Strengthening management to ensure the deployment of clinical supply

This year June 14 is World Blood Donor Day eighteenth. World Blood Donor Day is approaching, the National Health health committee recently held a regular press conference, introduction of voluntary blood donation, blood diseases and cancer treatment for children manage the situation.

Blood donation system improved in 1998, my country promulgated and implemented the Blood Donation Law, the implementation of the provisions of the national voluntary blood donation system.

Methodist Medical Affairs Committee of the National Health Authority Ombudsman Guo Yanhong, at present my country has established a system of voluntary blood donation, a total of 452 blood bank building, formed a provincial blood center as a leader, and municipal blood center as the main body central blood bank to supplement the blood bank service system. Blood for clinical use but also to achieve full coverage nucleic acid detection, to ensure blood safety.

National blood donation visitors increased from 1998 million to 2020’s 15.53 million, donation rates from 1998 ‰, raised to 2020 ‰.

"Thirteen Five" period, the country’s blood volume, blood people than the "1025" period increased by 17% and%.

World Health Organization report released on blood safety, our top global rankings in terms of blood donation, safe blood and blood for clinical use and so on.

Emergency support to strengthen the capacity of the blood continuously. Guo Yanhong said that in order to protect the blood supply in key areas, important time node, particularly the strengthening of major public emergencies and disasters blood accident protection, my country has established a national blood joint guarantee mechanism, strengthen the management of the deployment of the blood. "Thirteen Five" period, the cumulative inter-regional allocation of blood effectively alleviate the regional, temporary blood supply to achieve a steady supply of blood for clinical use.

The new crown for the fight against the epidemic of pneumonia, the cumulative total of 12 provinces, Hubei Province transported blood nearly 60 times the total amount of support reached 13.93 million milliliters, for winning the Battle of Hubei, Wuhan Battle of blood to provide a solid guarantee.

Blood donor management and information technology services continues to increase.

Guo Yanhong introduced in 2019, my country has established a national blood and enabled management information system, to achieve a national 452 blood stations dynamic management and interoperability of information collected from blood, supply, testing, deployment, and inventory information and other donors, to blood management, scientific decision-making to provide protection. After the outbreak, the National Health health committee to use the information systems, real-time monitoring of blood around the inventory, achieve precise deployment. The new crown ill with pneumonia convalescent plasma can neutralize the virus in patients, to prevent the virus causing sustained damage to the body organs, the patient is a very effective means of treatment, it has been incorporated into our new crown pneumonia treatment program. Guo Yanhong introduced since February 2020, my country began to organize a series of research work carried out using the convalescent plasma treatment of the patient, in Wuhan, established a special national pool of convalescent plasma, the establishment of a provincial repository in the provinces.

Up to now, there have been accumulated more than 4,700 recovery periods, a total of 147 million ml, accumulated cross-regional transferring nearly 500 ml, effectively guaranteeing the treatment of severe and critically ill patients.

Blood stocks are small in the safety lines.

"Guo Yanhong said that in 2020, my country’s free blood donation was 26.36 million units. The majority of free blood donors responded to calls, wearing a mask out of the house, showing blood; the staff of the blood station system adheres to the post, due diligence, guarantee blood Safe, steady supply. Guo Yanhong introduced that from January to April this year, the whole country has no blood donation, blood donation million units, increased by 4% and% in the same period of 2019. The results of the national blood management information system show, 6 Since the month, the national blood is enough for more than 12 days, higher than the 7-day safety line, platelet stock stable in the day, higher than the 1 day safety line, the inventory is relatively sufficient. "July, August is summer, superimposed In the flood season, it is a traditional blood collection and low season.

"Guo Yanhong said, to fully use the national blood management information system, strengthen the detection and deployment of blood overall inventory, and better protect the clinical blood.

"I hope more healthy, aged citizens can actively donate blood." She called for.

"Through years of practice, healthy adult blood donation is safe and will not affect health.

