一般诊疗费和诊查费有什么区别，基层医疗机构该怎么收费

Core Viewpoint - The article discusses the structure and pricing of general consultation fees in public grassroots medical institutions, highlighting the importance of these institutions in providing accessible healthcare services to the community [1][2]. Group 1: General Consultation Fee - General consultation fee is a bundled charge that includes registration, consultation, injection fees (excluding medication costs), and pharmaceutical service costs, aimed at stabilizing the income of grassroots medical institutions [1]. - The establishment of the general consultation fee was formalized in 2010 by the State Council, integrating various service fees into a single charge for public grassroots medical institutions [1]. Group 2: Pricing Levels - The pricing of general consultation fees is managed locally, with provincial health insurance bureaus and some city-level governments determining specific price levels, generally around 10 yuan [2]. - As of 2024, the National Health Insurance Administration will issue guidelines for comprehensive consultation projects, retaining the general consultation fee as a price item, with 24 provinces already aligning with these guidelines [2]. Group 3: Fee Collection Policies - Current policies stipulate that general consultation fees and outpatient consultation fees cannot be charged simultaneously; the local health insurance department decides which fee applies [3]. - If a grassroots medical institution charges a general consultation fee, it cannot additionally charge for services included in that fee, such as injection or intravenous infusion fees [3]. Group 4: Outpatient Consultation Fee Categories - Outpatient consultation fees can be categorized based on patient needs, including services for follow-up patients, and additional charges may apply for services provided by senior medical professionals [4]. - Specific categories of outpatient consultation fees include services from Western medicine, traditional Chinese medicine, pharmaceutical consultations, and nursing consultations [5].