目的:分析基层医疗卫生机构实施一般诊疗费情况。方法:通过对苏州、无锡、武汉、合肥、银川和中卫6城市开展现场调查,收集了数据和访谈资料。结果:实施一般诊疗费降低了患者诊疗费用、减少了患者就诊程序、引导居民积极参加医保;但是没有直接体现医生的技术劳务价值,对基层医疗卫生机构的补偿视情况而定。结论:针对现存的问题,应该完善门诊统筹预算管理、加强部门监督管理、区分就诊病人类型、加强宣传和解释。 Objective: To analyze the implementation of general medical expenses in primary health care institutions. Methods: Through on-site investigation of 6 cities in Suzhou, Wuxi, Wuhan, Hefei, Yinchuan and Zhongwei, the data and interviews were collected. Results: The implementation of general treatment fee reduced the cost of patients’ treatment, reduced the treatment procedure of patients and guided the residents to take active part in health insurance. However, it did not directly reflect the value of technical services of doctors. The compensation for primary medical and health institutions depends on the situation. Conclusion: In view of the existing problems, we should improve the overall budget management in outpatient departments, strengthen departmental supervision and management, differentiate the types of patients and enhance publicity and explanation.