title: National Survey of Hematopoietic Cell Transplantation Center Personnel, Infrastructure, and Models of Care Delivery.
abstract: Hematopoietic cell transplantation (HCT) is a complex procedure that requires availability of adequate infrastructure, personnel, and resources at transplantation centers. We conducted a national survey of transplantation centers in the United States to obtain data on their personnel, infrastructure, and care delivery models. A 42-item web-based survey was administered to medical directors of transplantation centers in the United States that reported any allogeneic HCT to the Center for International Blood and Marrow Transplant Research in 2011. The response rate for the survey was 79% for adult programs (85 of 108 centers) and 82% for pediatric programs (54 of 66 centers). For describing results, we categorized centers into groups with similar volumes based on 2010 total HCT activity (adult centers, 9 categories; pediatric centers, 6 categories). We observed considerable variation in available resources, infrastructure, personnel, and care delivery models among adult and pediatric transplantation centers. Characteristics varied substantially among centers with comparable transplantation volumes. Transplantation centers may find these data helpful in assessing their present capacity and use them to evaluate potential resource needs for personnel, infrastructure, and care delivery and in planning for growth.
authors.affiliation: Blood and Marrow Transplant Program, Cleveland Clinic, Cleveland, Ohio. Electronic address: majhain@ccf.org.
authors.forename: Navneet S
authors.initials: NS
authors.lastname: Majhail
authors.affiliation: National Marrow Donor Program, Minneapolis, Minnesota.
authors.forename: Lih-Wen
authors.initials: LW
authors.lastname: Mau
authors.affiliation: Center for International Blood and Marrow Transplant Research, Minneapolis, Minnesota.
authors.forename: Pintip
authors.initials: P
authors.lastname: Chitphakdithai
authors.affiliation: National Marrow Donor Program, Minneapolis, Minnesota.
authors.forename: Tammy
authors.initials: T
authors.lastname: Payton
authors.affiliation: Division of Pediatric Blood and Marrow Transplant, Levine Children's Hospital, Charlotte, North Carolina.
authors.forename: Michael
authors.initials: M
authors.lastname: Eckrich
authors.affiliation: Department of Medical Ethics & Health Policy, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
authors.forename: Steven
authors.initials: S
authors.lastname: Joffe
authors.affiliation: Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
authors.forename: Stephanie J
authors.initials: SJ
authors.lastname: Lee
authors.affiliation: Sarah Cannon Cancer Institute, Nashville, Tennessee.
authors.forename: Charles F
authors.initials: CF
authors.lastname: LeMaistre
authors.affiliation: Division of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin.
authors.forename: Jennifer
authors.initials: J
authors.lastname: LeRademacher
authors.affiliation: Pfizer Oncology, Omaha, Nebraska.
authors.forename: Fausto
authors.initials: F
authors.lastname: Loberiza
authors.affiliation: Division of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin.
authors.forename: Brent
authors.initials: B
authors.lastname: Logan
authors.affiliation: Center for Health Solutions, Tufts Medical Center, Boston, Massachusetts.
authors.forename: Susan K
authors.initials: SK
authors.lastname: Parsons
authors.affiliation: Blood and Marrow Transplant Program, Moffitt Cancer Center, Tampa, Florida.
authors.forename: Ramona
authors.initials: R
authors.lastname: Repaczki-Jones
authors.affiliation: National Marrow Donor Program, Minneapolis, Minnesota.
authors.forename: Pam
authors.initials: P
authors.lastname: Robinett
authors.affiliation: Center for International Blood and Marrow Transplant Research, Milwaukee, Wisconsin.
authors.forename: J Douglas
authors.initials: JD
authors.lastname: Rizzo
authors.affiliation: National Marrow Donor Program, Minneapolis, Minnesota.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Murphy
authors.affiliation: National Marrow Donor Program, Minneapolis, Minnesota.
authors.forename: Ellen M
authors.initials: EM
authors.lastname: Denzen
mesh_terms: D000046:Academic Medical Centers / Q000191:economics; D000328:Adult; D002648:Child; D003695:Delivery of Health Care / Q000379:methods*; D019538:Health Care Surveys; D018380:Hematopoietic Stem Cell Transplantation / Q000706:statistics & numerical data*; D006757:Hospital Units / Q000191:economics; D006801:Humans; D000078329:Workforce
keywords: Care delivery models; Hematopoietic cell transplantation; Infrastructure; Personnel; Survey; Transplantation center
references.citation: Biol Blood Marrow Transplant. 2009 Dec;15(12):1493-501
references.pmid: 19781658
references.citation: Biol Blood Marrow Transplant. 2010 Feb;16(2):147-56
references.pmid: 20142045
references.citation: Biol Blood Marrow Transplant. 2010 May;16(5):595-7
references.pmid: 20167277
references.citation: Biol Blood Marrow Transplant. 2010 Aug;16(8):1070-5
references.pmid: 20036337
references.citation: Biol Blood Marrow Transplant. 2011 Jul;17(7):956-61
references.pmid: 21540121
references.citation: Biol Blood Marrow Transplant. 2012 Feb;18(2):172-82
references.pmid: 22178961
references.citation: Biol Blood Marrow Transplant. 2013 Jan;19(1):4-11
references.pmid: 23078785
references.citation: Biol Blood Marrow Transplant. 2013 Oct;19(10):1498-501
references.pmid: 23906634