大学病院輸血部の現状と将来への展望 -アンケート調査より-

抄録

Here reported are the results of a questionnaire survey made in May 1989 for the purpose of revealing the present state of blood transfusion divisions of eleven university hospitals in the Kansai region. The results obtained were as follows: 1) Seventy-three percent of the divisions' staffs, including medical doctors, medical technologists and office workers, answered that they were short-handed. This trend was more obvious in the national university hospitals. 2) Although 94% of the staffs answered that blood transfusion services should be offered through 24 hours, none of the 11 divisions had yet introduced this system. 3) The staffs were forecasting that the frequency of autologous transfusions would increase up to 30% among all blood transfusions, and that the new therapeutic procedures, such as the bone marrow transplantation, LAK therapy or clinical application of hemopoietic factors, might gain considerable weight among the buisinesses of transfusion service units in the university hospitals. In order to cope with these trends, the universities have to increase the number of the full-time medical doctors in their transfusion sections, and, furthermore, to raise the status of the leaders of those sections up to the professorship. 4) Staffs of the university hospitals requested the Japan Red Cross Blood Centers (JRCBC) to standardize and coordinate the buisinesses in each center. Further, they expected still more cooperation with the JRCBC for the best use of the special qualities of the JRCBC and those of the universities.
After all, we have to make more efforts to elevate the divisions of blood transfusion service, in spite of their present difficult situation.