Zhanlian Feng
Biographic Data
| ID | 3583735 |
|---|---|
| NAME | Zhanlian Feng |
| GIVEN NAMES | Zhanlian |
| FAMILY NAME | Feng |
| SIGNATURE | FENG Z |
| AFFILIATIONS | Brown University |
| ORCID | 0000-0002-5231-6870 |
| VERIFIED | Yes |
| TOTAL WORKS | 14 |
| TOTAL CITATIONS | 25 |
| AUTHOR COUNT | 14 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Challenges of Paid Caregiving in China: Enhancing Integration Through Social Network Theory
China’s aging population has intensified reliance on paid caregivers, yet systemic neglect in policy and research perpetuates workforce vulnerabilities. This study employs Social Network Theory to analyze how fragmented structural and relational networks shape the experiences of rural-to-urban migrant caregivers in Shanghai. A qualitative multiple case study approach was utilized, incorporating interviews and observations with paid caregivers (n …
The path to healthy ageing in China: A Peking University–Lancet Commission
Understanding the “state of play” of long‐term care provision in low‐ and middle‐income countries
In this article, we provide an overview of the current long‐term care (LTC) landscape across low‐ and middle‐income countries (LMICs), based on an analysis and synthesis of literature review findings. We begin with a brief assessment of LTC needs on the demand side, followed by a supply side assessment of the available mix of formal LTC services vis‐à‐vis informal care provision. Next, we describe and discuss the role of government policies in LT…
Long-term care system for older adults in China: Policy landscape, challenges, and future prospects
Options for Aged Care in China: Building an Efficient and Sustainable Aged Care System
China is aging at an unprecedented rate. Improvements in life expectancy and the consequences of the decades-old family planning policy have led to a rapid increase in the elderly population. According to the United Nations World Population Prospects, the proportion of older people age 65 and over will increase by about one-fourth by 2030, and the elderly will account for about one quarter of the total population by 2050. Population aging will no…
Medicare Expenditures Associated With Hospital and Emergency Department Use Among Beneficiaries With Dementia
Understanding expenditure patterns for hospital and emergency department (ED) use among individuals with dementia is crucial to controlling Medicare spending. We analyzed Health and Retirement Study data and Medicare claims, stratified by beneficiaries' residence and proximity to death, to estimate Medicare expenditures for all-cause and potentially avoidable hospitalizations and ED visits. Analysis was limited to the Medicare fee-for-service pop…
The Origin and Disposition of Medicare Observation Stays
BACKGROUND: Growing use of hospital observation care continues unabated despite growing concerns from Medicare beneficiaries, patient advocacy groups, providers, and policy makers. Unlike inpatient stays, outpatient observation stays are subject to 20% coinsurance and do not count toward the 3-day stay required for Medicare coverage of skilled nursing facility (SNF) care. Despite the policy relevance, we know little about where patients originate…
Trends in Observation Care Among Medicare Fee‐for‐Service Beneficiaries at Critical Access Hospitals, 2007‐2009
PURPOSE: Observation care is used to evaluate patients prior to admission or discharge. Often beneficial, such care also imposes greater financial liability on Medicare beneficiaries. While the use of observation care has increased recently, critical access hospitals (CAHs) face different policies than prospective payment (PPS) hospitals, which may influence their observation care use. METHODS: We used 100% Medicare inpatient and outpatient claim…
China’s Rapidly Aging Population Creates Policy Challenges In Shaping A Viable Long-Term Care System
In China, formal long-term care services for the large aging population have increased to meet escalating demands as demographic shifts and socioeconomic changes have eroded traditional elder care. We analyze China's evolving long-term care landscape and trace major government policies and private-sector initiatives shaping it. Although home and community-based services remain spotty, institutional care is booming with little regulatory oversight…
The role of the family in institutional long‐term care: Cultural management of filial piety in China
Zhan HJ, The role of the family in institutional long‐term care – cultural management of filial piety in China Int J Soc Welfare 2011: 20: S121–S134 © 2011 The Author(s), International Journal of Social Welfare © 2011 Blackwell Publishing Ltd and the International Journal of Social Welfare. This study used both qualitative and quantitative data collected in Nanjing, China, from 2008 to 2009, to examine the role of the family in long‐term institut…
