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[家庭输血的建议与管理:助力、制约因素与前景]

[Recommendations and management in Home Blood Transfusion: Levers, brakes and prospects].

作者信息

Jonca L, Hervé I, Lassale B

机构信息

Santé Relais Domicile, 25, rue Paule-Raymondis, 31200 Toulouse, France.

Espace Claude-Monet, 2, place Jean-Nouzille, CS 55035, 14050 Caen cedex 4, France.

出版信息

Transfus Clin Biol. 2021 Nov;28(4):375-379. doi: 10.1016/j.tracli.2021.08.348. Epub 2021 Aug 28.

DOI:10.1016/j.tracli.2021.08.348
PMID:34464716
Abstract

In our roles as regional coordinator for haemovigilance and transfusion safety (RCHTS - CRHST), Correspondant for haemovigilance in a medical and surgical obstetrics/hospital home care centre (MSO/HHCC-MCO/HAD) and a doctor responsible for haemovigilance in HHC, we shared our interdisciplinary viewpoints and compared our practices in an attempt to gain a better understanding of the factors that hinder and facilitate the development of blood transfusion in HHC. Despite the revaluation of tariffs for blood transfusion in HHC (effective since March 2018), and the widespread circulation of recommendations for good practice in the transfusion of packed red blood cells in HHC (April 2018), this sector is still struggling to develop. On completing our analysis, we were able to demonstrate that while our institutional and regional work continues to be essential, the power to move things forward now lies in the hands of a national authority. In our opinion, using this power would give strong, national recognition of the vital role which HHC played at a nationwide level throughout the recent health crisis.

摘要

作为血液监测与输血安全区域协调员(RCHTS - CRHST)、医疗与外科产科/医院家庭护理中心(MSO/HHCC - MCO/HAD)血液监测通讯员以及家庭护理中心血液监测负责人,我们分享了跨学科观点并比较了实践做法,试图更好地理解阻碍和促进家庭护理中心输血发展的因素。尽管家庭护理中心的输血费用自2018年3月起重新评估,且2018年4月关于家庭护理中心输注浓缩红细胞良好实践的建议广泛传播,但该领域仍在努力发展。在完成分析后,我们能够证明,虽然我们的机构和区域工作仍然至关重要,但推动事情向前发展的权力现在掌握在国家当局手中。我们认为,运用这一权力将使国家大力认可家庭护理中心在近期全国健康危机期间在全国层面所发挥的重要作用。

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