2010年，国务院办公厅印发《关于建立健全基层医疗卫生机构补偿机制的意见》（国办发〔2010〕62 号），明确将挂号费、诊查费、注射费（含静脉输液费，不含药品费）以及药事服务成本整合为一般诊 疗费，即不再单独收取上述费用。通俗来讲，一般诊疗费就是将基层医疗卫生机构日常提供的医疗服务 进行打包，实行"套餐式收费"，仅限社区卫生服务中心、乡镇卫生院、村卫生室等公立基层医疗机构收 取，主要考虑是基层医疗机构受限于技术能力，大量手术治疗类项目无法开展，将基层常见医疗服务进 行打包收费，有利于稳定基层医疗机构收入。 各地一般诊疗费的价格水平 如何确定？ 医疗服务价格实行属地化管理，由省级医保局和部分具有价格管理权限的地市级人民政府制定具体价格 水平。《国务院办公厅关于巩固完善基本药物制度和基层运行新机制的意见》（国办发〔2013〕14号） 提出，各地结合实际合理确定基层医疗卫生机构一般诊疗费标准，原则上10元左右。各地按此标准结合 实际进一步明确了一般诊疗费收费标准，但价格水平存在一定差异。2024年，国家医保局编制印发综合 诊查类立项指南，保留"一般诊疗费"价格项目，并指导各地加快对接落实。截至目前，已有24个省份对 ...

新华社北京12月17日电（记者李恒）根据国家卫生健康委、国家发展改革委等6部门12月17日公布的通 知，2030年，达到服务能力推荐标准的基层医疗卫生机构至少建成1个特色科室。鼓励其他基层医疗卫 生机构结合实际建设特色科室。 在提升服务能力方面，特色科室应重点结合乡镇卫生院、社区卫生服务中心服务能力标准中的基本病种 开展服务，原则上单个特色科室应连续三年年诊疗量不少于3000人次（10万人口以下县可酌减）或占机 构总诊疗量比例不低于10%，开展住院服务的，入院人数占机构总入院人数的比例不低于10%。 指导意见还从配齐科室人员、规范科室管理、强化医疗质量管理、落实医联体帮扶责任等方面进行了规 定。 这份《关于加强基层医疗卫生机构特色科室建设的指导意见》提出在加强基层医疗卫生机构全科医疗 科、中医科、预防保健科等业务及医技科室建设的基础上，重点加强若干临床科室建设，形成在一定区 域范围内具有基层优势和特色的科室，便利群众就近就医。 在加强科室设置方面，指导意见明确基层医疗卫生机构应立足常见病、多发病和诊断明确的慢性病等， 优先发展儿科、妇科、康复医学科、精神（心理）科、五官（口腔）科等重点科室，科室名称应当与诊 ...

加强基层医疗卫生机构特色科室建设 六部门印发指导意见 二是配齐科室人员，特色科室医护技团队年龄、职称、学历等结构合理，鼓励二级以上医院退休中级及 以上职称医务人员到基层医疗卫生机构提供服务。 三是规范科室管理，合理布局特色科室，配备相应的设备设施，建立健全特色科室管理规章制度，强化 医德医风建设和医学人文素养培育，落实基层传染病防控责任。 四是提升服务能力，特色科室应重点结合基层基本病种开展服务，能有一定的诊疗量或入院服务比例， 服务要从疾病治疗向健康管理延伸拓展。 五是强化医疗质量管理，应建立健全医疗质量安全管理制度和规范，要将基层医疗质量管理纳入当地医 疗质量管理与控制体系。 此外，城市二、三级公立医院要承担公益性和帮扶基层责任，充分发挥技术优势和区域范围辐射带动作 用，依托医学重点学科、临床重点专科、中医优势专科等，健全培育、轮训、对口帮扶等工作机制，加 强基层特色科室建设技术指导和质量控制，培养基层医药护技骨干人才，提高基层特色科室临床适宜技 术应用能力和服务水平。同时，要压实城市医疗集团、紧密型县域医共体牵头医院责任，落实人员长期 派驻要求，建立稳定的人员下沉服务长效机制，加强临床带教、人员培训和技 ...

