title: [Economic environment and blood transfusion].
abstract: The increasing pressure on healthcare resources affects blood donation and transfusion. We attempted a survey of the efficiency of different strategies, actual or proposed to improve the management of blood products. We found an important disconnect between the cost effectiveness ratio of strategies and their uptake by policy makers. In other words, the least efficient strategies are those which increase transfusion safety by increasing the number of biological markers and are those preferred by health authorities in developed countries. Other more efficient strategies are more slowly implemented and included a systematic use of transfusion guidelines, reducing blood losses or increasing pre operative blood levels in elective surgeries.
authors.affiliation: ECEVE, UMRS 1123, URCEco Île-de-France, hôpital de l'Hôtel-Dieu, place du parvis de Notre-Dame, 75004 Paris, France; Santé publique, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France. Electronic address: isabelle.durand-zaleski@aphp.fr.
authors.forename: I
authors.initials: I
authors.lastname: Durand-Zaleski
mesh_terms: D001782:Blood Donors; D016063:Blood Loss, Surgical; D058731:Blood Safety / Q000191:economics*; D001803:Blood Transfusion / Q000191:economics*; D003362:Cost-Benefit Analysis; D019049:Developed Countries; D017558:Elective Surgical Procedures / Q000191:economics; D004630:Emergencies / Q000191:economics; D005062:European Union; D005602:France; D006291:Health Policy; D006801:Humans; D057725:Operative Blood Salvage / Q000191:economics / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D011300:Preoperative Care / Q000191:economics; D019057:Quality-Adjusted Life Years; D060926:Remuneration; D014481:United States
keywords: Blood transfusion; Cost; Cost effectiveness; Coût; Transfusion sanguine; Évaluation économique