ZHANG Zhiruo

Research Professor

Email: zhangzhiruo@sjtu.edu.cn

Tel: 15618977655

Research Interests: Medical insurance system, doctor-patient relationship, health management, internet medicine

Professional Experience

Dr. Zhiruo Zhang, Research Professor and Director of the Department of Community Health & Behavioral Medicine, SJTU School of Public Health, Shanghai Jiao Tong University School of Medicine. Dr. Zhang serves as the Distinguished Professor of China Medical Association, Deputy Chair of Internet Medicine Committee of Shanghai Medical Association (Science Popularization Sector), Director of the Joint Center of Smart Health of Shanghai CDC and School of Public Health of SJTU, and Consultant of the Shanghai Municipal Health Commission (Science Popularization Sector). Dr. Zhang also serves as the associate editor and reviewer for Chinese Journal of Hospital Administration and many other academic periodicals.

Dr. Zhang served as the Assistant Director of the Health Department of Gansu Province, Vice President of the China Hospital Development Institute of Shanghai Jiao Tong University, and Vice President of the School of Public Health, Shanghai Jiao Tong University School of Medicine.

Education background

  • B.E., China Pharmaceutical University

  • MBA, Antai College of Economics & Management, Shanghai Jiao Tong University

  • Ph.D., Fudan University

  • Visiting scholar, China Healthcare Management Project (2013), Harvard University

Research interests

Dr. Zhang’s research focuses on smart health, community health behaviors, medical insurance policies for major diseases, and doctor-patient relationship. He has published over thirty papers in SCI peer-reviewed journals with cumulative impact factor over 100, over twenty papers in Chinese core periodicals, and one book in the above research areas. As the principal investigator, Dr. Zhang led the research project of Benefiting Chinese Patients with DRGs and Clinical pathways in 2009, which was one of the first several empirical research on DRGs. This research laid the foundation of the broad trial operations of DRGs in Chinese medical insurance system. He conducted health economic evaluation on the five childhood major diseases (e.g., leukemia and malignant tumor) and suggested no coverage risk in the Chinese new rural cooperative medical system (NCMS), which led to the ice-breaking movement of the major disease insurance scheme for NCMS. As the principal investigator, Dr. Zhang led the field study on the operation of universal healthcare for rural residents in Shenmu, Shaanxi Province, in 2009. Based on the healthcare behavior differences between rural and urban residents under the concern of deductible requirements, Dr. Zhang proposed that an average governmental subsidy of 300RMB per person might cover the basic medical insurance for Chinese rural residents. Findings in this investigation largely promoted the NCMS financing movements and were transformed in multiple policies of the National Health Commission.


32 SCI Papers ( As first author or corresponding author)(SCI IF 115.708)

  • Yu C, Liang H, Zhang Z( corresponding author ). Does Health Insurance Reduce the Alcohol Consumption? Evidence from China Health and Nutrition Survey. Sustainability. 2022; 14(9):5693. (IF:3.251)

  • Han T, Dong J, Zhang J, Zhang C, Wang Y, Zhang Z( corresponding author ), Xiang M. Nutrient supplementation among pregnant women in China: an observational study. Public Health Nutr. 2022 Jun;25(6):1537-1542. (IF:4.022)

  • Zhao D, Lin H, Zhang Z( corresponding author ). Evidence-Based Framework and Implementation of China's Strategy in Combating COVID-19. Risk Manag Healthc Policy. 2020 Oct 7;13:1989-1998. (IF:3.2)

  • Li X, Li S, Xiang M, Fang Y, Qian K, Xu J, Li J, Zhang Z( corresponding author ), Wang B. The prevalence and risk factors of PTSD symptoms among medical assistance workers during the COVID-19 pandemic. J Psychosom Res. 2020 Dec;139:110270.(IF:3.006)

  • Shao C, Li S, Zhu F, Zhao D, Shao H, Chen H, Zhang Z( corresponding author ). Taizhou's COVID-19 prevention and control experience with telemedicine features. Front Med. 2020 Aug;14(4):506-510. (IF:4.592)