Core Viewpoint - The National Health Commission emphasizes the importance of strengthening grassroots medical and health services, highlighting improvements in accessibility, equity, and convenience for the population [1] Group 1: Development of Grassroots Medical Services - Since the beginning of the 14th Five-Year Plan, grassroots medical institutions have accounted for over 50% of the total medical consultations nationwide, with over 90% of residents able to access medical services within 15 minutes [1] - The number of grassroots medical institutions has increased from 970,000 to 1,040,000, including 33,300 health centers, 570,400 village clinics, 10,200 community health service centers, and 27,100 community health service stations [2] Group 2: Capacity Building of Grassroots Medical Institutions - By the end of 2024, there will be 2.078 million licensed physicians and assistant physicians in grassroots medical institutions, an increase of 542,000 since 2020 [3] - The proportion of healthcare personnel with college degrees or higher in township health centers and community health service centers has risen from 65% and 81.4% in 2020 to 77.4% and 88.2% respectively by 2024 [3] - Over 90% of township health centers and community health service centers meet basic service capacity standards, with many exceeding recommended standards [3] Group 3: Convenience Measures for Patients - The integration of family doctor contract services is a key initiative to enhance the accessibility of basic medical and public health services [4] - 95% of community health service centers and township health centers can provide long-term prescriptions for chronic disease patients, reducing the frequency of patient visits [4] - 95% of these centers offer extended service hours or holiday clinics, and 85% provide weekend vaccination services [4]

Core Insights - The National Health Commission reported significant progress in grassroots healthcare services during the 14th Five-Year Plan period, with over 50% of national medical consultations occurring at grassroots healthcare institutions [1] - The number of grassroots healthcare institutions increased from 970,000 to 1,040,000, ensuring that every town in rural areas has a health center and every community in urban areas has a community health service center [1] Summary by Categories Healthcare Access - Over 90% of residents can access convenient healthcare services within 15 minutes [1] - More than 90% of grassroots healthcare institutions meet basic service capability standards [1] Service Offerings - Over 90% of grassroots healthcare institutions can provide pediatric medical services [1] - 80% of counties have established shared medical imaging diagnostic resource centers [1] Technological Integration - County-level remote medical imaging diagnostic services exceeded 68 million instances this year [1] - Over 200 types of test results are mutually recognized across 360 cities, promoting a model of "grassroots examination, county diagnosis, and result recognition" [1]

Core Viewpoint - The National Health Commission emphasizes the progress and effectiveness of grassroots medical and health services, aiming to provide convenient and efficient healthcare close to home for the public [1] Group 1: Service System Improvement - The number of grassroots medical and health institutions has increased to 1.04 million, including 33,300 health centers, 570,400 village clinics, 10,200 community health service centers, 27,100 community health service stations, and over 400,000 outpatient departments and clinics [2] - Localities are continuously optimizing the layout of grassroots medical and health service systems according to their specific conditions [2] Group 2: Service Capability Enhancement - As of the end of 2024, there are 2.078 million licensed physicians and assistant physicians in grassroots medical institutions, with over 90% of township health centers and community health service centers meeting basic service capability standards [5] - 93% of grassroots medical institutions can provide pediatric diagnosis and treatment services, and the average number of drug varieties equipped in township health centers and community health service centers has reached around 300 [5] Group 3: Service Model Optimization - 95% of community health service centers and township health centers can provide long-term prescriptions for chronic diseases, and they also offer extended service hours or holiday clinics [7] - 85% of community health service centers and township health centers provide weekend vaccination services, with several provinces like Shanghai, Zhejiang, Jiangsu, and Tianjin implementing family bed services [7] Group 4: Integrated County Medical Community Development - A total of 3,099 tightly-knit county medical communities have been established across 2,199 counties (cities, districts), serving as a key approach to promote a hierarchical medical system [10] - Approximately 18,000 personnel from urban hospitals will be dispatched to support 1,750 counties, and 80% of counties have initially established resource-sharing centers for imaging, electrocardiograms, and testing [10] - Over 97% of administrative villages with village clinics are included in the medical insurance designated coverage [10]