The Costs of Turnover in Nursing Homes
BACKGROUND: Turnover rates in nursing homes have been persistently high for decades, ranging upwards of 100%. OBJECTIVES: To estimate the net costs associated with turnover of direct care staff in nursing homes. DATA AND SAMPLE: Nine hundred two nursing homes in California in 2005. Data included Medicaid cost reports, the Minimum Data Set, Medicare enrollment files, Census, and Area Resource File. RESEARCH DESIGN: We estimated total cost function…
Determinants of performance failure in the nursing home industry
Medicaid Payment Rates, Case-Mix Reimbursement, and Nursing Home Staffing—1996-2004
OBJECTIVE: We examined the impact of state Medicaid payment rates and case-mix reimbursement on direct care staffing levels in US nursing homes. METHODS: We used a recent time series of national nursing home data from the Online Survey Certification and Reporting system for 1996-2004, merged with annual state Medicaid payment rates and case-mix reimbursement information. A 5-category response measure of total staffing levels was defined according…
Separate And Unequal: Racial Segregation And Disparities In Quality Across U.S. Nursing Homes
We describe the racial segregation in U.S. nursing homes and its relationship to racial disparities in the quality of care. Nursing homes remain relatively segregated, roughly mirroring the residential segregation within metropolitan areas. As a result, blacks are much more likely than whites to be located in nursing homes that have serious deficiencies, lower staffing ratios, and greater financial vulnerability. Changing health care providers' b…
The role of the family in institutional long‐term care: Cultural management of filial piety in China
Zhan HJ, The role of the family in institutional long‐term care – cultural management of filial piety in China Int J Soc Welfare 2011: 20: S121–S134 © 2011 The Author(s), International Journal of Social Welfare © 2011 Blackwell Publishing Ltd and the International Journal of Social Welfare. This study used both qualitative and quantitative data collected in Nanjing, China, from 2008 to 2009, to examine the role of the family in long‐term institut…
Determinants of performance failure in the nursing home industry
Understanding the “state of play” of long‐term care provision in low‐ and middle‐income countries
In this article, we provide an overview of the current long‐term care (LTC) landscape across low‐ and middle‐income countries (LMICs), based on an analysis and synthesis of literature review findings. We begin with a brief assessment of LTC needs on the demand side, followed by a supply side assessment of the available mix of formal LTC services vis‐à‐vis informal care provision. Next, we describe and discuss the role of government policies in LT…
Separate And Unequal: Racial Segregation And Disparities In Quality Across U.S. Nursing Homes
We describe the racial segregation in U.S. nursing homes and its relationship to racial disparities in the quality of care. Nursing homes remain relatively segregated, roughly mirroring the residential segregation within metropolitan areas. As a result, blacks are much more likely than whites to be located in nursing homes that have serious deficiencies, lower staffing ratios, and greater financial vulnerability. Changing health care providers' b…
Medicaid Payment Rates, Case-Mix Reimbursement, and Nursing Home Staffing—1996-2004
OBJECTIVE: We examined the impact of state Medicaid payment rates and case-mix reimbursement on direct care staffing levels in US nursing homes. METHODS: We used a recent time series of national nursing home data from the Online Survey Certification and Reporting system for 1996-2004, merged with annual state Medicaid payment rates and case-mix reimbursement information. A 5-category response measure of total staffing levels was defined according…
The Costs of Turnover in Nursing Homes
BACKGROUND: Turnover rates in nursing homes have been persistently high for decades, ranging upwards of 100%. OBJECTIVES: To estimate the net costs associated with turnover of direct care staff in nursing homes. DATA AND SAMPLE: Nine hundred two nursing homes in California in 2005. Data included Medicaid cost reports, the Minimum Data Set, Medicare enrollment files, Census, and Area Resource File. RESEARCH DESIGN: We estimated total cost function…
Determinants of performance failure in the nursing home industry
The role of the family in institutional long‐term care: Cultural management of filial piety in China
