Chen J, Ou-Yang J, Xie G, Liang H, Fan Y, Gao R, Li S, Rong X, He B, Bei C, Fu Y
Department of Blood Collection, Guangzhou Blood Center, Guangzhou, China.
Institute of Clinical Transfusion, Guangzhou Blood Center, Guangzhou, China.
Transfus Med. 2019 Aug;29(4):253-261. doi: 10.1111/tme.12618. Epub 2019 Jul 29.
To evaluate the development of blood transfusion services in Mainland China within the context of health-care system reform.
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.
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.
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.
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.
在医疗体系改革背景下评估中国大陆输血服务的发展情况。
中国于2009年启动医疗改革项目，以重新分配目前过度集中于发达城市的医疗资源。地域公平的输血服务是实现这一目标的关键。
基于2015年7月对采血机构的全国性调查，在行政区层面分析了总采血量、每千人口全血捐献量以及供需关系。在总采血量和人力资源方面对不同发展水平的地区进行了比较。
2014年，中国大陆31个省份呈现出很大差异，采血机构的总采血量从约1000单位到超过600000单位（每单位200毫升）不等，每千人口全血捐献率从1.48到17.09不等。全国总采血量的69%集中在29个省会城市，31%在311个非省会城市。97名拥有博士学位的人员中，74人在32个省级采血机构工作，其余23人在其他318个血站工作。在大多数省份，无论输血服务的发展程度如何，每位常住人口的献血量在2至4毫升之间，每位住院患者的用血量为10至35毫升。
2014年，中国输血服务发展不均衡且可及性不足。必须在国家层面重新部署此项服务，以推动中国的医疗改革。
