| Objective:The purpose of this study is to analyze the distribution of blood supply institutions in Jilin province,the distribution of financial subsidies,the distribution of human resources,the distribution of blood donation vehicles(houses)and blood donation sites,etc..This paper studies and evaluates the fairness and efficiency of the allocation of blood supply mechanism resources,points out the problems in the allocation of blood supply mechanism resources,and puts forward corresponding measures and suggestions.Methods:Using the data in the"Jilin Province Blood Station Operation Mechanism Research Survey"data conducted in Jilin Province in 2017,a large number of documents were consulted,and Epicata 3.0 was used to establish a database in combination with questionnaires and interview results.SPSS 22.0 software package was used for statistical analysis and processing of data.The index of rate and composition ratio were used for descriptive statistical analysis,and the group comparison was made by means of card square test.To p≪The difference of0.001 was statistically significant.Results:1.The nine central blood stations in Jilin Province are public welfare medical and health institutions under the leadership of the local health and family planning administrative department.Except for the administrative level of the central blood station in Changchun City,the other blood stations are all branch units.Among them,Changchun City,Yanbian Prefecture,Liaoyuan City,and Baishan City are the difference appropriation units,accounting for 45%,Jilin City,Siping City,Songyuan City,and Tonghua City are the full allocation units,accounting for 45%,and Baicheng City is the fixed allocation.,accounting for 10%.2.In 2017,the total financial subsidies totaled 11.80669 million yuan.Jilin City's financial subsidies were the largest,accounting for 46.1495 million yuan,accounting for 39.08%of the financial subsidies,and Baicheng City's subsidies were the least,accounting for only 1.7141 million yuan,accounting for 1.46%of the financial subsidies.3.The use of funds in Jilin Province in 2017 shows that:4 of the 9 central blood stations are in debt,1 blood station is flat,and 3 blood stations have surpluses.4.There are 887 blood supply institutions in Jilin Province,and 500 employees in the actual establishment,accounting for 56.37%of the number of personnel,and387 non-staff personnel,accounting for 43.63%of the total number of personnel.In addition to the two central blood stations in Changchun City and Jilin City,the total number of staff in other blood stations does not exceed 100,of which the total number of personnel in Yanbian Prefecture is 56,and the number of people in Tonghua City is28.There are differences between the number of people in the number of cities and the number of non-staff personnel(?~2=98.77,P<0.001).5.More women than men work in blood collection and supply institutions throughout the province.Among them,there were a total of 311 men,accounting for35.06%of the total number of active personnel,and 576 women,accounting for64.94%of the total number of active personnel,but there was no statistical difference in the gender ratio(?~2=12.054,P=0.149).6.Among the staff of blood collection and supply institutions in the province,51were under the age of 25,accounting for 5.74%of the total number of personnel;There are 283 people in the age range of 26-35 years,accounting for 31.90%of the total number of personnel;There are 252 people between the ages of 36 and 45,accounting for 28.40%of the total number of personnel;The age range is between 46and 55 years old,231 people,accounting for 26.04%of the total number of personnel;There are 70 people over the age of 56,accounting for 7.92%of the total number of personnel.There are statistical differences in the composition of the population among the age groups(?~2=176.7,P<0.001),and the staff is mainly in the 26-45 age group,accounting for more than 50%.7.The staff of the blood collection and supply institutions in the province are mainly undergraduates and college students,including 2 doctoral degrees,accounting for 0.23%of the total number of staff;48 master's degree graduates,accounting for5.41%of the total number of staff;More than 460 undergraduate degrees,accounting for 51.9%of the total number of staff;College education 284 people,accounting for32.02%of the total number of staff;There are 143 college degrees below,accounting for 16.12%of the total number of staff;There are significant differences among staff members with academic qualifications(?~2=99.75,P<0.001).8.Among the employees in the blood collection and supply institutions in Jilin Province,there are 180 people with Deputy high(equivalent to deputy department level)or above titles,accounting for 20.29%;Has 171 intermediate(equivalent to the level of the department)titles,accounting for 19.28%;Has a junior title of 327 people,accounting for 36.87%;There are 209 non-professional technical personnel,accounting for 23.56%.There are statistical differences in the titles of the staff of the municipalities(?~2=173.2,P<0.001).9.The total number of employees in blood collection and supply institutions in Jilin Province was 887,and the number of health professionals and technicians was604,accounting for 68.09%of the total number of staff.Among them,there are less than 50 health professionals in Siping City,Yanbian Prefecture,Liaoyuan City,and Baishan City,which are 37,42,36,and 27 respectively.There are statistical differences in health technicians between cities and cities(?~2=49.313,P<0.001).10.There are a total of 60 blood donation vehicles(houses)in Jilin Province,of which Changchun and Jilin are relatively more,accounting for 26%and 23.3%respectively.11.There are a total of 69 mobile blood donation sites in Jilin Province,of which Changchun City is the largest,accounting for 24.6%,and Siping City and Baishan City are the least,accounting for 4.3%.12.In 2017,there were 262864 blood donations from blood supply institutions in Jilin Province,mainly personal blood donation,accounting for 99.39%.13.In 2017,the issue of discomfort and family members'disagreement after blood donation in the blood supply institutions in Jilin Province did not occur in this investigation;There were few problems,amounting to 13 cases.Among them,9 cases were dissatisfied with souvenirs,accounting for 64.23%of the problems,and 4 cases were dissatisfied with the quality of service,accounting for 30.77%of the problems.Conclusion:1.Blood collection agencies have not fully implemented the full financial allocation,and most blood stations have insufficient financial resources.2.Blood supply institutions are staffed by more women than men.Mainly in the26-45 age group.3.The composition of the academic qualifications of blood supply institutions is mainly undergraduate and above.Among the active employees,there are too few people with associate titles or higher,accounting for only 20.29%.The composition of health professionals and technicians is relatively reasonable,accounting for68.09%of the total number of staff.4.There are a total of blood donation vehicles(houses)and mobile blood donation points in Jilin Province,respectively,with a large service radius and low quality of blood supply services.5.Blood supply institutions in Jilin Province mainly donate blood to individuals without compensation;,the quality of service still needs to be improved,encouraging levelto be improved?... |
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