Blood shortages reflect the crisis of trust. Most people worry that blood donations are used to profitably

Recently, the blood reserves of many provinces, regions, and cities in China have been reported to be in an emergency. According to reports, at the most serious time, the Kunming Blood Center in Yunnan Province had blood inventories of less than 20,000 milliliters, which is 1/20 of the inventory that should be reached. In Beijing, the “ischemia” condition of major hospitals has existed for several years, and patients who use larger amounts of blood need patients’ families to “help each other to donate blood”. The "blood reminder" that was broadcast on the blood donation service network recently showed that blood cells of type A, type B, and type AB all require "emergency blood donation."

Last week, a survey by the China Youth Daily Social Survey Center through the Public Opinion China Network and the Sohu News Center titled “Why the blood shortage is worsening” (2,083 people participated), and 77.9% of people are concerned about the “blood shortage” ” 76.5% said that the number of unpaid blood donors around them is small. Of the respondents, 41% accounted for 40%, 23.0% after 80, and 1.7% after 90.

Blood donation is easy to use: 56.2% of people said that there is a lack of national networked donation information system

According to the survey, 45.5% of people expressed their willingness to donate blood, 37.7% said they were “unwilling to do it,” and 16.8% said they couldn’t say it.

According to data provided by Deng Haihua, director of the Office of Public Information of the Ministry of Health at the end of 2011, China’s population donation rate is only 8.7‰ it is lower than 45.4&permil in high-income countries in the world; and 10.1‰ in middle-income countries, is recommended by the World Health Organization. The 10‰ also has a certain gap.

Ray Jiliang, a Korean enterprise manager in Beijing, has donated blood in Tianjin, Beijing, Henan, Shaanxi and other places for many times since 1999. He has donated a total of 3000 milliliters of blood and also donated hematopoietic stem cells. However, in recent years, he rarely offered. Because he learned that blood donation certificates cannot be used uniformly. If you want to use blood, Tianjin's blood donation certificate will only be used in Tianjin. This made him feel that later relatives or their free use of blood is difficult to really achieve. On the other hand, some negative information about blood centers also made Lei Jiliang feel that there is no supervision mechanism for the operation of blood management agencies, and people are worried that these institutions will use social resources to make profits.

Lei Jiliang’s blood donors who saw each time are basically students, soldiers, and migrant workers. He feels that people who have the right to wealth in society rarely donate blood. “This phenomenon also makes people feel unbalanced.”

The Li Zhijun couple, a R&D officer from a company in Zhengzhou, Henan Province, began donating blood 10 years ago and offered no less than 10 times. In 2005, Li Zhijun's mother-in-law was admitted to the hospital in Xinxiang City. He lost two bags of blood and spent a few hundred dollars. According to their blood donation, they should all be reimbursed. However, the procedures are too cumbersome. First, you have to go to the hospital to open a certificate and then go to the blood station. Because they are living in rural areas, they must go to the county to open a certificate and go to the village to do the formalities. The light hospital and the blood station are more than 30 kilometers apart. After a few moments, "the legs are running down." Later he simply gave up, because the reimbursement of the money still does not match the oil and tolls.

The service attitude of the blood station also made Li Zhijun dissatisfied. If the blood station staff is reimbursed, it will be "indifferent" and the service attitude when he comes to donate blood will be very different. On another occasion, Li Zhijun and his wife went to donate blood. As a result, people only warmly received B-blood's wife. For O-type, he only said, "You don't use this!" This also made him angry. "I'm not Selling blood, donating blood for no other purpose has to appeal to people."

After several such incidents, Li Zhijun was also not very enthusiastic about donating blood. He feels that no one wants to have something at home. Once an accident occurs, he can reimburse the use of blood if he can save the rush on the road. This is also an extra measure of protection for the family and will certainly stimulate the working class to donate blood. However, the easy use of blood donation has greatly reduced the enthusiasm of blood donors. "Why can't we implement the registration system for ID card, and then we can connect all over the country?"

What is the cause of the blood shortage? In the survey, 57.3% said that the free use of blood was cumbersome and people lacked motivation. 56.2% of people said that they lacked a national network of blood donation information systems and blood donation was easy to use. 50.5% of people bluntly said that people are reluctant to donate blood because they are afraid that the compensation mechanism for using free blood will be ineffective.

At the same time, 48.2% of people think that they are worried about infectious diseases. 37.6% of people expressed concern about affecting the body. 32.8% of people said that "donation has no benefits." 13.0% of people said that "donation is not convenient."

Zhou Zijun, a professor at the School of Public Health of Peking University, said that in the past, blood donation was available in the hospital. Later, for the sake of hygienic regulation and unified management, blood centers were responsible. This objectively caused the public to donate blood inconveniently. Blood donation can only go to blood centers or several fixed points. In the past there were some administrative imperatives that kept the blood supply stable. After the implementation of the system of voluntary unpaid blood donation, the situation has changed, and the main body of blood donation has also become young people and college students. This has led to the holiday. Once these people return to their hometowns, no one will donate blood. Even the climate has become a factor affecting blood donation. When people are cold, everyone is reluctant to go out and naturally they will not donate blood.

For some people worry about the impact on physical health, Zhou Zijun said that this can be assured. The blood in the human body is undergoing a metabolic cycle and will be updated after a certain period of time. Many people worry that blood donation has an impact on physical health, but in fact it is largely a psychological effect. Physiologically speaking, if you have just donated blood, your body will have some reaction, but you can get it back in a day or two and there will be no long-term health problems.

He said that now the use of blood is to fill the list in the hospital to get blood bank accounting reimbursement, in the middle need a lot of procedures. This can be improved completely. For example, an electronic information network system is established between the blood station and the hospital. When using blood, the network can show blood donors or their relatives donation information. The hospital settled directly with the blood station without having patients and family members run the procedure.

In the survey, 25.5% indicated that the current blood collection channels are too single. 24.1% of people think that patients flock to big cities to seek medical treatment and cause regional "blood shortage" conflicts to be prominent. 21.5% said that the increase in medical services led to an increase in clinical blood use.