2010年底,国务院办公厅下发了《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),提出调整基层医疗卫生机构收费项目,将现有挂号费、诊查费、注射费(含静脉输液费,不含药品费)以及药事服务成本合并为一般诊疗费,不再单设药事服务费。一项看似简单的医疗收费改革,在实施中却遇到了前所未有的困难。各地 At the end of 2010, the General Office of the State Council issued the Opinions on Establishing and Improving the Compensation Mechanism for Primary Health Care Institutions (Guo Ban Fa [2010] No. 62), proposing to adjust the fees for primary health care institutions and submit the existing registration fees, Fees, injection fees (including intravenous infusion fee, excluding drug costs) and the cost of medical services combined into a general treatment fee, no longer a separate medical service fee. A seemingly simple reform of medical charges has encountered unprecedented difficulties in its implementation. All over