• Transfusion medicine · Apr 2019

    Multicenter Study

    Cost-effectiveness of alternative changes to a national blood collection service.

    • S Willis, K De Corte, J A Cairns, Zia SadiqueMMDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK., N Hawkins, M Pennington, G Cho, D J Roberts, G Miflin, and R Grieve.
    • Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.
    • Transfus Med. 2019 Apr 1; 29 Suppl 1: 42-51.

    ObjectivesTo evaluate the cost-effectiveness of changing opening times, introducing a donor health report and reducing the minimum inter-donation interval for donors attending static centres.BackgroundEvidence is required about the effect of changes to the blood collection service on costs and the frequency of donation.Methods/MaterialsThis study estimated the effect of changes to the blood collection service in England on the annual number of whole-blood donations by current donors. We used donors' responses to a stated preference survey, donor registry data on donation frequency and deferral rates from the INTERVAL trial. Costs measured were those anticipated to differ between strategies. We reported the cost per additional unit of blood collected for each strategy versus current practice. Strategies with a cost per additional unit of whole blood less than £30 (an estimate of the current cost of collection) were judged likely to be cost-effective.ResultsIn static donor centres, extending opening times to evenings and weekends provided an additional unit of whole blood at a cost of £23 and £29, respectively. Introducing a health report cost £130 per additional unit of blood collected. Although the strategy of reducing the minimum inter-donation interval had the lowest cost per additional unit of blood collected (£10), this increased the rate of deferrals due to low haemoglobin (Hb).ConclusionThe introduction of a donor health report is unlikely to provide a sufficient increase in donation frequency to justify the additional costs. A more cost-effective change is to extend opening hours for blood collection at static centres.© 2018 The Authors. Transfusion Medicine published by John Wiley & Sons Ltd on behalf of British Blood Transfusion Society.

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