河南省无偿献血者及其家庭成员临床用血费用直接减免的实施现况分析

Analysis on the current situation of clinical blood fees exemption for blood donors and their family members in Henan

目的分析河南省实施无偿献血者及其家庭成员临床用血费用直接减免(简称用血费直免)的施行现状,以便完善和充分落实用血费用直免政策。方法根据国家及河南省2019年出台的有关用血费用直免的新政策,从河南省献血者临床用血减免平台上连续收集并统计2020—2021年全省18个地级市用血医疗机构反映用血费用直免情况的指标数据,包括用血费减免方式、减免人(次)数、减免金额及用血费直免在其中的占比与总直免率,总结用血费用直免新政推行2年来取得的经验,发现其中存在的问题并分析造成问题的原因。结果2020、2021年河南全省用血费直免率分别为34.53%(8709/25221)、71.68%(23587/32906)(P<0.05);其中2021年全省18个地级市用血费用直免率为6.20%(85/1370)—88.50%(1332/1505)[(47.35±41.15)%],按月度统计用血费用直免率:1—8月逐月上升[由43.19%(1183/2507)升至83.15%(2097/2522)],9—12月稳定在与8月相近的水平[12月的83.43%(2744/3289)为全年最高]。结论实施用血费用直免新政后河南省献血者用血费用直免成效明显,有力(利)推动了全省无偿献血事业的发展;但个别地方还存在完善落实用血费直免政策的余地,有待进一步提高本地与全省的直免率空间。

Objective To analyze the current situation of direct exemption of clinical blood fess for voluntary blood donors and their family members in Henan Province,in order to im⁃prove and fully implement the policy.Methods According to the policy on blood fees exemption issued by China and Henan Province in 2019,the data of hospitals in 18 prefecture⁃level cities in Henan from 2020 to 2021 were continuously collected from the system of clinical blood fees exemption,including the way of exemption,the number of people(times)of exemption,ex⁃emption amount,the proportion of blood fees exemption and the total exemption rate.The experience gained in the past two years after the implementation of the policy was summarized,and the existing problems and causes were analyzed.Results The rates of direct exemption of blood fees in Henan Province in 2020 and 2021 were 34.53%(8709/25221)and 71.68%(23587/32906)(P<0.05),respectively.In 2021,the direct exemption rate of blood fees in 18 cities was 6.20%(83/1370)to 88.50%(1332/1505)[(47.35±41.15)%],and increased month by month from 43.19%(1183/2507)in Jan⁃uary to 83.15%(2097/2522)in August,then remained stable at a similar level to August from September to December,with 83.43%(2744/3289)in December as the highest for the year.Conclusion The implementation of the policy of blood fees exemption showed significant effectiveness,which has effectively promoted the development of voluntary blood do⁃nation in Henan.However,there is still room for improving the policy in some cities,which is expected to further increase the direct exemption rate of the city and the whole province.