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Table 2 Summary of interview responses to the questions relating to the current status and approach to implementing Patient Blood Management on the national or local level

From: Making patient blood management the new norm(al) as experienced by implementors in diverse countries

 

Australia

Brazil

China

Croatia

Greece

Lebanon

Mexico

Saudi Arabia

South Africa

South Korea

Switzerland

Turkey

AUS

BRA

CHN

HRV

GRE

LBN

MEX

SAU

ZAF

KOR

CHE

TUR

Stage

MATURE; National Policy; Broad uptake

INITIATION; Scattered individual leadership

ADVANCED; National Drive

INITIATION; Specialist society drive

INITIATION; National drive through BB

INITIATION; individual initiatives

INITIATION; national project and coordinator

INITIATION; in some hospitals / institutions

INITIATION; individual initiatives.

ADVANCED; implementa-tion project; strong PBM society

INITIATION / ADVANCED; in some hospitals / institutions

ADVANCED;

Broad awareness through cross- specialty implementation project

Approach

 Top Down

NBA; States

Legal framework, standards & guidance

Quality certification

N.A.

National Health Commission, PBM as part of blood supply & demand strategy

MoH informed

Some coordination by specialist society (network)

National BB (with MoH) and in cooperation with hospital managers

Original political drive suspended due to political situation

National project with Quality certification

National interest group, but not much coordination

N.A.

National drive: collaboration program for pilots, data collection, and setting standards

Limited due to strong federal healthcare policy structure

EU Project for PBM implement-tation

 Bottom up

Initially driven by individual leadership and multi-disciplinary teams in hospitals

Individual Leadership

Clinical champions in leading pilot hospitals

Clinical/ de-partmental champions

Individual initiatives in some hospitals / institutions

Individual initiatives in some hospitals / institutions

Coordinated bottom up

Introduced in some hospitals / institutions

Individual initiatives

Individual initiatives in single hospitals over past 10 years

Strong in a few leading hospitals based on individual leadership

Leading institutions, broad awareness through specialist societies

  1. ‘Mature’ describes a high level of implementation; ‘Advanced’ denotes a strategic, coordinated approach towards general implementation; ‘Initiation’ describes the occurrence of few individual initiatives with low level of coordination
  2. Abbreviations: BB Blood Bank, EU European Union, MoH Ministry of Health, N.A. Not available, NBA National Blood Authority, PBM Patient Blood Management