How do we translate gaps and unmet needs of blood management for thalassemia into a collaborative implementation framework?

• Published in: Transfusion medicine (Oxford, England) England), 2023-12, Vol.33 (6), p.497-502
• Main Authors: Limwongse, Chanin, Rojnuckarin, Ponlapat, Kupatawintu, Pawinee, Thongthaisin, Aphisit, Permpikul, Parichart, Kitpoka, Pimpan, Watanaboonyongcharoen, Phandee, Sucharitchan, Pranee, Torcharus, Kitti, Fucharoen, Suthat, Kongpakwattana, Khachen, Nerapusee, Osot, Chuncharunee, Suporn
• Format: Article
• Language: English
• Subjects: blood management; Blood Transfusion; Humans; implementation framework; Thailand; thalassemia; Thalassemia - therapy
• ISSN: 0958-7578; 1365-3148
• DOI: 10.1111/tme.13011

Background and Objective The mainstay of management for thalassemia is regular blood transfusions. However, gaps and unmet needs of blood services for thalassemia are still not clearly identified and addressed in Thailand, a country prevalent with thalassemia. What can be a collaborative implementation framework that helps advance practices and policies relating to blood management for thalassemia? Methods The first Blood & Beyond Roundtable Discussion was held in July 2022 to gather the current situation, gaps, and unmet needs of blood services for thalassemia from multidisciplinary experts and thalassemic patients. The Implementation Guide as suggested by the Centre for Effective Services was applied as a tool to consolidate information from the discussions and construct the collaborative implementation framework. Results The National Blood Center and hospitals in Thailand followed the missions specified in the National Blood Policy and the standard guidelines to ensure the best practice of blood management for thalassemia. However, there were six gaps and unmet needs identified from the discussions. After all discussion points were mapped onto the framework, an implementation plan comprised of five specific activities became clear and actionable. Conclusion Without the complete information from both experts and patients, the implementation plan would not have been successfully constructed. The method that we employed to translate all information into the framework can be adapted by other countries to develop their own specific framework efficiently.