《上海市社区普通门诊诊查费减免市对区转移支付资金管理办法》印发

Core Viewpoint - The Shanghai Municipal Health Commission and the Shanghai Municipal Finance Bureau have issued a management method for the transfer payment funds for the reduction of community outpatient consultation fees, aiming to support community health service centers and village clinics in reducing fees for non-employees' basic medical insurance participants [1][2]. Group 1: Purpose and Definition - The purpose of the management method is to standardize the management of transfer payment funds for community outpatient consultation fee reductions, promoting tiered medical treatment and guiding residents to seek medical care at community health service centers [2]. - Transfer payment funds refer to the financial support arranged by the municipal finance through a shared fiscal responsibility mechanism to subsidize the reduction of consultation fees at community health service centers and village clinics [2]. Group 2: Scope and Funding - The fee reduction applies to outpatient consultation fees for non-employees' basic medical insurance participants, including urban and rural residents with basic medical insurance and those without any basic medical insurance [2]. - The funding required for the fee reduction will be jointly borne by the municipal finance and the district finance at a 1:1 ratio, included in the budgets of both levels of government [2][4]. Group 3: Responsibilities and Budget Management - The Municipal Health Commission is responsible for formulating the fee reduction policy, reviewing funding needs from districts, and managing the use of transfer payment funds [3]. - District health commissions are tasked with auditing the actual costs incurred for fee reductions and submitting funding requests to district finance [3][4]. - The Municipal Finance Bureau will review the annual budget for transfer payment funds and ensure proper allocation and supervision of fund usage [3][4]. Group 4: Performance Management and Supervision - All levels of health and finance departments are required to establish a performance management mechanism for the transfer payment funds, setting performance targets and monitoring outcomes [4][5]. - There will be a focus on the supervision of the allocation, use, and management of transfer payment funds, with a commitment to rectify any identified issues promptly [5]. - Information regarding the use of the transfer payment funds will be made public to ensure transparency and social oversight [5]. Group 5: Implementation Timeline - The management method will take effect from January 1, 2025, and remain valid until December 31, 2029 [5].