This is a XiZhang blood cost

Healthday reporter sun dream zhang, next

Recently, a question of blood donation without compensation in our country, the paid blood use, the institutions of the profit from WangWen cause netizens attention. For this, a reporter from the four provincial blood center and two municipal blood stations issued interview request, hope to disclose the relevant person in charge of blood the exact makeup of cost, and, behold, it was almost had an interview with the same object "no". Individual force interviewed experts also repeatedly charged reporter for the hidden to name.

Clinical use each a bag of blood, is public through the "one arm one arm" free donations. Plainly blood donation, clearly blood use it is again common but truth. In an interview with experts say hope that this question to be promoting blood storm price open a turning point.

Blood price exactly can can't tell

In our newspaper published on June 17, "a bag of blood" life cycle "" in the article, the reporter had just blood cost interviewed relevant experts. Blood stations personnel have to reporters calculate a bill. With a bag of blood, for example, respectively, in order to ensure the safety of blood donation point, respectively, and "all is a needle, a bag of". To ensure that cell activity, save the blood of the department is a special "will pant bag", a few yuan is about the cost of the department. Blood collection to the library, to do second liver, syphilis, seven of the project, in order to ensure the safe use screening, each bag respectively with blood will homebred reagent and imported reagent screening twice, average reagent cost over yuan to. In addition, the instrument cost, consumables, blood loss of separation and cold chain, storage, and provide for volunteers of desserts, costs have continued to accumulate. The blood bank, hospital workers said theapproval of collection of it is these charges.

Patients received transfusions, all need to deliver what charge? China association of blood transfusion about chief told reporters, simply, patients charges including blood two parts, one part is produced in the blood stations "blood stations preparation of blood expenses"; Part of it is produced in the hospital with "blood", "ChuXie fee for".

"Hospitals keep blood, we need to cost per a bag of blood charge 10 yuan to the patient storage fee. Another part of blood with cost, for instance, we cross matching hospital blood charge 40 yuan, also by the blood of the disease according to the diagnosis, may also need to be blood donors on irregular antibody screening, etc, this is all individual charges, each has a clear charges, and the detailed rules for the competent department for approval." China's blood transfusion association, XiangYa central south university hospital, director of the division LiBiJuan transfusion told reporters.

"Indirect costs" to know how much

Why can't a as a hospital announced as a meticulous charging projects and cost? Experts told reporters, 200 ml whole blood, for example, now, the unified fee standards for 220 yuan. In 2009, China association of blood transfusion of blood stations of the country's 93 investigation, in addition to the cost of blood for the preparation of the process of blood fees, artificial blood collection, storage, separation, test and general "direct cost for every 200 ml" whole blood 211.29 yuan. In reality, however, in the process of making blood has some invisible "indirect costs".

In 2009, China association of blood transfusion management committee of 2008 was a year CaiGongXie 23 home the agency management indexes, and the data from the survey made detailed comparative analysis. The survey, in 2008, 15 big blood stations (CaiGongXie home of not less than 20 tons) each collection 1 ton of personnel expenditure blood to 430000 yuan; Blood stations (CaiGongXie smaller amount less than 20 tons) of numerical higher some, achieved 453000 yuan. At the same time, since most of the streets of blood institutions indicated rate and more than 80%, 23 home every tons of blood stations in the average of the blood transportation cost is 37900 yuan. At the same time also need to promote blood donation, statistics show that every tons of blood propaganda cost is 101000 yuan. That is, each a bag of blood is actually still carried including blood donation member recruitment propaganda, the equipments, the purchase maintenance, transport, water and electricity, the personnel, and blood stations construction cost and indirect costs.

Recently, have media on shandong blood center of disclosure "campaign where, souvenirs, about 50 yuan", questioned a blood center director answered and said, and now, to free blood donation propaganda also need to cost. Blood stations for blood donors and provide snacks, umbrellas and T-shirt, souvenirs, a few money the cost and no virtual column.

LiBiJuan said, abandoned blood of the calculation in cost. Blood test, appear not qualified after will dispose of them. Last year, changsha blood center picked 48 tons blood, two tons of blood on the handle off, according to the rules, not qualified to pass through the blood of burned destroyed, this is a significant cost. "As for the blood after to further improve the quality requirements, the cost of the blood also will more and more high."

Calls for reasonable compensation

"Now, the world make blood donation countries are paid blood use, but many people in the country that the policy has no opinion, the reason have medical insurance pay." A blood center director told reporters, in the United States, because the detection more strict requirements, each unit of blood (450 ml) of the cost at $1500, but the money is by medical insurance to bear.

In China, the government in the financial support and assistance to the blood bank enough. According to the China association of blood transfusion to 2008 year CaiGongXie agency survey of business accounting, 23 home per unit of blood for blood stations in the average of the government subsidies for 67 yuan, with 10 agencies of the subsidies less than $50 per unit of blood. At the same time there is data show that in 2008, and there are 13 home in a house belong to the government subsidies, and 1 unit of difference between home to raise unit belong to. 15 largest blood stations per capita was the average of financial aid for the years 90000 yuan; And the 8 small blood stations for the average per capita financial aid for the years 49000 yuan. A person familiar with the experts said, such subsidies are not enough funds even work level, let alone to employees send salary.

Blood stations use face the revenue to pay for employees, bonus, experts agree that question for some difference and raise the blood stations, there still need to rely on "business" to support organizations and personnel. "According to the regulations, blood stations belong to public welfare professional public health institutions, including the funds needed for the basic construction, development, personnel expenditure by the government subsidies, the blood of a full charge all finance of turn. But in fact, this management system and not fully formed, the government subsidies in full unit in a proportion of also is less." A blood center director says to the reporter, the credibility of the blood bank from the government, national blood stations should be nature, the government should increase investment unity.