Blood safety and availability: continuing challenges in <scp>C</scp>hina's blood banking system

Shi, Ling; Wang, Jing Xing; Stevens, Lori; Ness, Paul M.; Shan, Hua

doi:10.1111/trf.12273

Cited by 58 publications

(64 citation statements)

References 46 publications

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“…It is important to build a regional and national shared donor registry which will help to identify high-risk test-seeking donors who have already tested positive at other blood centers, and build a national and local donation information system to enhance the transparency of the donation system to gain more trust from the general public. Improving clinical blood utilization and strengthening patient blood management will also help counteract blood supply shortage in China [63]. …”

Section: Resultsmentioning

confidence: 99%

Blood Donor Management in China

Shi

Wang

Liu

et al. 2014

Transfus Med Hemother

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Despite a steady increase in total blood collections and voluntary non-remunerated blood donors, China continues to have many challenges with its blood donation system. The country's donation rate remains low at 9‰, with over 60% of donors being first-time donors. Generally there is a lack of adequate public awareness about blood donation. The conservative donor selection criteria, the relatively long donation interval, and the small donation volume have further limited blood supply. To ensure a sufficient and safe blood supply that meets the increasing clinical need for blood products, there is an urgent need to strengthen the country's blood donor management. This comprehensive effort should include educating and motivating more individuals especially from the rural areas to be involved in blood donation, developing rational and evidence-based selection criteria for donor eligibility, designing a donor follow-up mechanism to encourage more future donations, assessing the current donor testing strategy, improving donor service and care, building regional and national shared donor deferral database, and enhancing the transparency of the blood donation system to gain more trust from the general public. The purpose of the review is to provide an overview of the key process of and challenges with the blood donor management system in China.

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Section: Resultsmentioning

confidence: 99%

Blood Donor Management in China

Shi

Wang

Liu

et al. 2014

Transfus Med Hemother

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“…Websites overall scores and sub-scores were calculated and compared between provincial vs. regional blood centers, given the administrative structure of blood centers in China [2]. Provincial blood centers and regional blood centers are located in the provincial capitals and smaller cities in each province, with the main responsibility of collecting and supplying blood.…”

Section: Methodsmentioning

confidence: 99%

“…In China, the increase in the blood supply has not kept pace with the increasing clinical demand for blood [1] and only a small volunteering group of people (around 0.9% of the total population) have donated blood. Recruiting and retaining blood donors are the key challenges for blood centers [2]. …”

Section: Introductionmentioning

confidence: 99%

The official websites of blood centers in China: A nationwide cross-sectional study

Hu¹,

Wang²,

Mao³

2017

PLoS ONE

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BackgroundBlood collection agencies worldwide are facing ongoing and increasing medical demands for blood products. Many potential donors would search related information online before making decision of whether or not to donate blood. However, there is little knowledge of the online information and services provided by blood centers in China, despite the constantly increase of internet users. Our research investigates the number of blood centers’ official websites and their quality, and highlights the deficiencies that required future advances.MethodsIdentified official websites of blood centers were scored using a newly developed evaluation instrument with 42 items concerning technical aspects, information quality, information comprehensiveness and interactive services. Scores of websites were compared between blood centers with different level (provincial vs. regional blood centers) and location (blood centers located in economically developed vs. developing region).ResultsFor the 253 working official websites all the 350 blood centers in China, and the mean overall score of websites was 24.7 out of 42. 79.1% websites were rated as fair (50–75% of maximum), 5.5% as good (≥75% of maximum) and 15.4% as poor(25–50% of maximum;). Websites got very low sub-scores in information quality (mean = 3.8; range 1–8; maximum = 9) and interactive services (3.3; 0–10; 10). Higher proportions of provincial (vs. regional) blood centers and economically developed (vs. developing) blood centers had official websites (p = 0.044 and p = 0.001; respectively) with better overall quality (p<0.001 and p <0.01) and better sub-scores (in all of the four sections and in technical aspects and information quality). Website overall scores was positively correlated with the number of people served by each blood center (p< 0.001) and the donation rate of each province (p = 0.046).ConclusionsThis study suggests there is a need to further develop and improve official websites in China, especially for regional and inland blood centers. The poor information quality and interactive services provided by these websites is of particular concern, given the challenges in blood donor counselling and recruitment.

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“…a maximum allowable age of 55 for donation) [8]. The situation is China is fairly typical of many countries in transition.…”

Section: Right In the Middle: Gray Areas Of Middle-income Countriesmentioning

confidence: 99%

“…China, all donors are prescreened, using rapid testing methods, for hepatitis B surface antigen, and sometimes alanine aminotransferase, in an attempt to reduce costs associated with discarding infectious units [8,9]. These are just some of the donor-related issues present in countries with similar socioeconomic conditions to those of China -issues that merit greater attention from international experts.…”

Section: Key Pointsmentioning

confidence: 99%