Zhu Yongming, Xie Dongfu, Wang Xun, Qian Kaicheng
Shanghai Blood Center, WHO Collaborating Center for Blood Transfusion Services, Shanghai, China.
Shanghai Blood Center, WHO Collaborating Center for Blood Transfusion Services, Shanghai, China.
Transfus Med Rev. 2017 Apr;31(2):84-88. doi: 10.1016/j.tmrv.2016.12.002. Epub 2016 Dec 5.
Although considerable progress has been made in improving the blood service system in China over the last 2 decades, many challenges remain. A number of issues have received public attentions; however, others continue to be underacknowledged and controversial. This article describes 3 of these important and less emphasized issues: first, the ambiguity of the definition of voluntary nonremunerated blood donation and its relationship to an adequate blood supply; second, the current inadequacies of cost recovery from the blood service system; and third, the lack of a universally implemented program of hemovigilance. Currently, there is controversy regarding these challenges. Open recognition and discussion offers the prospect of bringing solutions closer to reality.
尽管在过去20年里中国在改善血液服务体系方面取得了显著进展，但仍面临许多挑战。一些问题已受到公众关注；然而，其他问题仍未得到充分认识且存在争议。本文描述了其中3个重要但较少被强调的问题：第一，自愿无偿献血定义的模糊性及其与充足血液供应的关系；第二，血液服务体系目前成本回收不足；第三，缺乏普遍实施的血液警戒计划。目前，对于这些挑战存在争议。公开承认和讨论有望使解决方案更接近现实。