  • Qian K, Tan L, Li S, Li Z, Yu F, Liang H, Gao S, Ren X, Zhang J, Zhang Z( corresponding author ). Comparison of different BMI cut-offs to screen for child and adolescent obesity in urban China. Public Health Nutr. 2020 Oct;23(14):2485-2493. (IF:4.022)

  • Xiang M, Zhang Z( corresponding author ), Kuwahara K. Impact of COVID-19 pandemic on children and adolescents' lifestyle behavior larger than expected. Progress in cardiovascular diseases. 2020;63(4):531-532.(IF:8.194)

  • Zhang Z, Liu S, Xiang M, Li S, Zhao D, Huang C, Chen S. Protecting healthcare personnel from 2019-nCoV infection risks: lessons and suggestions. Front Med. 2020 Apr;14(2):229-231. (IF:4.592)

  • Xiang M, Konishi M, Hu H, Nishimaki M, Kim HK, Tabata H, Shimizu H, Fang Y, Li X, Xu J, Zhang Z( corresponding author ), Liang H, Arao T, Sakamoto S. When and How Should Chinese Pregnant Women Exercise? A Longitudinal Study in China. Int J Environ Res Public Health. 2019;17(1).(IF:3.39)

  • Xiang M, Zhang Z( corresponding author ), Liang H. Sedentary behavior relates to mental distress of pregnant women differently across trimesters: An observational study in China. J Affect Disord. 2020,260:187-193.(IF:4.839)

  • Xiang M, Zhang J, Liang H, Zhang Z( corresponding author ), Konishi M, Hu H, Nishimaki M, Kim HK, Tabata H, Shimizu H, Arao T, Sakamoto S. Physical activity and dietary intake among Chinese pregnant women: an observational study. BMC Pregnancy Childbirth. 2019 Aug 14;19(1):295.(IF:3.007)

  • Fang Y, Ma Y, Mo D, Zhang S, Xiang M, Zhang Z( corresponding author ). Methodology of an exercise intervention program using social incentives and gamification for obese children. BMC Public Health. 2019;19(1):686.(IF:3.295)

  • Mo D, Xiang M, Luo M, Dong Y, Fang Y, Zhang S, Zhang Z( corresponding author ), Liang H. Using Gamification and Social Incentives to Increase Physical Activity and Related Social Cognition among Undergraduate Students in Shanghai, China. Int J Environ Res Public Health. 2019 Mar 8;16(5):E858. (IF:3.39)

  • Luo M, Zhu L, Dong Y, Wang Z, Shen Q, Mo D, Du L, Zhang Z ( corresponding author ), Cai Y. Sexual compulsivity and its relationship with condomless sex among unmarried female migrant workers in Shanghai, China: a cross-sectional study. BMC Womens Health. 2018 Nov 9;18(1):181.(IF: 2.809)

  • Luo M, Xue Y, Zhang S, Dong Y, Mo D, Dong W, Qian K, Fang Y, Liang H, Zhang Z( corresponding author ). What factors influence older people's intention to enrol in nursing homes? A cross-sectional observational study in Shanghai, China. BMJ Open. 2018 Sep 5;8(9):e021741. (IF: 2.692)

  • Xue Y, Dong Y, Luo M, Mo D,Dong W, Zhang Z( corresponding author ), Liang H. Investigating the impact of mobile SNS addiction on individual's self-rated health[J]. Internet Research: Electronic Networking Applications and Policy, 2018, 28(2):278-292.(IF: 6.773 )

  • Zhang J, Li X, Hawley N, Zheng Z, Zou Z, Tan L, Chen Q, Shi H, Zhao H, Zhang Z( corresponding author ). Trends in the Prevalence of Overweight and Obesity among Chinese School-Age Children and Adolescents from 2010 to 2015. Child Obes. 2018 Apr;14(3):182-188. (IF:2.992 )

  • Zhao D, Zhang Z( corresponding author ). Qualitative analysis of direction of public hospital reforms in China. Front Med. 2018 Apr;12(2):218-223. (IF:4.592)

