十堰市无偿献血者免费用血情况调查

Free blood use among voluntary blood donors in Shiyan city

目的分析十堰市免费用血及血费直接报销情况,为更有效地做好无偿献血后免费用血与血费直报服务工作及招募和保留献血者提供依据。方法收集十堰市1999~2019年免费用血数据进行统计分析。计量资料用均值进行描述,计数资料采用率或构成比进行描述。不同组别的构成比或率的比较用χ2检验。结果21年来免费用血情况从基本处于上升趋势(1999~2014年)到基本趋于稳定(2014~2019年),免费用血量占献血量的3.52%(40722.11/1156307.85),用血费用报销者中无偿献血者本人用血费用报销仅占18.83%(2240/11898),远低于直系亲属所占比例;从2013年起,十堰市按湖北省统一要求开展无偿献血者临床用血血费直接报销工作,7年间的直报率为76.49%(5397/7056),异地用血费用报销人员占比为4.02%(284/7056)。结论免费用血及血费直报政策促进了无偿献血事业的发展,还可以通过放宽免费用血报销范围、加强宣传、优化服务、强化督导、利用微信公众服务平台开展异地免费用血、加强全国联网建设等举措进一步完善。

Objective To analyze the situation of free blood use and direct reimbursement of blood expenses in Shiyan city,so as to provide basis for more effective service of free blood use and direct reimbursement of blood expense after blood donation,and recruitment and retain of blood donors.Methods The data of free blood use from 1999 to 2019 in Shiyan city were collected for statistical analysis.Measurement data were described by mean±SD,and enumeration data were described by rate or construction ratio.Chi-square test was used for comparison of construction ratio or rate of stratified groups.Results In the past 21 years,free blood use has developed from the overall increasing stage(1999~2014)to the overall stable stage(2014~2019).Free blood use accounted for 3.52%(40722.11/1156307.85)of the blood donation.Among the blood recipients,blood donors themselves accounted for only 18.83%(2240/11898),far lower than the proportion of their direct relatives.Since 2013,Shiyan has carried out the direct reimbursement of clinical blood expenses of voluntary blood donors according to the unified requirements of Hubei Province.The direct reimbursement rate over the past 7 years was 76.49%(5397/7056),and the proportion of people from other cities who applied for reimbursement was 4.02%(284/7056).Conclusion The policy of free blood use and blood expense direct reimbursement has promoted the development of blood donation.It can also be further improved by relaxing the reimbursement scope of free blood use,strengthening publicity,optimizing services,strengthening supervision,using WeChat public service platform to carry out remote free blood,and strengthening national network construction.