to classify and summarize the problems. Re-sults:The problems influencing the doctor-patient harmony can be summarized into 29 categories, covering 5 ma-jor aspects, which were resources, organization, process, results and external environment problems respectively. Conclusion:The various internal problems influencing the doctor-patient harmony interplay and mutually influ-ence, and also interconnect with external macro environment.