Accurate costs of blood transfusion: a microcosting of administering blood products in the United Kingdom National Health Service

Transfusion - Tập 58 Số 4 - Trang 846-853 - 2018
Elizabeth A Stokes1, Sarah Wordsworth1, Julie Staves2, Nicola Mundy3, Jane V. Skelly4, Kelly L. Radford5, Simon Stanworth6,7,8
1Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford
2Transfusion Laboratory, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
3Department of Blood Sciences, Royal Berkshire NHS Foundation Trust, Reading, UK
4Haematology Day Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
5Oncology and Haematology Clinical Trials, Guy's and St Thomas' NHS Foundation Trust, London, UK
6Department of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford; UK
7Radcliffe Department of Medicine, University of Oxford, and the Haematology Theme, Oxford Biomedical Research Centre, Oxford, UK
8Transfusion Medicine, NHS Blood and Transplant, Oxford

Tóm tắt

BACKGROUNDIn an environment of limited health care resources, it is crucial for health care systems which provide blood transfusion to have accurate and comprehensive information on the costs of transfusion, incorporating not only the costs of blood products, but also their administration. Unfortunately, in many countries accurate costs for administering blood are not available. Our study aimed to generate comprehensive estimates of the costs of administering transfusions for the UK National Health Service.STUDY DESIGN AND METHODSA detailed microcosting study was used to cost two key inputs into transfusion: transfusion laboratory and nursing inputs. For each input, data collection forms were developed to capture staff time, equipment, and consumables associated with each step in the transfusion process. Costing results were combined with costs of blood product wastage to calculate the cost per unit transfused, separately for different blood products. Data were collected in 2014/15 British pounds and converted to US dollars.RESULTSA total of 438 data collection forms were completed by 74 staff. The cost of administering blood was $71 (£49) per unit for red blood cells, $84 (£58) for platelets, $55 (£38) for fresh‐frozen plasma, and $72 (£49) for cryoprecipitate.CONCLUSIONSBlood administration costs add substantially to the costs of the blood products themselves. These are frequently incurred costs; applying estimates to the blood components supplied to UK hospitals in 2015, the annual cost of blood administration, excluding blood products, exceeds $175 (£120) million. These results provide more accurate estimates of the total costs of transfusion than those previously available.

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Transfusion

Tập 58 Số 4

846-853

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