  • Liang H, Xue Y, Zhang Z( corresponding author ). Understanding online health information use: The case of people with physical disabilities[J]. Journal of the Association for Information Systems, 2017, 18(6):433-460.(IF: 5.149 )

  • Wang Y, Wang Z, Jia M, Liang A, Yuan D, Sun Z, Gan F, Wang Y, Cai Y, Zhang Z( corresponding author ). Association between a syndemic of psychosocial problems and unprotected anal intercourse among men who have sex with men in Shanghai, China. BMC Infect Dis. 2017 Jan 7;17(1):46. (IF: 3.09 )

  • Xue Y, Yang J, Zhang J, Luo M, Zhang Z( corresponding author ), Liang H. Motivating Physicians to Report Adverse Medical Events in China: Stick or Carrot? J Patient Saf. 2021 Aug 1;17(5):e455-e461.(IF:2.844 )

  • Wu Z, Zhang Y, Zhao N, Yu Z, Pan H, Chan T, Zhang Z ( corresponding author ), Liu S. Comparative Epidemiology of Human Fatal Infections with Novel, High (H5N6 and H5N1) and Low (H7N9 and H9N2) Pathogenicity Avian Influenza A Viruses. Int J Environ Res Public Health. 2017 Mar 4;14(3):263. (IF:3.39)

  • Sha J, Chen X, Ren Y, Chen H, Wu Z, Ying D, Zhang Z( corresponding author ), Liu S. Differences in the epidemiology and virology of mild, severe and fatal human infections with avian influenza A (H7N9) virus. Arch Virol. 2016 May;161(5):1239-59. (IF:2.574 )

  • Sha J, Dong W, Liu S, Chen X, Zhao N, Luo M, Dong Y, Zhang Z( corresponding author ). Differences in the Epidemiology of Childhood Infections with Avian Influenza A H7N9 and H5N1 Viruses. PLoS One. 2016 Oct 3;11(10):e0161925. (IF:3.24 )

  • Zhao D, Rao K, Zhang Z( corresponding author ). Patient Trust in Physicians: Empirical Evidence from Shanghai, China. Chin Med J (Engl). 2016 Apr 5;129(7):814-818. (IF:2.628 )

  • Wu Z, Sha J, Yu Z, Zhao N, Cheng W, Chan TC, Amer S, Zhang Z( corresponding author ), Liu S. Epidemiological and virological differences in human clustered and sporadic infections with avian influenza A H7N9. Int J Infect Dis. 2016 Aug;49:9-17. (IF:3.623 )

  • Sha J, Li Y, Chen X, Hu Y, Ren Y, Geng X, Zhang Z( corresponding author ), Liu S. Fatality risks for nosocomial outbreaks of Middle East respiratory syndrome coronavirus in the Middle East and South Korea. Arch Virol. 2017 Jan;162(1):33-44. (IF:2.574 )

  • Zhao D, Rao Q, Zhang Z( corresponding author ). Coverage and utilization of the health insurance among migrant workers in Shanghai, China. Chin Med J (Engl). 2011 Aug;124(15):2328-2334. (IF:2.628)

  • Zhang Z, Wen Z, Chen S, Chen Z. Exploration of the financing and management model of a children's critical disease security system in China based on the implementation of Shanghai Children Hospital Care Aid. Chin Med J (Engl). 2011 Mar;124(6):947-50. (IF:2.628)

  • Liu S, Zhang Z(Co-first author), Wang C, Dong Y, Pan H, Sun Z, Yang X, Wang J, Ruan B, Xie L, Deng J, He H. Evolutionary characterization of human H1N1 influenza virus hemagglutinin genes isolated from 1947 to 2009 in China. Intervirology. 2011;54(5):233-45. (IF:1.763)

  • Zhang Z, Mi J, Gu L, Chen S, Chen Z. Using sound Clinical Paths and Diagnosis-related Groups (DRGs)-based payment reform to bring benefits to patient care: A case study of leukemia therapy[J]. Frontiers of Medicine in China , 2010, 4(001):8-15. (IF:4.592 )

