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Abstract
Over the last decade, the costs of blood procurement have increased as a result of
regulatory pressure and scientific progress in understanding transfusion-transmitted
disease. At the same time, hospitals are under tremendous pressure to reduce costs.
Hospital blood banks are evaluating different strategies, including in-house or “out-sourced”
blood collection, as a means of reducing collections. These decisions, however, should
be made on assessments of the total cost of a safe and reliable blood supply: recruitment,
collection, donor management, testing, manufacturing/processing, quality control,
inventory management, quality assurance, regulatory, overhead and availability. If
all of these costs are considered, it is unlikely that cost reduction can be achieved
through hospital collections.
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© 1997 Published by Elsevier Inc.
