Guangfeng Duan

Second Military Medical University

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i-10 index

Research Trends

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Document Type

Co-Authors

Wenhua Tian

Fourth Affiliated Hospital of Harbin Medical University

Linping Xiong

Second Military Medical University

Lingling Gong

Jilin University

Chunyan Xie

Western Norway University of Applied Sciences

Lixia Du

Shanghai Medical Information Center

Zhaobao Jia

Lanzhou University

Chunlin Jin

Shanghai Medical Information Center

Weizhi Liu

Second Military Medical University

Hansheng Ding

Shanghai Medical Information Center

Yang Li

Anhui University of Traditional Chinese Medicine

Cooperative Institutions

Second Military Medical University

Chinese Academy of Medical Sciences & Peking Union Medical College

Shanghai Medical Information Center

Development Research Center

Sun Yat-sen University

Wuhan Engineering Science & Technology Institute

Dalian Medical University

Chinese Academy of Sciences

Fudan University

Capital Medical University

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A case study on evaluation of hospital “Know-how” using contingent valuation method

Academic Journal of Second Military Medical University (2008)

Guangfeng Duan

Contingent valuation

10.3724/sp.j.1008.2008.00519

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Citations (2)

Establishment of Assessment Indexes System of Research-based Hospital and Advices

Hospital Administration Journal of Chinese People's Liberation Army (2011)

Guangfeng Duan

Through analyzing the connotation characteristics of the research hospital,the main contents and requirements were made clearly of research hospital.Based on the experience of research university assessment,the author constructed the assessment system of research hospital,including the development localization,the level of medical treatment,scientific research ability and level,talent cultivation.There are three levers in research hospital assessment system,4 indexes in level 1,10 indexes in level 2 and 25 indexes in level 3.Also the key contents and specific goals were provided of research hospital construction.Finally,the purposes and the relevant suggestions were discussed for hospital assessment.

Connotation

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Practice and Experience of Professional Training of Medical Service Commanders

Hospital Administration Journal of Chinese People's Liberation Army (2006)

Guangfeng Duan

In recent years,our faculty has taken on a great lot of professional training of medical service com- manders.In the course of training,we accumulated some experiences in the organization,management,implemen- ting and support of teaching.To achieve the training objective,we should definitude the training objective,lay out training plan carefully,and arrange the training contents.Also we should pay attention to reform training methods, especially carry out the investigation and research to improve training effect.

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Prevalence and risk factors for attempted suicide in the elderly: a cross-sectional study in Shanghai, China

International Psychogeriatrics (2016)

Wei Zhang Hansheng Ding Peng Su Qin Xu Lixia Du

ABSTRACT Background: Previous studies have thoroughly investigated the prevalence and risk factors for completed suicide. In marked contrast is the lack of a better understanding of attempted suicide in the elderly. The aim of this study was to estimate the prevalence of attempted suicide in the elderly and examine the associated factors. Methods: Using a multi-stage cluster sampling approach, a cross-sectional survey of 8,399 elderly house-dwelling residents was conducted in Shanghai, China. Results: The two-week prevalence of attempted suicide in the elderly was 0.75%. In the bivariate analysis, having no caregivers, depressive, anxiety, sad, fear, obsessive-compulsive and anger symptom, and lower scores on the Barthel Index of Activities of Daily Living and the Lawton Instrumental Activities of Daily Living Scale were significantly associated with an increased risk of attempted suicide in the elderly. In the multivariate analysis, sad and fear symptoms were significantly and independently associated with a higher risk of attempted suicide in the elderly. Conclusion: The two-week prevalence of attempted suicide in the elderly is relatively high when compared with the annualized or lifetime prevalence reported in China and foreign settings. Elderly individuals with certain mental symptoms should be targeted for suicide prevention and provided with timely mental health support.

Cross-sectional study

Depression

10.1017/s1041610216002283

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Citations (17)

Research On Medical Insurance Policies Against Serious Illness Among Urban And Rural Residents In Shanghai Based On Micro-Simulation

Research Square (Research Square) (2021)

Yang Li Guangfeng Duan Linping Xiong

Abstract Background: Urban and rural residents’ basic medical insurance (URRBMI) is an institutional arrangement for rural residents and unemployed urban residents in China. The serious illness medical insurance system (SIMIS) was established to provide additional medical cover. There are two ways in which medical expenses are covered. One is based on large expenses and provides proportional compensation for the individual’s own expenses after the URRBMI payment; the other is to pay for the treatment of some serious diseases after the URRBMI payment. At present, the SIMIS payment method in China is based on large expenses, and only a few areas, such as Shanghai, pay according to the treatment of serious diseases. This study aims to simulate and analyse the effect of the two payment methods on SIMIS in Shanghai. Methods: We developed a micro-simulation model to predict the number and characteristics of SIMIS participants among urban and rural residents in Shanghai and to simulate the process of medical treatment, medical consumption, and medical insurance payments for each insured person from 2020 to 2025. We then summarised and analysed the payment compensation effect, and compared it with Shanghai’s current policies. Results: Under the current financing standard, the payment of SIMIS according to high expenses is not sustainable and the compensation is insufficient and cannot effectively prevent or alleviate poverty. Conclusions: The policy of designing SIMIS according to national guidelines does not meet the development needs of Shanghai. Shanghai should take the current policy of paying compensation according to the treatment of serious illness as the policy basis, consider the security needs of patients with large medical expenses outside the scope of protection, and adjust policies appropriately to prevent poverty caused by illness.

