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献血补偿金:是时候在印度激励献血了吗?

Blood Money: Is it Time to Incentivize Blood Donation in India?

作者信息

Pai Satvik N, Jeyaraman Madhan, Jeyaraman Naveen, Yadav Sankalp

机构信息

Orthopaedics, People's Education Society (PES) University Institute of Medical Sciences and Research, Bengaluru, IND.

Clinical Research Associate, Viriginia Tech India, Dr MGR Educational and Research Institute, Chennai, IND.

出版信息

Cureus. 2024 Jul 16;16(7):e64692. doi: 10.7759/cureus.64692. eCollection 2024 Jul.

DOI:10.7759/cureus.64692
PMID:39156292
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11327368/
Abstract

Blood donation, a fundamental act of altruism, has undergone significant evolution over the centuries. Despite medical progress, the persistent challenge lies in securing an adequate supply of blood and its derivatives. This article critically examines the proposal to introduce monetary incentives for blood donation, delving into ethical, legal, and pragmatic dimensions. India's current framework staunchly upholds voluntary, unpaid donations. However, global practices diverge significantly. Notably, India previously permitted monetary compensation for blood donation but later prohibited it due to concerns about infection transmission. Monetary incentives offer a potential solution to address key deterrents faced by potential donors. Health anxieties, time constraints, and fear of infection often discourage voluntary donations. By providing financial motivation, we may enhance donor participation and bolster the reliability of the blood supply. While the benefits are evident, caution is essential. Implementing monetary incentives necessitates robust safeguards. Preventing the exploitation of vulnerable populations and ensuring the safety of blood products remain paramount. Striking this delicate balance requires careful consideration. By analyzing ethical, legal, and practical facets, we navigate the intricate landscape of blood supply management.

摘要

献血,这一利他主义的基本行为,在几个世纪中经历了重大演变。尽管医学取得了进步,但持续存在的挑战在于确保充足的血液及其衍生物供应。本文批判性地审视了为献血引入金钱激励措施的提议,深入探讨了伦理、法律和实际层面的问题。印度目前的框架坚定支持自愿无偿献血。然而,全球做法差异显著。值得注意的是,印度此前允许对献血给予金钱补偿,但后来由于担心感染传播而予以禁止。金钱激励措施为解决潜在献血者面临的关键阻碍提供了一个潜在解决方案。健康焦虑、时间限制以及对感染的恐惧常常阻碍自愿献血。通过提供经济动机,我们或许可以提高献血者的参与度并增强血液供应的可靠性。虽然好处显而易见,但谨慎至关重要。实施金钱激励措施需要强有力的保障措施。防止对弱势群体的剥削以及确保血液制品的安全仍然至关重要。达成这种微妙的平衡需要仔细考量。通过分析伦理、法律和实际方面,我们在血液供应管理的复杂领域中前行。

相似文献

1
Blood Money: Is it Time to Incentivize Blood Donation in India?献血补偿金:是时候在印度激励献血了吗?
Cureus. 2024 Jul 16;16(7):e64692. doi: 10.7759/cureus.64692. eCollection 2024 Jul.
2
Blood Donation and Monetary Incentives: A Meta-Analysis of Cost-Effectiveness.献血与金钱激励:成本效益的荟萃分析
Transfus Med Rev. 2022 Jan;36(1):48-57. doi: 10.1016/j.tmrv.2021.08.007. Epub 2021 Oct 9.
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Blood donors' motivation and attitude to non-remunerated blood donation in Lithuania.立陶宛献血者对无偿献血的动机和态度。
BMC Public Health. 2006 Jun 22;6:166. doi: 10.1186/1471-2458-6-166.
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Governed financial incentives as an alternative to altruistic organ donation.管控经济激励措施以替代利他性器官捐赠。
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Financial incentives for cadaver organ donation: an ethical reappraisal.尸体器官捐赠的经济激励措施:伦理再评估
Transplantation. 2002 Apr 27;73(8):1361-7. doi: 10.1097/00007890-200204270-00034.
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Blood donor incentives: A step forward or backward.献血者激励措施:是前进还是后退。
Asian J Transfus Sci. 2010 Jan;4(1):9-13. doi: 10.4103/0973-6247.59385.
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Money for Blood and Markets for Blood.血液资金与血液市场。
HEC Forum. 2015 Dec;27(4):331-45. doi: 10.1007/s10730-014-9259-z.
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A new perspective on the incentive-blood donation relationship: partnership, congruency, and affirmation of competence.关于激励性献血关系的新视角:伙伴关系、一致性和能力肯定。
Transfusion. 2012 Sep;52(9):1889-900. doi: 10.1111/j.1537-2995.2011.03545.x. Epub 2012 Feb 10.
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A Review of Amelioration of Awareness About Blood Donation Through Various Effective and Practical Strategies.通过各种有效且实用的策略提高献血意识的综述
Cureus. 2023 Oct 12;15(10):e46892. doi: 10.7759/cureus.46892. eCollection 2023 Oct.
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本文引用的文献

1
What would it take to convince you to donate? A survey study of the relationship between motivators, barriers, and payment for whole blood, plasma, and platelet donation.是什么能说服你捐献?一项关于全血、血浆和血小板捐献的动机、障碍和报酬之间关系的调查研究。
Transfusion. 2022 Jun;62(6):1251-1260. doi: 10.1111/trf.16886. Epub 2022 Apr 25.
2
Incentivizing blood donation: systematic review and meta-analysis to test Titmuss' hypotheses.激励献血:系统评价和荟萃分析以检验蒂特马斯的假设。
Health Psychol. 2013 Sep;32(9):941-9. doi: 10.1037/a0032740.
3
The quest for an Indian blood law as of blood transfusion services regulatory framework.寻求一部作为输血服务监管框架的印度血液法。
Asian J Transfus Sci. 2011 Jul;5(2):171-4. doi: 10.4103/0973-6247.83246.
4
Blood Donation, Payment, and Non-Cash Incentives: Classical Questions Drawing Renewed Interest.献血、报酬与非现金激励措施:引发新关注的经典问题
Transfus Med Hemother. 2009;36(5):329-339. doi: 10.1159/000235608. Epub 2009 Sep 21.
5
Ban on payment to donors causes blood shortage in India.禁止向献血者支付报酬导致印度血液短缺。
BMJ. 1998 Jan 17;316(7126):172. doi: 10.1136/bmj.316.7126.167j.