Chinese society of blood transfusion (CSBT): Existing utilizes unpaid blood donation to seek the sudden huge profits
Launch economist Lang XianPing and Red Cross Society of China on being getting richer a little a few days ago about " Unpaid blood donation " Debate,is it the masses of to attract surround and watch, be and initiated netizen by people rapidly about unpaid blood donation " blood doubt " Discussion. For this reason, Xinhua News Agency " China's online story " The reporter attends chinese society of blood transfusion (CSBT), Beijing Red Cross Blood Center and launches the investigation with BJ Union Hospital. The blood is doubted: " free " Why change " Paid " ? On July 20, Lang XianPing is (a little rich) The hair is a little rich to query Red Cross Society of China, the listed question includes " accepts ordinary people's donation freeing, the blood is sold to the hospital at high price with every one hundred yuan for hundred ml " . Next day, Red Cross Society of China is (a little rich) Being a little rich to send card, respond continuously, official side show " Lang XianPing Mr. through a little rich to criticize the Red Cross ' monopolize the blood ', this statement does not accord with the fact at all. " Red Cross Society of China thinks, according to the stipulations of " blood donating of the People's Republic of China ", "Red Cross Society of China only participates in the propaganda, mobilization of unpaid blood donation and cites the work. Work such as the collection, laboratory test, keeping and using of the blood are concrete and in the charge of Ministry of Health of the government. Red Cross Society of China never collects any expenses in participating in the free blood donation. " At present, although my darling's salty plain card has already been deleted, the discussion on net is still going on. Someone queries: It is free to donate blood, why use the blood to be paid? One hundred yuan of each bag of blood Forth Five-Year Plan Period " Personal value " ,On earth how was it produced? " principal " How much on earth? (1) The blood is free, but have cost to make, store the blood Form lotus root Qi, managing Deputy Secretary-general of chinese society of blood transfusion (CSBT), tells " China's online story " Reporter, blood is not the goods, can't weigh with the money, but the blood is from gathering to using cost to consume the expenses produced clinically, need to be undertaken from the patient with the blood partly. On the whole, patient, after receiving the intersection of blood transfusion and treatment, relevant expenses of blood used in clinic can with simple and convenient to divide ocular: A part evolves from the blood station, namely" the blood station prepares the expenses of the blood " ; Another part evolves from the hospital, " match the fee of blood " , " store the fee of blood " . Stipulate according to " notice on adjusting the expenses standard of citizen's blood used in clinic " which the committee of Ministry of Public Health and national development and reform issued of 2005, unify the whole country in expense standard that the blood station prepares the blood, such as 220 yuan of nationwide unified expenses standard for 200 ml of whole blood. Matching the fee of blood and storing the fee of blood is set up by the regional foundation actual conditions, the concrete standard is checked and ratified together with the health authorities at the same level by the responsible institution of the price of every province, autonomous region and municipality directly under the Central Government. The single lotus root Qi is said: "The blood station belongs to the public beneficial professional public health organ that the government held, accept the supervision, audit of the related departments of the government, the situation of utilizing unpaid blood donation to seek the sudden huge profits does not exist. " Then, how does blood station prepare the expenses of 220 yuan of nationwide unified expenses standard of every 200 ml of whole blood of blood to calculate? According to the introduction of high east Great Britain, Deputy Director of Beijing Red Cross Blood Center, according to the regulation of the law of blood donating, the blood station prepares the expenses including expenses of the collection of blood, storage, separating, examining etc. of the blood. Among them, the collection expenses include buying needle having, specialized blood collecting bag, and purchase and maintain the blood-collecting car, blood collecting apparatus, testing the apparatus, information transmission equipment, donating blood to propagate the expense cost that recruited the apparatus, blood donor's food beverage storage facilities etc. and produced; Store expenses, include, store the intersection of blood and refrigerator, freezer, cold the intersection of chain and purchasing and operation expense cost of watch-dog,etc.; Separate the expenses including thick liquid apparatus, blood deep purchasing and use cost that froze and unfreezed the apparatus etc. at low temperature in equal division of large-scale centrifuge; The test expenses include ABO blood group, RhD and blood group, hemoglobin, transaminase, B-mode hepatitis virus, C-mode hepatitis virus, HIV (AIDS) , reagent