IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v25y2005i5p571-582.html
   My bibliography  Save this article

Community Blood Supply Model: Development of a New Model to Assess the Safety, Sufficiency, and Cost of the Blood Supply

Author

Listed:
  • Brian Custer

    (Blood Systems Research Institute, 270 Masonic Avenue, San Francisco, CA 94118-4417; Pharmaceutical Outcomes Research and Policy Program, University of Washington, Seattle; Blood Systems Research Institute, San Francisco, Californiabcuster@bloodsystems.org.)

  • Eric S. Johnson
  • Sean D. Sullivan
  • Tom K. Hazlet
  • Scott D. Ramsey

    (Pharmaceutical Outcomes Research and Policy Program, University of Washington, Seattle)

  • Edward L. Murphy
  • Michael P. Busch

    (Blood Systems Research Institute, San Francisco, California; and University of California, San Francisco, Department of Laboratory Medicine)

Abstract

Background. Through a combination of predonation donor screening and donated unit testing, the blood supply is safer than ever. However, as a result of increasingly stringent screening measures, one of the greatest threats may be an insufficient supply. The balance between safety and adequacy of the blood supply has not received enough attention. Study Design and Methods. The authors developed a model to allow for empirical investigation of the determinants of a safe and sufficient supply. The model is a cohort simulation of allogeneic whole-blood donation, with the population of presenting donors stratified into 8 age and gender groups because the probability of donor and donation deferral varies by these characteristics. Parameters are estimated from year 2000 Blood Centers of Pacific (BCP) data. The model includes cost parameters, which were estimated using BCP expenditure data. The main outcomes are the number of transfusable units of blood and the unit cost of procurement. Results. The model tracks the production of a supply of blood, highlighting the influence of demographic characteristics, predonation deferral, underweight collection of blood units, and associated costs. The authors sought to establish model validity by showing that modeled results closely mimic the outcomes and costs observed by blood bank administrators. Conclusion. The model was developed to evaluate blood safety and policy decisions; it can be used to assess the impact of predonation deferrals, such as expanded European travel deferral for variant Creutzfeldt-Jakob disease, or the impact of new testing strategies, such as nucleic acid testing for West Nile virus.

Suggested Citation

  • Brian Custer & Eric S. Johnson & Sean D. Sullivan & Tom K. Hazlet & Scott D. Ramsey & Edward L. Murphy & Michael P. Busch, 2005. "Community Blood Supply Model: Development of a New Model to Assess the Safety, Sufficiency, and Cost of the Blood Supply," Medical Decision Making, , vol. 25(5), pages 571-582, September.
    • Handle: RePEc:sae:medema:v:25:y:2005:i:5:p:571-582
    DOI: 10.1177/0272989X05280557
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X05280557
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X05280557?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Marketta Veihola & Pekka Aroviita & Riitta Kekomäki & Miika Linna & Harri Sintonen, 2008. "Discarded cellular components and the technical efficiency of component preparation," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 9(4), pages 325-331, November.
    2. Gunpinar, Serkan & Centeno, Grisselle, 2016. "An integer programming approach to the bloodmobile routing problem," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 86(C), pages 94-115.
    3. Ming-Wen An & Nicholas G Reich & Stephen O Crawford & Ron Brookmeyer & Thomas A Louis & Kenrad E Nelson, 2011. "A Stochastic Simulator of a Blood Product Donation Environment with Demand Spikes and Supply Shocks," PLOS ONE, Public Library of Science, vol. 6(7), pages 1-9, July.
    4. Beliën, Jeroen & Forcé, Hein, 2012. "Supply chain management of blood products: A literature review," European Journal of Operational Research, Elsevier, vol. 217(1), pages 1-16.
    5. W. Alton Russell & Brian Custer & Margaret L. Brandeau, 2021. "Optimal portfolios of blood safety interventions: test, defer or modify?," Health Care Management Science, Springer, vol. 24(3), pages 551-568, September.
    6. Bruno, Giuseppe & Diglio, Antonio & Piccolo, Carmela & Cannavacciuolo, Lorella, 2019. "Territorial reorganization of regional blood management systems: Evidences from an Italian case study," Omega, Elsevier, vol. 89(C), pages 54-70.
    7. Katsaliaki, Korina, 2008. "Cost-effective practices in the blood service sector," Health Policy, Elsevier, vol. 86(2-3), pages 276-287, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:25:y:2005:i:5:p:571-582. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.