Recently,Shandong, Henan, and Hunan issued calls for blood donation, indicating that the number of blood donors has plummeted due to severe cold weatherClinical blood consumption has entered a peak period, and the blood inventory has fallen below the warning line, which has seriously affected the medical treatment of clinical patients and the health protection of the people, and needs urgent support. Problems such as low temperature and snowfall are undoubtedly a fuse for the emergency of blood volume in many places, but they also expose the shortage of blood resources that has always existed in China. China's clinical blood has always been in a state of tension. On the one hand, it is because of the lack of **. According to the report of the General Office of the former National Health and Family Planning Commission on blood safety technical verification, a total of 14 million people participated in unpaid blood donation across the country in 2016, and the blood donation rate reached 105, compared to about 33 in developed countries. On the other hand, the demand for blood in Xiamen is growing, taking Xiamen as an example, the demand for blood in Xiamen hospitals is increasing at an average annual rate of 10%, especially in summer and winter, there is a 15%-20% blood gap. The number of blood donations has grown relatively slowly, resulting in a widening gap between supply and demand year by year, and the phenomenon of "blood shortage" occurs from time to time. In addition, "mutual blood donation" has been abolished in recent years. For a long time, "mutual blood donation" has been one of the first of many seriously ill patients and sudden emergency blood patients who need long-term blood use, but at the same time, "mutual blood donation" has also promoted illegal blood trade and substandard blood donation. Therefore, the National Health Commission proposed that by March 2018, mutual blood donation will be canceled nationwide. At present, the public's doubts about unpaid blood donation mainly focus on the fact that blood donors cannot be guaranteed to use blood, and they are told that the blood bank is short of blood when they need bloodIt is difficult or even impossible for blood donors to reimburse blood across provinces and placesSome blood donation station staff have poor attitudes and poor communication. According to the relevant regulations, blood donors and their relatives have the right to give priority to the use of blood, which is often said to "one person donates blood, the whole family benefits". This regulation is intended to encourage and advocate the active donation of blood by the public, but it also makes the public believe that as long as they donate blood, they can be unconditionally given priority in the use of blood. But in fact, the "priority use of blood" must first meet the principle of clinical blood transfusion. That is, emergency and critically ill patients are the first priority of blood use, followed by unpaid blood donors and their families. Therefore, it is necessary to accurately understand and apply the priority of unpaid blood donors. First, it is necessary to ensure that unpaid blood donors have priority under the same conditions. Suppose both patients are critically ill and need to prioritize the blood needs of unpaid blood donors and their relatives. In other words, when a patient is critically ill and another patient is suffering from an ordinary illness, even if he or she has a blood donation certificate, the blood needs of the critically ill patient should be given priority out of consideration for life. In this way, a balance can be struck between protecting lives and safeguarding the rights and interests of unpaid blood donors. Second, the publicity strategy should clearly explain the rules of unpaid blood donation. It is undeniable that there is a large demand for blood in China, and in many cases, blood needs to be queued, and it may not even be the turn of unpaid blood donors, while unpaid blood donors think that they have absolute priority. Although many people donate blood not necessarily for priority, when the contradiction in blood use, it is easy to make people feel that it does not match the propaganda and reduce people's enthusiasm for donating blood. Of course, some localities have imposed new threshold restrictions on blood donation time for unpaid blood donors or relatives who are critically ill, which has greatly damaged the enthusiasm of the society to donate blood and must be curbed. Regarding the reimbursement of blood used in other places, Article 14 of the Blood Donation Law stipulates that unpaid blood donors are exempt from paying fees for blood collection and storage when they need blood clinicallyWhen the spouses and immediate family members of unpaid blood donors need blood clinically, they may be exempted or reduced from paying the fees specified in the preceding paragraph in accordance with the provisions of the people** of provinces, autonomous regions and municipalities directly under the Central Government. At present, reimbursement is mainly a cross-regional and cross-departmental identification and connection issue, and unifying standards and simplifying the process should be the work that must be improved to facilitate unpaid blood donors. In view of the severe cold weather this time, the relevant departments can be more proactive, such as coordinating and communicating with the community, and driving blood donation vehicles into the community to facilitate the public to donate bloodPrepare plenty of warm items in the car to enhance the experience of blood donors, etc. The most important thing is to strictly implement the priority policy of blood use by unpaid blood donors, effectively ensure the rights and interests of blood donors, and avoid chilling the hearts of unpaid blood donors because of various interest entanglements. Recommended readings in previous issues
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