This paper is only available as a PDF. To read, Please Download here.
Abstract
Hospitals are under increased pressure to decrease operating costs. Hospital-based
laboratories, blood banks (transfusion services), increasingly face the potential
of being outsourced as hospitals try to survive the current waves of managed care.
A number of complicated and unique services are provided by the hospital-based transfusion
service and physician. Clinical consultation, complicated immunohematological procedures,
apheresis, participation in a complex array of patient-care services, clinical research,
ever increasing regulatory issues, and quality assurance activities are only a few
of the challenges in today's transfusion medicine environment. This paper will focus
on the hospital-based transfusion service, and the transfusion medicine physician,
and present arguments as to why this service should remain close to the patient's
bedside and not be outsourced.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Transfusion and Apheresis ScienceAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- History of blood transfusion.J Hist Med. 1954; 9: 59-107
- The technique of direct transfusion of blood.Ann Surg. 1907; 46: 329-332
- The therapy of the Cook County hospital.J Am Med Assoc. 1937; 109: 128-131
- Evolution of Cook County hospital blood bank.Transfusion. 1974; 14: 623-628
- Transfusion medicine: the evolution of a new discipline.J Am Med Assoc. 1987; 258: 2108-2109
- Defining transfusion medicine.Trans Med Rev. 1990; 4: 169
- Managed care and merger mania.J Am Med Assoc. 1997; 277: 920-921
- Editorial: the road from managed care.Am J Pub Health. 1997; 87: 8-9
- Treating populations rather than individuals: the subtle danger of managed care.Cleve Clin J Med. 1997; 64: 120-121
- Centralized transfusion service: a novel approach to the delivery of transfusion services.Trans Med Rev. 1995; 9: 123-130
- Red cell compatibility testing: a perspective for the future.Trans Med Rev. 1996; 10: 118-130
- Multiple red cell transfusions and alloimmunization: experience with 6996 antibodies detected in a total of 159 262 patients from 1985 to 1993.Arch Pathol Lab Med. 1995; 119: 42-45
- Data on apheresis, blood collection, and transfusion-related activities: statistical analyses of the American Association of Blood Banks institutional membership questionnaires.Transfusion. 1996; 36: 375-381
- Preoperative autologous blood donations: clinical, economic, and ethical issues.Cleve Clin J Med. 1996; 63: 295-300
- Fellowship training programs in blood banking and transfusion medicine: results of a national survey.Am J Clin Pathol. 1996; 106: 584-587
- Quality assessment and improvement of transfusion practices.Hematol Oncol Clin NA. 1995; 9: 219-232
- A blood bank consultation service: principles and practice.Mayo Clin Proc. 1985; 60: 312-314
- A controlled trial of educational outreach to improve blood transfusion practice.J Am Med Assoc. 1993; 270: 961-966
- Canadian critical care trials group transfusion requirements in critical care: a pilot study.J Am Med Assoc. 1995; 273: 1439-1444
- The role of the transfusion medicine consultant.Am J Clin Pathol. 1996; 105: 798-801
- Transfusion therapy: improved patient care and resource utilization.Transfusion. 1993; 33: 341-347
- Blood transfusion options: improving outcomes and reducing costs.Arch Pathol Lab Med. 1997; 121: 40-47
- The continuing evolution of the nation's blood supply system.Am J Clin Pathol. 1996; 105: 689-695
- Some characteristics of the community practice of pathology in the United States.Arch Pathol Lab Med. 1989; 113: 1335-1342
- Perilous times in pathology education.Am J Clin Pathol. 1993; 99: 216
- Laboratory medicine education in United States medical schools.Am J Clin Pathol. 1993; 100: 594-598
- Value-added laboratory medicine in an era of managed care.Clin Chem. 1995; 41: 1256-1262
- The Pittsburgh reference laboratory alliance: a model for laboratory medicine in the 21st century.Am J Clin Pathol. 1997; 107: 387-394
- Survey of blood bank physicians and medical directors.J Am Med Assoc. 1971; 217: 1085-1087
Article info
Identification
Copyright
© 1997 Published by Elsevier Inc.
