Nationwide survey of home transfusion practices

Benson, Kaaron; Popovsky, MA; Hines, D; Hume, Heather; Oberman, Harold A.; Ab, Glassman; Pisciotto, PT; Thurer, RL; Stehling, Linda C.; Anderson, K S

doi:10.1046/j.1537-2995.1998.38198141505.x

Cited by 12 publications

(14 citation statements)

References 8 publications

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“…The American Association of Blood Banks has recently surveyed facilities with home transfusion programs to determine current practice. 3 Physicians and hospitals interested in establishing a home transfusion program need to determine who will be responsible for blood bank testing, preparing the blood component, and infusing the blood. A clear understanding must exist among the ordering physician, hospital administration, transfusion service, blood center, and home health care agency regarding accountability for each aspect of the home transfusion program.…”

Section: Discussionmentioning

confidence: 99%

“…Some transfusion services and blood centers require review of a home health care agency's policies and procedures when blood administration in the home is outsourced. 3,6 While this overseeing process may incur additional liability for the transfusion service or blood center, it should at least improve the practices of the transfusionists.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] Patients who are eligible for home transfusions are often debilitated, chronically ill individuals who may require more frequent transfusions over longer periods of time than many hospitalized patients who require transfusions. An appropriate candidate should meet home-bound constraints that make transportation to the hospital difficult.…”

Section: Eligibility Requirementsmentioning

confidence: 99%

“…The most common components transfused in the home are red blood cells and platelets. 3,6 Plasma components --fresh frozen plasma and cryoprecipitate --are rarely transfused in the home.…”

Section: Eligibility Requirementsmentioning

confidence: 99%

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Blood Transfusions in the Home Sweet Home: How to Avoid a Sour Outcome

Benson

1997

Cancer Control

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Eligibility Requirementsmentioning

confidence: 99%

“…The most common components transfused in the home are red blood cells and platelets. 3,6 Plasma components --fresh frozen plasma and cryoprecipitate --are rarely transfused in the home.…”

Section: Eligibility Requirementsmentioning

confidence: 99%

See 2 more Smart Citations

Blood Transfusions in the Home Sweet Home: How to Avoid a Sour Outcome

Benson

1997

Cancer Control

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“…Particularly among older and more severely ill patients, transportation difficulties or waiting time at the medical facility may require additional effort, while remaining at home may decrease the patient's tiredness and thus be considerably more comfortable (Devin & Agnew, 2008). Nevertheless, transfusions at home are potentially stressful and anxiety-producing situations: it may increase the feeling of insecurity because of isolation and increased distance to emergency care (Benson, 2006;Benson et al, 1998).…”

Section: Contextmentioning

confidence: 99%

The Information Content of the WTP-WTA Gap: An Empirical Analysis Among Severely Ill Patients

et al. 2012

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Abstract:Large disparities between willingness to pay (WTP) and willingness-to-accept (WTA) are commonly encountered in empirical studies and raise some important controversies. Nevertheless, the relationships between WTA and WTP can help understand not only how a service is valued but also how it can be substituted or how its loss can be resisted. The purpose of this study was to examine cancer patients' preferences for blood transfusion setting from the perspective of WTA and WTP. A contingent valuation (CV) survey was administered to 139 patients receiving transfusions either at home or in the hospital. While few patients (6%) gave WTP protest responses, the WTA approach generated more protest responses (18%). The WTA-WTP discrepancy was confirmed. One in four of the patients reported that no amount was deemed sufficient to compensate for the renunciation of their home BT management. The main determinants of WTP were significantly different from WTA predictors. Our results suggest that individuals' strategies towards constructing WTP and WTA differ in terms of determinants, reasoning, use of information and economic rationality. They give empirical evidence on the usefulness to elicit both WTP and WTA responses in healthsurveys to help understand the economic evaluation of health technology assessment and care organization.

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Cancer patients’ willingness to pay for blood transfusions at home: results from a contingent valuation study in a French cancer network

et al. 2011

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Home blood transfusion may be an interesting alternative to hospital transfusion, especially when given with curative or palliative intent or for terminal care in advanced-stage cancer patients. However, there is limited information about patients' attitude toward this type of care. The purpose of this study was to measure French cancer patients' willingness to pay (WTP) for home blood transfusion and to analyze determinants of their choice. A contingent valuation survey was administered to 139 patients receiving transfusions in the framework of a regional home care network or in the hospital outpatient department. Participation was high (90%). Most patients (65%) had received home care, including 43% blood transfusions. Just under half of the patients gave a zero WTP, among which we identified 8 protest bidders. The median WTP for home blood transfusion was 26.5 per patient. In multivariate analysis, long home-hospital distance, poor quality of life, and previous experience of home care were identified as important factors in determining how much more patients would be willing to pay for transfusion at home. These results demonstrate the benefits of developing domiciliary services to improve patient well-being, notably for the weakest among them. The significant impact of previous home care experience on WTP is probably related to the strong involvement of physicians from the blood center and to their active contribution to a high-level homecare network. Some of our findings could be useful for policy decision-making regarding home care.

show abstract

Nationwide survey of home transfusion practices

Abstract: Although most facilities have policies for the administration of home transfusions, there remains marked heterogeneity among blood providers and transfusionists regarding home transfusion practices.

Cited by 12 publications

References 8 publications

Blood Transfusions in the Home Sweet Home: How to Avoid a Sour Outcome

Blood Transfusions in the Home Sweet Home: How to Avoid a Sour Outcome

The Information Content of the WTP-WTA Gap: An Empirical Analysis Among Severely Ill Patients

Cancer patients’ willingness to pay for blood transfusions at home: results from a contingent valuation study in a French cancer network

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