Wang Zhuo, Wang Hejian
School of Social and Behavioral Sciences, Nanjing University, Nanjing, People's Republic of China.
The National Police University for Criminal Justice, Hebei, People's Republic of China.
Risk Manag Healthc Policy. 2022 Aug 27;15:1593-1605. doi: 10.2147/RMHP.S372945. eCollection 2022.
The coronavirus disease 2019 (COVID-19) pandemic disrupted the supply of blood globally, resulting in numerous studies focusing on the challenges in maintaining blood supply, and the responses to it, in countries with a mixed blood donation model. This study explored blood donation challenges and mobilization mechanisms in North China, which employs a non-remunerative donation model, during the COVID-19 pandemic's first wave.
A qualitative approach was adopted to investigate blood donation practices in Chengde from April to June 2020. Data were collected from eight blood donors, six potential donors, three blood donation station leaders, and two government officials, through semi-structured interviews.
The major challenge for blood supply was decreased blood donations, owing to lockdown restrictions, and individual and familial apprehensions. Mobilization mechanisms included bureaucratic and ideological mobilization. However, although group blood donation alleviates the pressure on supply chains during emergencies, it is detrimental to the cultivation of civic engagement in the long run.
This study contributes to the understanding of how countries with uncompensated blood donation models respond to public health emergencies. It suggests that striking a balance between the society's and the state's perception of blood donation would allow the state to incorporate the different "voices" of society, and devise an inclusive blood donation policy.
2019年冠状病毒病（COVID-19）大流行扰乱了全球血液供应，导致众多研究聚焦于采用混合献血模式的国家在维持血液供应方面所面临的挑战及其应对措施。本研究探讨了在COVID-19大流行第一波期间，采用无偿献血模式的中国北方地区的献血挑战和动员机制。
采用定性研究方法，调查2020年4月至6月承德市的献血情况。通过半结构化访谈，收集了8名献血者、6名潜在献血者、3名献血站负责人和2名政府官员的数据。
血液供应的主要挑战是由于封锁限制以及个人和家庭的担忧导致献血量减少。动员机制包括行政动员和思想动员。然而，尽管团体献血在紧急情况下缓解了供应链压力，但从长远来看，不利于公民参与意识的培养。
本研究有助于理解采用无偿献血模式的国家如何应对突发公共卫生事件。研究表明，在社会和国家对献血的认知之间取得平衡，将使国家能够纳入社会的不同“声音”，并制定包容性的献血政策。
