血站和单采血浆站协同发展的要素调查

Investigation of coordinated development between blood banks and apheresis plasma collection banks

目的分析影响血站、单采血浆站(以下简称浆站)协同发展的要素,探讨血站、浆站协同发展的可行性措施。方法通过血液信息管理系统、血源信息管理系统调取2017—2021年山东省9个市血站和浆站的献血和献浆相关数据,分析献血献浆人数及人员交集情况;数据分析采用卡方检验,通过问卷调查的方法调研有关献血献浆事业协同发展政策和信息化现状及建设期望。结果2017—2021年全山东省9个市的献血总人数高于献浆总人数,均逐年递增,献浆人数增幅显著高于献血人数(131.78%vs 23.90%,P<0.05)。献血献浆交集人员占献血献浆总人数的比例逐年上升,从2017年的0.45%增长至2021年的1.04%,增幅131.11%。94.2%参与调查单位所在行政区未发布促进献血献浆事业协同发展的相关政策文件。期望血站和浆站设置距离间隔50 km以上的居多(63%)。血站与浆站血液管理信息系统互联互通的功能需求前4位的项目为血液检测结果(94.61%)、身份证号(87.54%)、献血献浆记录(85.51%)、健康征询/检查结果(82.15%)。血站、浆站协同发展的要素排在前4位的是政策支持(96.25%)、信息化联网(92.36%)、顶层设计(87.44%)、文化建设(86.58%)。结论献血献浆交集人员逐年上升,主要为献全血与献浆交集的人数,应引起关注。实现献血与献浆事业协同发展,政策支持是推进血站浆站协同发展最关键和基础的手段。推动血液信息化标准体系建设,实现献血和献浆信息共享是血液信息化建设的趋势。完善立法,制定协同发展政策,加强顶层设计,规范献血和献浆宣传,树立献血献浆同样光荣的思想,促进献血和献浆事业协同发展,保障血液安全。

Objective To explore the factors that affect the coordinated development of blood banks and apheresis plasma collection banks(hereinafter referred to as plasma banks),and explore feasible measures for the coordinated development of blood banks and plasma banks.Methods The blood information management system and blood source information management system were used to retrieve related data of blood and plasma donation from 9 cities in Shandong province from 2017 to 2021.The number of blood donors and plasma donors and the intersection of them were analyzed.The data analysis was performed using chi-square test,and a questionnaire survey was conducted to investigate the policies and information status,as well as expectations for coordinated development for blood donation and plasma donation.Results From 2017 to 2021,the total number of blood donors in 9 cities was higher than that of plasma donors,both have been increasing year by year,and the increase in plasma donors was significantly higher than that of blood donors(131.78%vs 23.90%,P<0.05).The intersection proportion of blood and plasma donors had been increased from 0.45%in 2017 to 1.04%in 2021,with an increase of 131.11%.Among the administrative regions where the participating blood and plasma banks located,94.2%have not released relevant policy documents to promote the coordinated development of blood and plasma donation.The majority(63%)expected blood banks and plasma banks to be set at a distance more than 50 km apart.The top four functional requirements for the interconnection between blood banks and plasma banks management information system were blood test results(94.61%),ID number(87.54%),blood and plasma donation records(85.51%)and health consultation/examination results(82.15%).The top four elements of coordinated development between blood and plasma banks were policy support(96.25%),information networking(92.36%),top-level design(87.44%)and cultural construction(86.58%).Conclusion The number of donors who donate both blood(mainly whole blood)and plasma has been increasing year by year,which should be more concerned deserves our close attention.To achieve the coordinated development of blood donation and plasma donation,policy support is the most crucial and fundamental means.Establishment of a standard system and the share of blood and plasma donation information is necessary for blood informatization construction.It was critical to promote the coordinated development of blood and plasma donation and ensure blood safety with improving legislation,formulating policies for coordinated development,strengthening top-level design,standardizing the publicity promotion of blood and plasma donation and establishing the idea that blood and plasma donation are equally honorable.