Core Viewpoint - The National Health Commission emphasizes the importance of strengthening grassroots medical and health services, highlighting improvements in accessibility, equity, and convenience for the population [1] Group 1: Development of Grassroots Medical Services - Since the beginning of the 14th Five-Year Plan, grassroots medical institutions have maintained over 50% of the national diagnosis volume, with over 90% of residents able to access medical services within 15 minutes [1] - The number of grassroots medical institutions has increased from 970,000 to 1,040,000, including 33,300 health centers, 570,400 village clinics, 10,200 community health service centers, and 27,100 community health service stations [3] Group 2: Capacity Building of Grassroots Medical Institutions - By the end of 2024, there will be 2.078 million licensed physicians and assistant physicians in grassroots medical institutions, an increase of 542,000 since 2020 [4] - Over 90% of township health centers and community health service centers meet basic service capacity standards, with many exceeding recommended standards [4] Group 3: Optimization of Service Models - Family doctor contract services are being promoted as a key method to integrate basic medical and public health services [6] - 95% of community health service centers and township health centers can provide long-term prescriptions for chronic disease patients, reducing the need for frequent visits [6] - Many provinces, including Shanghai and Zhejiang, have initiated family bed services for eligible patients, with costs covered by health insurance to alleviate patient burdens [6]

Core Points - The National Health Commission of China held a press conference on November 27 to discuss the development of grassroots medical and health services [2] - The number of grassroots medical and health institutions in China has increased from 970,000 to 1,040,000, indicating a significant expansion [2] - The breakdown of these institutions includes 33,300 health centers, 570,400 village clinics, 10,200 community health service centers, and 27,100 community health service stations, along with over 400,000 outpatient departments and clinics [2]

Core Viewpoint - The National Health Commission reports that over 90% of residents in China now have access to medical services within a 15-minute radius, highlighting significant improvements in the grassroots healthcare system [1] Group 1: Healthcare System Development - The National Health Commission has focused on strengthening the grassroots healthcare service system, with the number of grassroots medical institutions increasing from 970,000 to 1,040,000 during the 14th Five-Year Plan [1] - The proportion of medical consultations provided by grassroots healthcare institutions has consistently remained above 50% of the national total [1] Group 2: Service Accessibility and Coverage - A "fixed + mobile" approach has been adopted to address service gaps, ensuring that every town has a health center and every village has a health room, with urban areas also receiving similar coverage [2] - Remote medical services and mobile clinics have been implemented to reach remote and underserved areas [2] Group 3: Capacity Building - By the end of 2024, there will be 2.078 million licensed physicians in grassroots healthcare institutions, an increase of 542,000 since 2020 [3] - Over 90% of township health centers and community health service centers have met basic service capacity standards [3] Group 4: Pediatric and Mental Health Services - The National Health Commission has launched a three-year initiative to enhance pediatric and mental health services, with 93% of grassroots healthcare institutions currently able to provide pediatric services [4] Group 5: Service Model Optimization - Family doctor contract services are being promoted to integrate basic medical and public health services, with 95% of community health service centers offering long-term prescriptions for chronic disease patients [5] - Weekend vaccination services and family bed services have been introduced to meet the evolving needs of the population [5] Group 6: Future Plans - The National Health Commission aims to continue strengthening the grassroots healthcare service system and improve the overall health service management capabilities during the 15th Five-Year Plan [6]

Core Insights - The proportion of outpatient visits at grassroots medical institutions in counties reached 63.4% in 2024, an increase of 0.5 percentage points from the previous year, indicating a growing preference among rural residents for local healthcare services [1] - The National Health Commission (NHC) emphasizes the importance of building county-level medical communities to enhance the tiered diagnosis and treatment system, which aims to improve healthcare accessibility and resource sharing [1] Group 1: Policy and Implementation - The NHC adheres to the policy of "strengthening counties and grassroots," continuously enhancing the service capacity of county medical communities to better meet the demand for convenient healthcare [2] - Key measures include strengthening the capabilities of leading hospitals, with over 10,000 clinical key specialties established in city and county hospitals, significantly improving previously weak specialties such as oncology and psychiatry [2] - The NHC has implemented a tiered support system, with urban hospitals sending approximately 180,000 personnel to support 1,750 county hospitals in 2024, and over 70,000 personnel have been stationed in grassroots facilities for more than six months [2] Group 2: Technological and Resource Development - The NHC promotes the integration of "artificial intelligence" in grassroots healthcare, with 80% of counties having established resource-sharing centers for imaging, ECG, and laboratory tests, leading to over 68 million remote medical imaging diagnoses this year [3] - The establishment of unified drug lists and collaborative medication use across county, township, and village levels has improved access to medications, with nearly half of the counties having set up central pharmacies that stock 800 to 1,200 types of drugs [3] - Over 97% of administrative villages with health stations are now covered by medical insurance, facilitating easier access to medications and reimbursements for rural residents [3]