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.

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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