Maintaining an adequate blood supply for transfusion poses a pressing challenge to society. We argue that this challenge has not been adequately addressed in previous research. Building upon Healy’s seminal work on ‘blood-collection regimes’ and the subsequent shift towards a field-level approach that broadens the analytical focus beyond the dyadic relationship between donors and organizations, we embed the act of blood donation within the organizational field in which blood establishments operate. We assume that varying modes of governance shape the organizational practices of donor recruitment and blood collection. Our analysis is based on Eurobarometer data from 2014 (number of countries = 28; number of individuals = 19,363). The results identify considerable variance in donation rates according to field characteristics in terms of hierarchical centralization and competitiveness. Decentralized systems without competition perform worst in terms of the recruitment of (first-time) blood donors. Competitive systems in which several different bodies share responsibility for the provision of blood to patients yield the highest donation rates.

中文翻译：

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血液采集的组织领域：欧洲献血组织决定因素的多层次分析

维持足够的输血血液供应对社会提出了紧迫的挑战。我们认为，这一挑战在之前的研究中没有得到充分解决。基于 Healy 在“采血制度”方面的开创性工作以及随后向领域层面方法的转变，该方法将分析重点扩展到捐赠者和组织之间的二元关系之外，我们将献血行为嵌入到血液采集的组织领域中。机构运作。我们假设不同的治理模式塑造了捐献者招募和采血的组织实践。我们的分析基于 2014 年的欧洲晴雨表数据（国家数量 = 28；个人数量 = 19,363）。结果表明，在等级集中和竞争力方面，根据领域特征，捐赠率存在相当大的差异。没有竞争的去中心化系统在招募（首次）献血者方面表现最差。几个不同机构共同负责为患者提供血液的竞争性系统产生最高的献血率。