Background： The New Rural Cooperative Medical Scheme （NCMS） has been further adjusted and optimized to reduce the financial burden of rural residents and to achieve universal coverage for them. In this study, we ai...Background： The New Rural Cooperative Medical Scheme （NCMS） has been further adjusted and optimized to reduce the financial burden of rural residents and to achieve universal coverage for them. In this study, we aimed to explore the impact of NCMS on medical service utilization and medical expense of inpatients in recent years. Methods： The research data of Hainan Province were extracted from the Chinese NCMS platform from 2012 to 2014. Detailed information included total expenditure, average inpatients costs, average out-of-pocket payments, actual reimbursement rate, and average annual growth rate of the above indicators. Descriptive analysis was used to gauge the effects of NCMS. Results： In the utilization of medical services, NCMS inpatients in tertiary hospital decreased from 25.49% in 2012 to 20.39% in 2014, inpatients in county hospitals increased from 39.49% to 55.92%, simultaneously. The total expenditure in county hospitals rose steadily from 28.46% to 46.66%, meanwhile, the total expenditure in tertiary hospitals fell from 60.44% to 44.51%.The average out-of-pocket costs of rural inpatients remained stable over the years. Furthermore, the compensation fund ofNCMS inpatients grew significantly. The actual inpatient reimbursement rate at township health centers increased from 76.93% to 84.04%. Meanwhile, the rate at county hospitals and tertiary hospitals increased slightly from 59.37% and 46.10% to 61.25% and 47.71%, respectively. Conclusions： With the improvement of the reimbursement ability, especially after the new health care reform in 2009, the NCMS have been playing a prominent role in alleviating the economic burden of farmers＇ medical treatment. Meanwhile, more patients go to primary hospitals than tertiary hospitals, and the capability of primary hospitals has been greatly improved.展开更多
A benzocyclobuten-4-yl acrylate（1） monomer was prepared by esterification of 4-hydroxybenzocyclobutene with acryloyl chloride.The radical homopolymerization of 1 and copolymerization of 1 with styrene or n-butyl acr...A benzocyclobuten-4-yl acrylate（1） monomer was prepared by esterification of 4-hydroxybenzocyclobutene with acryloyl chloride.The radical homopolymerization of 1 and copolymerization of 1 with styrene or n-butyl acrylate were carried out to produce linear polymers 2a,2b and 2c.Heating of these linear polymers under thermal initiation gave corresponding cross-linked polymers 3a,3b and 3c.The ring-opening reaction in the cross-linking process was confirmed by on-line infrared spectra.Differential scanning calorimetry showed that the glass transition temperatures of linear polymers 2a and 2b were 83.2℃and 68.1℃,respectively.Thermogravimetric analysis of the cross-linked polymers showed that they all exhibited good thermal stability.展开更多
文摘Background： The New Rural Cooperative Medical Scheme （NCMS） has been further adjusted and optimized to reduce the financial burden of rural residents and to achieve universal coverage for them. In this study, we aimed to explore the impact of NCMS on medical service utilization and medical expense of inpatients in recent years. Methods： The research data of Hainan Province were extracted from the Chinese NCMS platform from 2012 to 2014. Detailed information included total expenditure, average inpatients costs, average out-of-pocket payments, actual reimbursement rate, and average annual growth rate of the above indicators. Descriptive analysis was used to gauge the effects of NCMS. Results： In the utilization of medical services, NCMS inpatients in tertiary hospital decreased from 25.49% in 2012 to 20.39% in 2014, inpatients in county hospitals increased from 39.49% to 55.92%, simultaneously. The total expenditure in county hospitals rose steadily from 28.46% to 46.66%, meanwhile, the total expenditure in tertiary hospitals fell from 60.44% to 44.51%.The average out-of-pocket costs of rural inpatients remained stable over the years. Furthermore, the compensation fund ofNCMS inpatients grew significantly. The actual inpatient reimbursement rate at township health centers increased from 76.93% to 84.04%. Meanwhile, the rate at county hospitals and tertiary hospitals increased slightly from 59.37% and 46.10% to 61.25% and 47.71%, respectively. Conclusions： With the improvement of the reimbursement ability, especially after the new health care reform in 2009, the NCMS have been playing a prominent role in alleviating the economic burden of farmers＇ medical treatment. Meanwhile, more patients go to primary hospitals than tertiary hospitals, and the capability of primary hospitals has been greatly improved.
基金supported by the National Natural Science Foundation of China(Nos.20571046,10976024)
文摘A benzocyclobuten-4-yl acrylate（1） monomer was prepared by esterification of 4-hydroxybenzocyclobutene with acryloyl chloride.The radical homopolymerization of 1 and copolymerization of 1 with styrene or n-butyl acrylate were carried out to produce linear polymers 2a,2b and 2c.Heating of these linear polymers under thermal initiation gave corresponding cross-linked polymers 3a,3b and 3c.The ring-opening reaction in the cross-linking process was confirmed by on-line infrared spectra.Differential scanning calorimetry showed that the glass transition temperatures of linear polymers 2a and 2b were 83.2℃and 68.1℃,respectively.Thermogravimetric analysis of the cross-linked polymers showed that they all exhibited good thermal stability.
