Document Detail


Self-sufficiency, free trade and safety.
MedLine Citation:
PMID:  20074979     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The relationship between free trade, self-sufficiency and safety of blood and blood components has been a perennial discussion topic in the blood service community. Traditionally, national self-sufficiency has been perceived as the ultimate goal that would also maximize safety. However, very few countries are, or can be, truly self-sufficient when self-sufficiency is understood correctly to encompass the whole value chain from the blood donor to the finished product. This is most striking when plasma derived medicines are considered. Free trade of blood products, or competition, as such can have a negative or positive effect on blood safety. Further, free trade of equipment and reagents and several plasma medicines is actually necessary to meet the domestic demand for blood and blood derivatives in most countries. Opposing free trade due to dogmatic reasons is not in the best interest of any country and will be especially harmful for the developing world. Competition between blood services in the USA has been present for decades. The more than threefold differences in blood product prices between European blood services indicate that competition is long overdue in Europe, too. This competition should be welcomed but carefully and proactively regulated to avoid putting safe and secure blood supply at risk.
Authors:
Jukka Rautonen
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-01-13
Journal Detail:
Title:  Biologicals : journal of the International Association of Biological Standardization     Volume:  38     ISSN:  1095-8320     ISO Abbreviation:  Biologicals     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-03-09     Completed Date:  2010-06-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9004494     Medline TA:  Biologicals     Country:  England    
Other Details:
Languages:  eng     Pagination:  97-9     Citation Subset:  IM    
Copyright Information:
Copyright 2009 The International Association for Biologicals. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Finnish Red Cross Blood Service, Kivihaantie 7, FIN-00310 Helsinki, Finland. jukka.rautonen@bts.redcross.fi
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MeSH Terms
Descriptor/Qualifier:
Blood Banks / legislation & jurisprudence,  organization & administration*
Blood Donors / supply & distribution*
Blood Transfusion / economics,  standards,  utilization
Commerce / organization & administration*
Health Policy
Health Services Accessibility / economics,  organization & administration*
Humans
Interinstitutional Relations
International Cooperation
Models, Biological
Safety Management / organization & administration*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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