"Liu Jiang introduced that blood donation has little affected by total blood volume in the human body. The World Health Organization believes that a healthy adult, blood donation does not exceed 13% of its total blood volume, no adverse effect on the body.

The total blood volume in the human body is approximately 7% to 8% of the body, a 50 kg of body weight adult, the total blood volume of 3,500-4000 ml. my country’s blood donation is 200 ml or 400 ml. If it is calculated according to 400 ms, it is 10%, lower than 13% of the World Health Organization. In addition, after the blood donation, the human hematon function can supplement blood in time. Of course, due to the individual differences between the blood donor, some people may have a short dizziness or fatigue, which will be normal physiological response, soon recover.

Guo Yanhong introduced that according to the provisions of blood donation law, the National Health Justice Committee jointly established the Logistics Security Department of the Central Military Commission, and commended the free blood donors every two years. Some places also have some local regulations that specify that medical institutions can prioritize blood for free blood donors in addition to blood for emergency blood. Jiangsu, Zhejiang, Hainan’s implementation of public transportation fees, free government office parks and scenic spots, and exemption, exemption, exemption. Beijing has introduced the insurance mechanism to the free blood donor and gives personal accident insurance to the blood donor. Children’s major diseases are concentrated to treat children with hematology, malignant tumor treatment period, large treatment, high cost, is a major illness that threatens children’s youth healthy growth. Guo Yanhong introduced that in recent years, the National Health Commission has carried out a series of treatment for children’s blood diseases and malignant tumors. In July 2019, the State Administration of Health and the Ministry of Industry, the National Medical Insurance Bureau, the State Administration of Traditional Chinese Medicine, jointly launched children’s blood disease, malignant tumor medical treatment and security management.

According to the higher incidence, the diagnosis and treatment is clear, the economic burden is the principle, including a total of renewable disabilities, anemia, immune platelet reduction, bloody diseases, etc. as the first batch of disease management. At the same time, the child’s blood disease, malignant tumor expert committee, improve the medical solution of relevant diseases, and establish a medical record information registration management system, guiding local determination hospital, forming a medical treatment consensus group, and realizing the standard management of the whole process of patients And diagnosis and treatment. Since this year, on the basis of the work experience of 10 diseases in the previous period, the treatment of children with blood disease and malignant tumors, 12 diseases such as cerebral tumor and malignant reproductance cytotransformation were expanded into the scope of treatment.

Relevant diagnosis and treatment specifications are also revised.

In response to the problem of patients, the country has increased medical security. Promote the effective connection between basic medical insurance, major illness insurance, medical assistance and other security policies.

On the one hand, it has greatly improved the level of protection, encourages the implementation of single disease payment, dynamically adjust the medical insurance catalog, and expand the scope of the drugs and diagnosis and treatment projects covered by basic medical insurance. On the other hand, strengthen the supply guarantee of the drug, organize relevant medical institutions to monitor the monitoring of drug supply protection, implement the pilot requirements of drug concentration quantities, promote the purchase, quantity-priced hook, safeguard supply, reduce the drug cost of children . Hematology and malignant tumor treatment of children in my country have achieved remarkable results. Data show that as of the end of 2020, patients with blood diseases and malignant tumors in 1020 were included in the monitoring and management system. Children’s major illnesses have reduced medical expenses, reducing the frequency of medical insurance, improves medical insurance reimbursement ratio, effectively reduces personal self-payment.

Hematology, the average hospitalization cost of patients with malignant tumors has decreased by the 2019 policy implementation, with self-payment costs.

The level of hematological treatment in Chinese children has steadily improved.

Ni Xin, Director of the National Children’s Medical Center, the President of Beijing Children’s Hospital, Capital Medical University, data showed the data of the National Children’s Tumor Monitoring Center, currently in my country’s blood disease and malignant tumor rankings in China is leukemia, overall cure rate and international level Quite, such as some subtype leukemia, five-year healing rate reached more than 80%.

"People’s Daily" (15th edition, June 15, 202) (Editor: Li Dan, Cui Xinyao).