Medical expenses

Medical insurance

10.21203/rs.3.rs-940044/v1

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Application and assessment of the standard score in instructional supervision

Zhonghua yixue jiaoyu tansuo zazhi (2017)

Dan Wang Ren Wei-min Guangfeng Duan Yuxia Zhang Yalin Sun

The paper introduced the theory of the standard score and its application in instructional supervision and analyzed the difference between the standard score and original score in instructional supervision recording and revealed the reasons behind the difference. Besides, the paper pointed out the advantages which included scientificity and stability, providing information of the grade level, being suitable for longitudinal comparison and the crosswise comparison, and disadvantages such as complex calculation and depending on the distribution of original records. Finally, the paper put forward some recommendations on using standard score in instructional supervision: keeping the stability of the supervision expert team, insurance of supervision times, carrying out classified supervision and viewing the scores in its entirety. Key words: Standard score; Instructional supervision; Instructional assessment

Standard score

10.3760/cma.j.issn.2095-1485.2017.03.006

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Longitudinal study on health-related quality of life among child and adolescent survivors of the 2008 Sichuan earthquake

Quality of Life Research (2012)

Wenhua Tian Zhaobao Jia Guangfeng Duan Weizhi Liu Xiao Pan

10.1007/s11136-012-0201-z

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Citations (20)

Does disability predict attempted suicide in the elderly? A community-based study of elderly residents in Shanghai, China

Aging & Mental Health (2015)

Wei Zhang Hansheng Ding Peng Su Guangfeng Duan Rong Chen

Objectives: Disability, which has been proved to be associated with suicide and suicidal ideation, has received little attention in relation to suicidal attempts among the elderly. The aim of this study was to explore the influence of disability on attempted suicide within this demographic.Method: A multi-stage cluster sample of 8399 residents aged 60 or more was investigated from 15 communities in Shanghai, China. Disability was measured using the Lawton instrumental activities of daily living (IADL) scale.Results: The prevalence of attempted suicide in the elderly was 0.75%. Specific IADL disabilities, including shopping (OR = 3.01, 95% CI = 1.56–5.81), preparing meals (OR = 4.12, 95% CI = 2.12–8.00), housekeeping (OR = 2.48, 95% CI = 1.01–6.06), doing laundry (OR = 2.82, 95% CI = 1.09–7.35), using transport (OR = 3.10, 95% CI = 1.36–6.99) and medical care (OR = 4.41, 95% CI = 2.10–9.17), were significantly and independently associated with attempted suicide in the elderly. The presence of at least one such disability was associated with an almost threefold increase in the attempted suicide rate, and the presence of five or more IADL disabilities was associated with an approximate fivefold increase in the attempted suicide rate.Conclusion: Specific IADL disabilities, such as preparing meals or dealing with medical care, may be significant predictive factors for risk of suicidal attempts among the elderly. Therefore, elderly people with certain disabilities should be considered for suicide prevention interventions and should be supported in IADL as much as possible.

10.1080/13607863.2015.1031641

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Citations (26)

A preliminary probe into the hospital trademarks and their value assessment

Acta Academiae Medicinae Xuzhou (2009)

Guangfeng Duan

This article summarizes the definition of the hospital trademarks,and meanwhile,makes a preliminary investigation on the mechanism of hospital trademark formation,styles of the value manifestation,and approaches of value assessment of the hospital trademark so as to provide advice and shed light on value assessment of the hospital trademarks.

Value (mathematics)

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Efficacy compared between entecavir and adefovir dipivoxil on HBeAg-positive nucleos(t)ide-naive patients with chronic hepatitis B at week 12 and week 48

Journal of Medical Colleges of PLA (2010)

Pan Zhao Dongping Xu Xi Wang Guangfeng Duan Lili Huang

To evaluate the efficacy of entecavir and adefovir dipivoxil on HBeAg-positive nucleos(t)ide-naive patients with chronic hepatitis B with the method of Meta analysis. We searched PUBMED, EMBASE, CNKI (China National Knowledge Infrastructure), the Cochrane Central Register of Controlled Trials and the Cochrane Database of Systematic Reviews with reference to all data documented before May 2010. The dosage of entecavir and adefovir dipivoxil was 0.5 mg/d and 10 mg/d, respectively. Heterogeneity was examined by Chi-square test, the relative risk calculated and forest plot drawn. Rates of undetected serum HBV DNA, serum alanine aminotransferase (ALT) normalization, HBeAg clearance, HBeAg seroconversion and adverse effect occurrence were analyzed. Six articles were included, which fit well in with this study. Meta analysis showed that the rate of undetected serum HBV DNA(P=0.000 2 at week 12, P=0.002 at week 48) and that of serum ALT normalization(P=0.04 at week 12, P=0.008 at week 48) in the entecavir group were higher than those in the adefovir dipivoxil group. However, no statistic significance existed between the two groups in the rate of HBeAg clearance (P=0.17), the rate of HBeAg seroconversion(P=0.53) or the rate of adverse effect occurrence(P=0.92) at week 48. Entecavir was superior to adefovir dipivoxil in decreasing serum HBV DNA and normalizing serum ALT in the HBeAg-positive nucleos(t)ide-naive patients with chronic hepatitis B.

Adefovir

Entecavir

HBeAg

Hepatitis B

Seroconversion

10.1016/s1000-1948(11)60016-6

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