[1]LIAO Xuejun,LI Shunping,LI Jun..Research on the Analysis of Management Disparities and Multilevel Synergistic Mechanisms in Medical Institutions with Low Blood Consumption Based on Complex Systems Theory[J].Chinese Health Quality Management,2026,33(3):1-5.[doi:10.13912/j.cnki.chqm.2026.33.3.01]
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Research on the Analysis of Management Disparities and Multilevel Synergistic Mechanisms in Medical Institutions with Low Blood Consumption Based on Complex Systems Theory
Chinese Health Quality Management[ISSN 1006-7515/CN CN 61-1283/R] Volume:
33
Number of periods:
2026年3期
Page number:
1-5
Column:
特别关注
Public date:
2026-03-15
- Title:
- Research on the Analysis of Management Disparities and Multilevel Synergistic Mechanisms in Medical Institutions with Low Blood Consumption Based on Complex Systems Theory
- Keywords:
- Complex Systems Theory; Medical Institutions with Low Blood Utilization; Blood Safety; Multilevel Collaborative Mechanism
- CLC:
- R197.323R331.1
- DOI:
- 10.13912/j.cnki.chqm.2026.33.3.01
- Abstract:
- ObjectiveTo analyze the management disparities among medical institutions with low blood utilization in Chongqing and propose collaborative optimization strategies for regional blood safety management.MethodsA modified Delphi method was employed to design a semi-structured questionnaire covering three-tier evaluation indicators: macro-level (establishment of blood transfusion departments), meso-level (operation of quality management systems), and micro-level (staffing and equipment allocation). Using cluster sampling, medical institutions that collected ≤60 units of blood from the Chongqing Blood Center in 2022 were selected for the survey.ResultsAt the macro level, statistically significant differences were observed in the establishment of blood transfusion departments across different types and levels of medical institutions (all P<0.05). At the meso level, no statistically significant differences were found in institutional systems, operational procedures, and implementation records among different types and levels of medical institutions (all P>0.05). At the micro level, statistically significant differences were identified in the distribution of professional titles among technical personnel (P<0.05) and in the allocation of platelet-related equipment (P<0.05) across different levels of medical institutions. The level of the medical institution was an independent influencing factor for the establishment of a dedicated blood transfusion department (secondary vs. unrated: OR=5.78, P<0.05). The level of the medical institution showed significant positive correlations with the proportion of senior professional titles (rs=0.32), the allocation rate of platelet-related equipment (rs=0.38), and the rate of dedicated blood transfusion department establishment (rs=0.35) (all P<0.05).Conclusion Clinical blood management in medical institutions with low blood utilization faces structural dilemmas and systemic contradictions. A three-tier collaborative strategy of "system-driven, capacity-building, and technology-empowered" should be implemented to promote the transformation of regional blood safety management from standardization to refinement.
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Last Update:
2026-03-15