讀後心得

Experts are calling for hospitals to implement "precision transfusion" to address the issue of insufficient blood supply in Taiwan. Due to an aging population and declining birth rates, there are fewer young people able to participate in blood donation, while the number of middle-aged and elderly individuals in need of blood is gradually increasing. The Blood Donation Foundation points out that the current age restrictions for blood donation and the declining willingness of young people to donate blood have led to a supply of blood that cannot meet demand. Additionally, the use of blood in hospitals is overly wasteful, and unnecessary transfusions should be reduced according to new guidelines. Experts emphasize the need to improve blood use efficiency in hospitals and strengthen education and management for physicians to enhance the quality of transfusions.

Experts call for hospitals to implement a "precision transfusion" policy to address the increasingly severe blood supply problem. As Taiwan's population structure changes, particularly with aging and a declining birthrate, it is becoming more difficult to recruit blood donors. According to current regulations, the age range for blood donation is between 17 and 65 years, and the number of young donors continues to decrease, while the number of middle-aged and elderly patients requiring blood is increasing.

Although Taiwan's blood donation rate ranks among the highest globally, it still cannot meet the growing demand. Therefore, more effective use of blood is necessary. Related individuals have indicated that there is waste in blood usage in hospitals, and improvements must be made. For example, it is suggested to raise the standard for red blood cell concentration during transfusions to reduce unnecessary blood transfusions.

Some experts mentioned that as patients' ages increase, the amount of blood used also rises; every Monday, hospitals often experience shortages in their blood banks. Some hospitals have already adjusted their transfusion standards according to new guidelines, only performing transfusions when a patient's hemoglobin level is below 7 and symptoms are present, in order to save blood.

However, many physicians still tend to follow past practices and quickly transfuse blood when hemoglobin drops below 10, which poses a challenge to the implementation of the new guidelines. At the same time, experts urge for stronger education for physicians and strict control over blood usage during shortages.

Moreover, academia notes that currently only 20% of hospitals have implemented the new transfusion standards, and some regional hospitals have blood transfusion rates that exceed those of major medical centers. This has led related institutions to suggest regularly publishing the blood usage of various hospitals and managing and controlling it through evaluation methods to improve the quality of medical transfusions.