Zhan HJ, The role of the family in institutional long‐term care – cultural management of filial piety in China Int J Soc Welfare 2011: 20: S121–S134 © 2011 The Author(s), International Journal of Social Welfare © 2011 Blackwell Publishing Ltd and the International Journal of Social Welfare. This study used both qualitative and quantitative data collected in Nanjing, China, from 2008 to 2009, to examine the role of the family in long‐term institut…
China’s Rapidly Aging Population Creates Policy Challenges In Shaping A Viable Long-Term Care System
In China, formal long-term care services for the large aging population have increased to meet escalating demands as demographic shifts and socioeconomic changes have eroded traditional elder care. We analyze China's evolving long-term care landscape and trace major government policies and private-sector initiatives shaping it. Although home and community-based services remain spotty, institutional care is booming with little regulatory oversight…
Trends in Observation Care Among Medicare Fee‐for‐Service Beneficiaries at Critical Access Hospitals, 2007‐2009
PURPOSE: Observation care is used to evaluate patients prior to admission or discharge. Often beneficial, such care also imposes greater financial liability on Medicare beneficiaries. While the use of observation care has increased recently, critical access hospitals (CAHs) face different policies than prospective payment (PPS) hospitals, which may influence their observation care use. METHODS: We used 100% Medicare inpatient and outpatient claim…
The Origin and Disposition of Medicare Observation Stays
BACKGROUND: Growing use of hospital observation care continues unabated despite growing concerns from Medicare beneficiaries, patient advocacy groups, providers, and policy makers. Unlike inpatient stays, outpatient observation stays are subject to 20% coinsurance and do not count toward the 3-day stay required for Medicare coverage of skilled nursing facility (SNF) care. Despite the policy relevance, we know little about where patients originate…
Medicare Expenditures Associated With Hospital and Emergency Department Use Among Beneficiaries With Dementia
Understanding expenditure patterns for hospital and emergency department (ED) use among individuals with dementia is crucial to controlling Medicare spending. We analyzed Health and Retirement Study data and Medicare claims, stratified by beneficiaries' residence and proximity to death, to estimate Medicare expenditures for all-cause and potentially avoidable hospitalizations and ED visits. Analysis was limited to the Medicare fee-for-service pop…
Options for Aged Care in China: Building an Efficient and Sustainable Aged Care System
China is aging at an unprecedented rate. Improvements in life expectancy and the consequences of the decades-old family planning policy have led to a rapid increase in the elderly population. According to the United Nations World Population Prospects, the proportion of older people age 65 and over will increase by about one-fourth by 2030, and the elderly will account for about one quarter of the total population by 2050. Population aging will no…
Long-term care system for older adults in China: Policy landscape, challenges, and future prospects
The path to healthy ageing in China: A Peking University–Lancet Commission
Understanding the “state of play” of long‐term care provision in low‐ and middle‐income countries
In this article, we provide an overview of the current long‐term care (LTC) landscape across low‐ and middle‐income countries (LMICs), based on an analysis and synthesis of literature review findings. We begin with a brief assessment of LTC needs on the demand side, followed by a supply side assessment of the available mix of formal LTC services vis‐à‐vis informal care provision. Next, we describe and discuss the role of government policies in LT…
Challenges of Paid Caregiving in China: Enhancing Integration Through Social Network Theory
China’s aging population has intensified reliance on paid caregivers, yet systemic neglect in policy and research perpetuates workforce vulnerabilities. This study employs Social Network Theory to analyze how fragmented structural and relational networks shape the experiences of rural-to-urban migrant caregivers in Shanghai. A qualitative multiple case study approach was utilized, incorporating interviews and observations with paid caregivers (n …
Medicine (13 works) · Nursing (9 works) · Business (8 works) · Geriatric Care and Nursing Homes (8 works) · Intergenerational Family Dynamics and Caregiving (8 works) · Economic growth (7 works) · Economics (6 works) · China (5 works) · Health care (5 works) · Healthcare Policy and Management (5 works)