Tra dono e scambio. La "filiera" del plasma nel sistema trasfusionale italiano

Journal title SALUTE E SOCIETÀ
Author/s Andrea Bassi, Alessandro Fabbri
Publishing Year 2022 Issue 2022/3 Language Italian
Pages 19 P. 135-153 File size 429 KB
DOI 10.3280/SES2022-003010
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The Italian transfusion system is based on the public property of blood and its derivatives: any commodification is refused and the USA model is avoided, as Richard Titmuss recommended. Nevertheless, the for profit sector comes into play with regard to plasma manufacturing. This "plasma supply chain" relies on a complex collaboration among the Italian NHS’ top institutions (Ministry of Health and Regions), four Third Sector Organizations which gather voluntary donors, and four for profit firms which produce Plasma-Derived Medicinal Products. Through a qualitative methodological approach, this article aims to explore such a mechanism, investigating its strengths and weaknesses, comparing it to other systems worldwide and analysing its reaction to the Covid-19 pandemic. The final aim is considering and evaluating it in light of both Titmuss’ position and Achille Ardigò’s viewpoint about the usefulness of a "triple pole model".

Keywords: Italian transfusion system; "plasma supply chain"; NHS; Third Sector Organizations; Titmuss; Ardigò.

  1. Agnoletti V., Bortoletto N. (2012). Dal dono arcaico al dono moderno. L’AVIS in tre regioni italiane. Milano: FrancoAngeli.
  2. Alfieri S., Pozzi M., Pistoni C. (2020). The blood donation function inventory: Adaptation of the voluntary function inventory for a psychological approach to blood donors. Journal of Civil Society, 16 (1): 61-76. DOI: 10.1080/17448689.2020.171715
  3. Ardigò A. (1982). Dallo stato assistenziale al Welfare State. In: Rossi G., Donati P., a cura di, Welfare State: problemi e alternative. Milano: FrancoAngeli.
  4. Ardigò A. (1997). Società e salute. Lineamenti di sociologia sanitaria. Milano: FrancoAngeli.
  5. Bassi A., Fabbri A. (2022). Co-production paradigm: Threat or Opportunity for Social Economy?. In: Bance P., Bouchard M.J., Greiling D., eds., New perspectives in the co-production of public policies, public services and common goods. Liège: CIRIEC.
  6. Boccacin L. (2000). La rilevanza relazionale del “dono anonimo agli sconosciuti”. Il caso della donazione di sangue. Sociologia e politiche sociali, 3 (2): 19-35.
  7. Boccacin L., Tamanza G. (1997). Volontariato e donazione di sangue: il caso dell’AVIS. Roma: FIVOL.
  8. Calò F., Fiorentini G. (2013). Il sistema sangue in Italia. In: Saturni V., Fiorentini G., a cura di, AVIS nel sistema trasfusionale italiano. Il Libro Bianco dell’Associazione: analisi e prospettive. Milano: FrancoAngeli.
  9. Chandler T., Neumann-Böhme S., Sabat I., Pita Barros P., Brouwer W., van Exel J., Schreyögg J., Torbica A., Stargardt T. (2021). Blood donation in times of crisis: Early insight into the impact of COVID-19 on blood donors and their motivation to donate across European countries. Vox Sanguinis, 116 (10): 1031-1041.
  10. Corbetta P. (2015). La ricerca sociale: metodologia e tecniche. Vol. III. Le tecniche qualitative. Bologna: il Mulino.
  11. Ferguson E., Farrell K., Lawrence K. (2008). Blood Donation is an Act of Benevolence Rather Than Altruism. Health Psychology, 27 (3): 327-336. DOI: 10.1037/0278-6133.27.3.32
  12. Ferrera M. (1996). Il modello sud-europeo di welfare state. Rivista italiana di scienza politica, 26 (1): 67-101. DOI: 10.1017/S004884020002404
  13. Freeman R.E. (1984). Strategic management: a stakeholder approach. Boston: Pitman.
  14. Freeman R.E., Harrison J.S., Wicks A.C., Parmar B., De Colle S. (2010). Stakeholder Theory. The State of the Art. New York: Cambridge University Press.
  15. Giarelli G. (2020). I sistemi sanitari europei di fronte all’emergenza Covid-19: elementi di riflessione. In: Vicarelli G., Giarelli G, a cura di, Libro Bianco. Il Servizio Sanitario Nazionale e la pandemia da Covid-19 Problemi e proposte. Milano: FrancoAngeli.
  16. Giarelli G., Vicarelli G. (2020). Conclusioni. Una bussola per il rilancio del SSN. In: Vicarelli G., Giarelli G, a cura di, Libro Bianco. Il Servizio Sanitario Nazionale e la pandemia da Covid-19 Problemi e proposte. Milano: FrancoAngeli.
  17. Penrod J. (2020). Plasma supply in the United States. Transfusion and Apheresis Science, 59: 1-3.
  18. Peters F.T., Maurer H.H., Hellstern P. (2003). Prevalence of illicit drug use in plasmapheresis donors. Vox Sanguinis, 84: 91-95.
  19. Piliavin J.A., Callero P.L. (1991). Giving blood: The development of an altruistic identity. Baltimore, MD: John Hopkins University Press.
  20. Solomon G.D. (2012). Segmentation and Communications to Solve the Blood Shortage: An Exploration of the Problem with Recommendations. Voluntas, 23: 415-433.
  21. Titmuss R.M. (1973). The gift relationship. From human blood to social policy. London: Penguin Books.
  22. Titmuss R.M. (1974). The social policy. An introduction. London: Allen&Unwin.
  23. Tullis J.L. (1983). Current plsmapheresis practice in the United States. La Ricerca in Clinica e in Laboratorio, 13 (1): 11-19. DOI: 10.1007/BF0290474

Andrea Bassi, Alessandro Fabbri, Tra dono e scambio. La "filiera" del plasma nel sistema trasfusionale italiano in "SALUTE E SOCIETÀ" 3/2022, pp 135-153, DOI: 10.3280/SES2022-003010