重构中国无偿献血公益生态体系刻不容缓OA
Analysis of the Dilemmas in Volunteer Blood Donation in China
无偿献血事业是公共卫生体系的重要支柱.当前中国无偿献血面临疫情冲击下的信任危机与功利性宣传的双重挑战,献血人数波动与公众信任度下降形成恶性循环.国际实践经验表明,通过文化浸润与代际教育机制培育社会利他意识,可有效增强献血行为可持续性.随着医疗需求增长与公众健康意识提升,亟需重新审视无偿献血生态系统的深层结构矛盾.本文从无偿献血公益属性的本源价值出发,系统剖析功利性宣传在特殊条件下引发的信任危机,结合多国案例比较与实证数据分析,提出公益生态重构路径.研究发现,构建生命共同体责任意识需突破三大维度:在文化层面建立代际传递的价值观培育体系,在制度层面打造全流程透明的信任机制,在技术层面开发智能化的献血服务系统.理论层面揭示出,献血行为从利益驱动到价值认同的范式转变,本质上是通过社会心理契约实现集体行动升级.实践层面证实,整合区块链技术的溯源系统可使献血者参与度显著提升,文化嵌入式宣传策略能有效提高长期献血者保留率.根本而言,破解后疫情时代无偿献血困境的关键在于构建政府引导、社会协同、价值认同、科技支撑的四位一体公益生态,这既符合健康中国战略导向,也为全球血液安全治理提供了创新范式.
Voluntary blood donation serves as a crucial pillar of the public health system.Currently,China's voluntary blood donation undertaking faces dual challenges of trust crisis under pandemic impacts and utilitarian-oriented advocacy,where fluctuating donor numbers and declining public trust form a vicious cycle.International practical experience demonstrates that cultivating social altruism through cultural immersion and intergenerational education mechanisms can effectively enhance the sustainability of blood donation behaviors.With growing medical demands and heightened public health awareness,there is an urgent need to re-examine the deep structural contradictions within the voluntary blood donation ecosystem.This study systematically analyzes the trust crisis triggered by instrumental advocacy under special circumstances from the perspective of the original public welfare attributes of blood donation,combining cross-national case comparisons and empirical data analysis to propose pathways for reconstructing the public welfare ecology.The research reveals that building a sense of responsibility for the community of shared life requires breakthroughs in three key dimensions:establishing a culturally embedded intergenerational value cultivation system,creating a fully transparent institutional trust mechanism,and developing intelligent blood donation service technologies.Theoretically,it demonstrates that the paradigm shift from interest-driven to value-identified donation behavior essentially represents a collective action upgrade through the reconstruction of social psychological contracts.Practically,it verifies that blockchain-integrated traceability systems can significantly enhance donor engagement,while culturally embedded advocacy strategies effectively improve long-term donor retention rates.Fundamentally,resolving post-pandemic challenges in voluntary blood donation lies in constructing a four-in-one public welfare ecology that integrates government guidance,social collaboration,value recognition,and technological support.This approach not only aligns with the Healthy China strategic orientation but also provides innovative paradigms for global blood safety governance.
张晓娟;张婷;于洋
解放军总医院第一医学中心输血医学科,北京 100853解放军总医院第一医学中心输血医学科,北京 100853解放军总医院第一医学中心输血医学科,北京 100853
医药卫生
无偿献血利他主义公益生态信任危机血液安全价值认同
Voluntary blood donationAltruismPublic welfare ecologyTrust crisisBlood safetyValue identification
《临床输血与检验》 2026 (2)
168-171,4
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