Bagot Kathleen L, Masser Barbara M, Starfelt Louise C, White Katherine M
Public Health, the Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia.
Translational Public Health and Evaluation Division, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Victoria, Australia.
Transfusion. 2016 Jan;56(1):186-94. doi: 10.1111/trf.13278. Epub 2015 Sep 26.
As blood collection agencies (BCAs) face recurrent shortages of varying blood products, developing a panel comprising donors who are flexible in the product they donate based on same-time inventory demand could be an efficient, cost-effective inventory management strategy. Accounting for prior whole blood (WB) and plasmapheresis donation experience, this article explores current donors' willingness to change their donation product and identifies the type of information required for such donation flexibility.
Telephone interviews (mean, 34 min; SD, 11 min) were conducted with 60 donors recruited via stratified purposive sampling representing six donor groups: no plasma, new to both WB and plasma, new to plasma, plasma, flexible (i.e., alternating between WB and plasma), and maximum (i.e., high frequency alternating between WB and plasma) donors. Participants responded to hypothetical scenarios and open-ended questions relating to their and other donors' willingness to be flexible. Responses were transcribed and content was analyzed.
The most frequently endorsed categories varied between donor groups with more prominent differences emerging between the information and support that donors desired for themselves versus that for others. Most donors were willing to change donations but sought improved donation logistics and information regarding inventory levels to encourage flexibility. The factors perceived to facilitate the flexibility of other donors included providing donor-specific information and information regarding different donation types.
Regardless of donation history, donors are willing to be flexible with their donations. To foster a flexible donor panel, BCAs should continue to streamline the donation process and provide information relevant to donors' experience.
由于采血机构(BCA)经常面临不同血液制品的反复短缺,基于同时期库存需求,组建一个由能够灵活选择所捐血液制品的献血者组成的小组,可能是一种高效且具成本效益的库存管理策略。考虑到既往全血(WB)和单采血浆献血经历,本文探讨了现有献血者改变其献血制品的意愿,并确定了实现这种献血灵活性所需的信息类型。
通过分层目的抽样招募了60名献血者进行电话访谈(平均时长34分钟;标准差11分钟),这些献血者代表六个献血者群体:无血浆献血经历者、全血和血浆献血均为新手、血浆献血新手、血浆献血者、灵活献血者(即全血和血浆献血交替进行)以及最高频献血者(即全血和血浆献血高频交替进行)。参与者对与他们自己以及其他献血者的灵活性意愿相关的假设情景和开放式问题做出回应。访谈内容被转录并进行了内容分析。
不同献血者群体中最常被认可的类别各不相同,献血者希望为自己和他人提供的信息及支持之间出现了更显著的差异。大多数献血者愿意改变献血类型,但寻求改进献血流程以及有关库存水平的信息以鼓励灵活性。被认为有助于其他献血者实现灵活性的因素包括提供献血者特定信息以及不同献血类型的信息。
无论献血历史如何,献血者都愿意灵活调整其献血类型。为了建立一个灵活的献血者小组,采血机构应继续简化献血流程,并提供与献血者体验相关的信息。