What paid utilization it will be unpaid blood donation
What paid utilization it will be unpaid blood donation
Author: Ma Yue's peak is recent, someone sends the documents and claims in the network: Unpaid blood donation, paid utilization, relevant organizations make profit from it. The online article says " 11,800,000 people's unpaid blood donation of total of 2010, 90% among them are rural worker and university student. The intersection of unpaid blood donation amount and 3935, include 3,935 million, but blood donor can't use blood free, because Red Cross one the intersection of blood and 200 sell 200 of hospital, the hospital sells for 500 yuan. The blood donor will not transfuse blood unless pay, will take the invoice and arrive to submit an expense account donating blood. " Is the fact really so? The reporter has carried on the investigation. Is the blood donation in the charge of Red Cross? The Ministry of Health is in charge of the blood donation, the Red Cross participates in relevant activity unpaid blood donation and is organized by international red cross and advocated at first. Reporter consult the intersection of " the law, blood donating of the People's Republic of China, " and relevant regulation, know Red Cross Society of China participate in propaganda, mobilization of unpaid blood donation and cite, work only. Work such as the collection, laboratory test, keeping and using of the blood are concrete and in the charge of Ministry of Health. Why have in some names of blood station then " Red cross " (used at the end of a special alternative, or rhetorical question)? Liu Jiang, director of Beijing Red Cross Blood Center, tells reporters, the names of some blood stations, have added because historical " Red cross " . But the blood station is managed by health authorities, does not have any membership with red cross. The reporter lands the information network of the hygiene of Beijing (www.bjhb.gov.cn) ,Find in directly subordinate organ of Municipal Health Bureau of Beijing, public institution register, " Beijing Red Cross Blood Center " Rank the fifth. Deputy Director of Shandong blood center Zhu YongBao says, blood center and regional market blood station of Shandong are public institutions directly under department of public health and regional health bureau of Shandong. Some blood stations have added and hung the brand of the blood station of the Red Cross, mainly because how the foreign blood center is sponsored by Red Cross, it benefits international cooperation and exchange even more to do it in this way. Its personnel, financial affairs, business of blood collecting and supplying,etc. are by executives of health authority at all levels. Blood station and hospital " Gain the blood " ? It is examined, stored that what the patient paid is blood,etc. the expenses, it is not own expense blood donating law regulation of the blood, citizen pay collection, storage, the intersection of person who separate, examine and expenses to used in blood only at the blood used in clinic. According to the introduction of Zhu YongBao, the cost of the blood mainly comes from three respects: First, the blood is gathered the consumptive material, Second, all kinds of detection reagent ( Mainly include: Blood group, transaminase, hepatitis B, third liver, syphilis, AIDS,etc. measure the project) . Third, the publicity expense, souvenir, electric rate, parking fee, blood store fee, traffic expense etc.. As far as reporter know, physical examination, blood measured about 20 yuan fast before donating blood; Blood collecting bag costs 30 yuan, add about 50 yuan of relevant consumptive material; Blood check fee is about 160 yuan; About 50 yuan such as propaganda material, souvenir; The blood proportion not up to standard accounts for about 3% (the blood must scrap and deal with according to the fixed procedure, the cost of blood drop into all already, but the cost is unable to retract, the blood station will return the charge free of the blood to the free blood donor according to the regulation at the same time) ; The above is only a brief part that is enumerated, the cost with a lot of details was not enumerated in detail. If there are no national support and input in the normal operation of the blood stations at all levels, and the blood cost only paid by the patient is far from enough. A tertiary person in charge of blood transfusion dept. of hospital in Beijing tells reporters, the blood station supplies medical organization with the price of the blood, carry out the national uniform price, every 220 yuan for 200 ml. And the medical organization, to the charge of citizen's blood used in clinic, including the supply price of blood station, matching the fee of blood and storing the fee of blood. The terminal station price that 200 ml of blood of Beijing area reach the patient is generally more than 300 yuan at present; 400 go leucocyte erythrocyte pricing of blood 420, add, filter the intersection of leucocyte and expenses, wait for last about or five 6 one hundred. On July 29, in two subject wards outside a large-scale general hospital organ transplant liver and gall in Shandong, Mr. Li just finished the operation. On the same day, are writing on the prescription that the doctor opens: Patient's blood group B type, goes to 2 units of white red blood cell suspension, the virus deactivates 200 ml of blood plasma, amounts to 820 yuan. The person in charge of blood transfusion dept. of this hospital explains: 820 yuan of the patient's is divided into two parts specifically with fee of blood: A part to go pale red blood cell suspension, a unit is 240 yuan, the patient needs 2 units, count 480 yuan. The hospital uses the specialized refrigerator to store, erythrocyte of each unit collects 30 yuan and stores fee, 2 units count 60 yuan. Each bag adds 20 yuan and strains wasting, it is 560 yuan altogether. Another part is that the virus deactivates blood plasma, every 100 ml is 100 yuan, patient blood transfusion thick liquid is 200 ml, count 200 yuan. Every 100 ml of blood plasma charge 30 yuan to store fee, 200 ml counts 60 yuan, it is 260 yuan altogether. "In order to guarantee blood transfusion is safe, it is the obligatory procedure of patient's blood transfusion to match the blood and test. We charge 20 yuan each bag by condensing the amine method to match the blood, such as charging 60 yuan with the little column law. " YongBao Zhu say " every of blood center hand in grades of the intersection of finance and special family at the fee direct blood. The necessary expenses of the centre, by the financial department of higher level according to need of work and budget arrangement of the unit business, appropriate in unison. " Can the free blood donor use the blood free? Use free according to the regulation, pay first first and then go back to the blood donating site to close the law regulation of blood donating with the blood in the other provinces, the free blood donor is clinical while needing to use the blood, mainly mean that it is clinical while needing to use the blood to already fulfil to voluntary citizen of unpaid blood donation, do not need expenses of paying the blood and gathering, storing, separating, examining etc., " unpaid blood donation card " according to me Use the blood in the medical organization, is exempt from the expense procedure being stipulated by the locality. If free blood donor spend blood in other province due to illness, expenses of blood used in clinic pay first first then the local blood donation office close to donate blood. Liu Jiang introduced, from April 1, Beijing implements" the fee of blood returns one and connects responsibility system " . Every county working time wipe out a whole day from Monday to Friday, offer a station type service for blood donor and relative. Free spouse and direct relative of blood donor need spend the blood, while being clinical, all parts did not make and unify the regulation. Jiang Liu say according to the intersection of Beijing and regulation, use, donate blood blood to measure fivefold free in the ten years commencing from day donating blood such as blood donor, use and donate blood to measure blood of twice free ten years later; Donate blood totally more than 1,000 ml blood donor all the life endless to spend the blood free; The blood donor's spouse, direct relative can use the equal amount of blood of donating blood amount free in ten years from the date on which the blood donor donated blood. Zhu YongBao says, according to the regulation of Shandong, the free blood donor, in 5 years commencing from day donating blood, I enjoy the charge free under 5 times in donating blood amount to use the blood; Enjoy the equal amount of charge free to use the blood 5 years later, effective all one's life . "Why can't exempt from the expenses in the hospital directly? " The reporter asks. Zhu YongBao says: "At present, the system of submitting an expense account with the fee of blood of the whole country had not networked yet. Its, for two reasons, first, all parts different in policy to free return of blood donor, it is unable to submit an expense account according to seeking unity of standard; Second, blood station have responsibility of checking on persons who submit an expense account, main verification it qualified to return and note accord with regulation,etc.. " How is the proportion in the total amount of blood donating of unpaid blood donation? Unpaid blood donation accounted for above the blood used in clinic proportion 99% Ministry of Public Health counted last year, October 1, 1998, our country begins to implement the law of blood donating, confirm the system of unpaid blood donation in the form of law. After implementing unpaid blood donation, national voluntary unpaid blood donation accounts for the proportion of the blood used in clinic and rises to more than 99% of 2010 from 5% of 1998. Liu Jiang introduces, in the blood donor's team of Beijing, university students' proportion accounts for 20%, the rural worker's proportion is probably 10%. There will not too great difference between the proportion of the whole country and situation in Beijing.
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