  • Liu S, Zhang Z(Co-first author), Wang C, Dong Y, Cui L, Yang X, Sun Z, Wang J, Chen J, Huang R, Miao F, Ruan B, Xie L, He H, Deng J. 2009 pandemic characteristics and controlling experiences of influenza H1N1 virus 1 year after the inception in Hangzhou, China. J Med Virol. 2010 Dec;82(12):1985-1995. (IF:  2.327 )


  • 张智若,中国农村医疗卫生服务体系建设与评估[M],上海交通大学出版社,2010

16 papers in Chinese core journals

  • 李嘉慧,邵岑怡,台明, 张智若(通讯作者).标准化病人在医学教育和卫生保健研究中的应用进展[J]. 中华医院管理杂志, 2020, 36(1): 72-76.

  • 徐加伟,罗梦云,董媛媛,邵岑怡,莫丹丹,方越,钱琨,李雪源,徐刚,张智若(通讯作者).上海市大学生性与生殖健康相关知识、态度和行为及影响因素分析[J].中国性科学,2020,29(7):136-140.

  • 杨颖蕾,李娜,蔡娇阳,周敏,赵文卿,张智若(通讯作者). 上海某儿童医院2005-2017年间急性淋巴细胞白血病住院费用结构分析[J]. 解放军医院管理杂志,2020,27(3):239-242.

  • 董媛媛,张琳, 杨颖蕾,董伟,莫丹丹,方越,钱琨,罗梦云,李娜,张智若(通讯作者).  中国4个直辖市儿童基本医疗保险制度与政策对比研究[J]. 上海交通大学学报(医学版), 2018, 38(6):670-675.

  • 罗梦云, 梁会刚, 董媛媛, 莫丹丹, 董伟,张义,王玥,蔡泳,张智若(通讯作者). 641名上海市老年人机构养老意愿及其影响因素[J]. 上海交通大学学报(医学版),2017,37(5), 679-683.

  • 龚进发 ,董媛媛 ,张义,王玥,董伟,罗梦云,莫丹丹,张智若(通讯作者),上海市1960例船员体检幽门螺旋杆菌感染情况分析[J].上海交通大学学报(医学版),2017,37 (1):102-105.

  • 杨静 ,张静,张智若(通讯作者),郑志杰 ,基于医院信息化的医疗不良事件内部报告系统构建[J].上海交通大学学报(医学版),2016,36(3):423-426。

  • 赵大海, 张智若(通讯作者).江苏省公立医院患者满意度评估与提升的经验和借鉴[J]. 中华医院管理杂志, 2016, 32(10):799-800.

  • 张智若(第一作者、通讯作者).国外及上海公立医院财务制度改革借鉴与思考[J].中华医院管理杂志,2015,31(8):631-632

  • 张智海,张智若(通讯作者),刘忠厚,袁伟.中国大陆地区以-2.0SD为诊断标准的骨质疏松症发病率回顾性研究[J]. 中国骨质疏松杂志, 2015, 22(1):1-7.

  • 赵大海,张智若(通讯作者).我国社区卫生机构功能定位转变的效果评估研究[J].西北人口(CSSCI),2013,3:121-125.

  • 赵大海,张智若(通讯作者).我国医药卫生体制改革对县级财政的压力与对策[J].甘肃社会科学(CSSCI),2013, 1:230-233.

  • 毛贻浩,罗烜,陈锡露,谢挺,张智若(通讯作者).创面修复科与社区医疗机构双向转诊现状及发展对策[J].中华烧伤杂志,2012, 28(6):455-457.

  • 张璐莹,张智若(并列第一作者),王和平,赵晖,李琰,杨立嵘.青海省农村未成年人大病保障现况分析[J].中华医院管理杂志.2011,27(2):90-94.

  • 张智若,陈楠,陈晓农,王伟铭,陈赛娟,陈竺.政策问题层筛法在尿毒症患者病有所医政策研究中的应用[J].中华医院管理杂志.2011,27(1):60-63.

  • 张智若,程晓明,李琰,杨立嵘.青海省卫生Ⅷ项目县和非项目县居民对健康认知的比较研究[J].中国卫生资源,2008,3:138-139.