and apparatus measuring in projects such as the syphilis spirillum,etc. are purchased and safeguarded, and B-mode hepatitis virus, C-mode hepatitis virus, HIV (AIDS) The nuclear acid of three kinds of virus measures the expenses that the project produced. Gao DongYing says: "It is strong to check and calculate the policy the ones that prepare blood expenses in the blood station, it is very professional work. The present price was carried out by the national development and reform committee and local price department according to nationwide unified standard formulation. " It is reported, chinese society of blood transfusion (CSBT) will survey blood cost of 93 blood stations of the whole country in 2009, except artificial expenses used for preparing blood course, the collection, test, process cost stored and separated of the blood are that every 200 ml of whole blood are 211.29 yuan, only it is immune and defective that the blood examines and involves ABO blood group, RhD and blood group, hemoglobin, transaminase, B-mode hepatitis virus, C-mode hepatitis virus, the mankind (AIDS) 8 projects such as virus, syphilis spirillum add up to detection 16 times, in order to guarantee the blood safety. (2) The hospital lists blood transfusion and charges the list A patient fails 200 ml for the first time " The whole blood " ,How much which projects, needs of paying dues are involved? BJ Union Hospital has provided one for reporter and charged the list: Whole blood: 220 yuan; Store the fee of blood: 10 yuan; Match the fee of blood: The blood donor ABO blood group checks( finalizing the design) 5 yuan, ABO blood group checked(finalize the design instead) 10 yuan; Receptor ABO blood group ( finalizing the design) 5 yuan, ABO blood group (finalize the design instead) 10 yuan, RhD blood group is 20 yuan; Cross matching costs 40 yuan. In addition, according to receptor's disease diagnosis, in order to ensure receptors to use the blood to be safe, still need to carry on the irregular antibody and sift checking to the receptor according to actual circumstances, this part of expenses is about 90 yuan. Because of patient's condition, measure the project, infuse the composition, dosage, difference that measures factors such as reagent and detection method,etc. selected, the expenses needed to bear in blood transfusion treatment are different to some extent too. The school claims, present expenses standard of blood used in clinic, " notice on adjusting the expenses standard of my civic blood used in clinic " which the development and reform committees of Beijing Municipal Health Bureau, Beijing printed and distributed was carried out according to 2006. Ministry of Public Health: The proportion is expected to raise a reporter to know from chinese society of blood transfusion (CSBT) that the blood used in clinic submits an expense account, the blood station prepares the expenses of the blood, according to the stipulations of law of blood donating, if the receptor is the free blood donor, exempt from this expenses, is submitted an expense account by departments such as the blood donating administrative department, blood station,etc.. When its spouse and direct relative use the blood, are exempt from or pay less the expenses according to the stipulations of locality; If the receptor is a non- free blood donor, the above-mentioned expenses submit an expense account according to the regional medical insurance policy. And the matching the fee of blood and storing the fee of blood, submit an expense account according to the medical insurance policies of all parts of medical organization. At present, because blood donating that every province, autonomous region and municipality directly under the Central Government make reward standard, use blood return standard and return capital source to be unified, the nationwide information system of blood collecting and supplying remains Set up, some area blood donors can only arrive to submit an expense account and use the blood expenses donating blood through posting relevant coupons,etc. behind using the blood, bring inconvenience for the blood donor. In addition, the regional medical insurance policy is not unified, submitting an expense account in the project, range, proportion to the expenses of blood used in clinic stipulates that different to some extent. It is reported, direct against the above-mentioned problem, Ministry of Public Health has already started the relevant job: First, set up nationwide unified returning standard and mechanism with the blood together with the related departments, make convenient returning to and striking back and continuing with the blood; Second, set up the information management system of blood collecting and supplying of national network progressively, share blood donor's information, the procedure of simplifying the strange land and submitting an expense account, help the blood donor use the blood; Third, improve medical treatment and ensure the system, range and proportion of expanding blood used in clinic and submitting an expense account progressively together with the related departments, improve medical treatment and ensure competence. (the intersection of reporter and promise Lu)
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