Problems and challenges: development of blood transfusion services in Mainland China within the context of health‐care system reform

Autor:	Bo He, Y. Fan, Jian Ou-Yang, Shi-Jie Li, Xia Rong, Hua-Qin Liang, Jin-Yan Chen, Chun-Hua Bei, R. Gao, Yongshui Fu, G. Xie
Rok vydání:	2019
Předmět:	Mainland China China Blood transfusion medicine.medical_treatment Population Blood Donors Context (language use) 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Health care medicine Humans Blood Transfusion education Socioeconomics Service (business) education.field_of_study business.industry Hematology Health Care Reform Donation business Delivery of Health Care 030215 immunology
Zdroj:	Transfusion Medicine. 29:253-261
ISSN:	1365-3148 0958-7578
Popis:	OBJECTIVE To evaluate the development of blood transfusion services in Mainland China within the context of health-care system reform. BACKGROUND China launched a health-care reform program in 2009 to redistribute health-care resources, which are currently over-concentrated in well-developed cities. A geographically equitable blood transfusion service is key to achieving this goal. METHODS Based on the national survey of blood establishments in July 2015, total blood collection, whole-blood donations per 1000 population and the supply and demand relationship were analysed at the administrative region level. Areas at different developmental levels were compared in terms of total blood collection and human resources. RESULTS In 2014, Mainland China's 31 provinces showed wide variation, with total blood collection in blood facilities ranging from about 1000 units to over 600 000 units (each 200 mL), and the whole-blood donation rate per 1000 population, ranging from 1·48 to 17·09. 69% of the country's total collection, was concentrated in 29 provincial capitals, and 31% was in 311 non-capital cities. Of 97 personnel with doctorates, 74 worked in 32 provincial blood establishments, whereas the remaining 23 worked at the other 318 blood stations. In most provinces, per permanent resident donation was within 2-4 mL, and blood volume per inpatient was 10-35 mL regardless of the development of the transfusion service. CONCLUSION In 2014, China had an imbalanced development and insufficient access to blood transfusion services. This service must be redeployed at the national level to facilitate health-care reform in China.
Databáze:	OpenAIRE
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