一般诊疗费和诊查费有何区别 基层医疗机构诊查费该怎么收？

Core Viewpoint - Public grassroots medical institutions are essential components of the basic medical service system, ensuring that residents can access medical services within 15 minutes, with their diagnosis and treatment volume accounting for over 50% of the total [1] Group 1: General Diagnosis Fee - The general diagnosis fee consolidates various costs such as registration, diagnosis, injection, and drug service costs into a single package, applicable only to public grassroots medical institutions [1] - The general diagnosis fee is designed to stabilize the income of grassroots medical institutions, which are limited in their technical capabilities and unable to perform many surgical procedures [1] Group 2: Pricing Determination - The pricing of general diagnosis 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, 24 provinces have implemented the comprehensive diagnosis project guidelines, maintaining a stable price level around 10 yuan for the general diagnosis fee, which is included in the health insurance reimbursement scope [2] Group 3: Fee Collection Policies - General diagnosis fees and outpatient diagnosis fees cannot be charged simultaneously; the local health insurance department decides which fee to apply [3] - If a grassroots medical institution charges a general diagnosis fee, it cannot additionally charge for services included in that fee, such as injection or intravenous infusion fees [3] Group 4: Outpatient Diagnosis Fee Categories - Outpatient diagnosis fees can be categorized into several types, including general outpatient diagnosis, traditional Chinese medicine diagnosis, pharmaceutical outpatient services, and nursing outpatient services [4] - The guidelines also provide for a convenience outpatient diagnosis fee for follow-up patients needing prescriptions, and additional charges may apply for services provided by senior medical professionals [4]