title: [Current state of blood transfusion in Yugoslavia and its perspectives].
abstract: The current situation of the transfusion service in this country has been characterised by small-scale operational level, the lack of regional system and basic components of a single service. There is a great variety in the medical and expert point of view starting from the lack of elementary hygienic and technical conditions, down to developed institutions of the European level. This activity has been characterised for the last ten years or so by an effort to win blood-givers at all cost, to enhance production of intravenous solutions which in some factories have obtained factory production volume, to determine basic blood groups and a very modest diagnostics for haemolitic diseases of newly born children. A large number of doctors--transfusiologists have obtained specialists' titles, but without any prospects to change the present status of their work: blood conservation, efforts to win blood-givers and determine blood groups. The differentiation between transfusiologists and clinic-engaged personnel has been increasing, thus making the transfusiologists to be far from the problems of modern haematology and clinical therapy. Observing the situation and status of transfusiology in the developed countries of Western Europe, it is possible to state that the transfusiology is developing in the direction of cooperation and team-work with doctors engaged in clinics. Therefore, cooperation with doctors engaged in clinics should be cultivated and organise team work. The intermediary role of doctors-transfusiologist in the cycle of health improvement should be avoided by all means. 90% of packed blood in this country is consumed in the form of full blood or dry plasma and only 10% in the form of desired derivatives, instead of the contrary case, since the precisely set therapy using new haemostatic medicaments is an economical imperative. The electronic data processing of blood-givers enables doctors-transfusiologists to deal with these problems since this is much cheaper and more efficient than when it was done by the doctor. Application of plactic casings, its industrial production, use of multi-channel electronic systems when determining the blood-groups and anti-bodies, makes this more of a technical than medical problem dealt by doctors. Production of intravenous solutions and plasma drying requires an inter-republican integration into a powerful industrial group, similar to that in Great Britain. Our transfusiologist should in future be engaged in business done by pathologists related to problems of blood patho-physiology, similar to the activities done in USA and other Anglo-Saxon countries. Integration of American Association of Blood Banks with the Association for organs and tissue transplation in USA only underlines this...
mesh_terms: D001782:Blood Donors; D001789:Blood Group Antigens; D001793:Blood Preservation; D001803:Blood Transfusion; D003365:Costs and Cost Analysis; D001330:Electronic Data Processing; D006801:Humans; D010952:Plasma Substitutes; D015022:Yugoslavia
chemical_list: D001789:Blood Group Antigens; D010952:Plasma Substitutes
vernacular_title: Sadasnje stanje transfuziologije u SFRJ i njene perspektive