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K. BOUKEFATMC 10 KUWAIT28/11 – 1/12/2012
GOVERNMENT MONOPOLYOF
BLOOD TRANSFUSION
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DEFINITION
A MONOPOLY (FROM GREEK MONOS ΜΌΝΟΣ
(ALONE OR SINGLE) + POLEIN ΠΩΛΕῖΝ (TO SELL) EXISTS WHEN THERE IS THE ONLY
SUPPLIER OF A PARTICULAR COMMODITY
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DEFINITION
A GOVERNMENT MONOPOLY (OR PUBLIC MONOPOLY) WHEN A GOVERNMENT AGENCY OR GOVERNMENT CORPORATION IS THE SOLE PROVIDER OF A PARTICULAR GOOD OR SERVICE AND COMPETITION IS PROHIBITED BY LAW.
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DEFINITION
A MONOPOLY IS DISTINGUISHED FROM A MONOPSONY, IN WHICH THERE IS ONLY ONE BUYER OF A PRODUCT OR SERVICE ;
A MONOPOLY MAY ALSO HAVE MONOPSONY CONTROL OF A SECTOR OF A MARKET. (CENTRAL PHARMACY)
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A MONOPOLY IS A SINGLE SELLER
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EXAMPLES OF TUNISIAN GOVERNMENT MONOPOLY IN
THE FIELD OF HEALTH
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TUNISIAN MONOPOLY IN THE FIELD OF HEALTH
1) DRUG IMPORTATION (CENTRAL PHARMACY)2) BLOOD TRANSFUSION (NATIONAL BLOOD TRANSFUSION CENTRE / AND HOSPITAL BB)
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TUNISIAN REGULATION
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LEGAL MONOPOLY OF BLOOD TRANSFUSION IS ESTABLISHED BY LAW . IT ALLOWS YOU TO RESTRICT COMPETITION TO ACHIEVE POLICY OBJECTIVES SUCH AS SAFETY, PLANNING, MANAGING A STRATEGIC AND SOLIDARITY.
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LAW
LAW N° 82-26 MARCH 17TH 1982 CONCERNING, ORGANIZATION OF
SAMPLING HUMAN BLOOD FOR TRANSFUSION
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Art 2)
HUMAN BLOOD CAN BE COLLECTED WITH THE CONSENT, FREE AND CONSCIOUS OF THE PERSON CONCERNED, WITHOUT CONTERPART
=
BLOOD DONOR MUST
BE VNRD
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Art 5
BLOOD COLLECTION CAN BE PERFORMED ONLY IN INSTITUTIONS APPROVED FOR THE PURPOSE (LICENSING)
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•1 NBTC•5 RBTC•1 MBTC•29 BB
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Art 7
THE RECOVERY OF COSTS OF PROCESSING, ANALYSIS AND STORAGE OF BLOOD AND BLOOD
COMPONENTS
TAKES PLACE UNDER CONDITIONS AND ACCORDING TO THE RATES SET BY ORDINANCES, MINISTERS OF FINANCE AND OF PUBLIC HEALTH AND NOT GIVE RISE TO ANY PROFIT
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COST RECOVERY
SINCE 2008 NO CHANGE HAVE BEEN OPERATES IN THE ORDINANCE RELATED TO THE PRICE OF THE BLOOD COMPONENTS
THE PRICE OF SOME PRODUCT ARE UNDERESTIMATED
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ADVANTAGESOF GOVERNMENT
MONOPOLY
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BLOOD TRANSFUSION SERVICES
=CENTRALIZED AND
COORDINATED
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STANDARDIZATION OF BT PRACTICES
ALL THE PROCEDURES STARTING FROM BLOOD DONATION, GOING THROUGH PROCESSING, STORAGE AND DISTRIBUTION. (SOP’S MANUAL)
ALL LAB TECHNICS ARE STANDARDIZED
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PURSHASING
PURCHASING CONSUMABLES IS STANDARDIZED AND CONSOLIDATE D THROUGH CENTRAL PHARMACYBLOOD BAG ( SAME SUPPLIERS)
CONTROLLED BY THE DRUG CONTROL NATIONAL LAB
REAGENTS : IMMUNOHEMATOLOGY/SEROLOGY ( SAME SUPPLIERS ) CONTROLLED BY THE NBTC REFERENCE LAB)
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BLOOD SAFETY REINFORCED
CONDUCTING NATIONAL SURVEY
RELATED TO BLOOD DONATION ( CATEGORIES OF BLOOD DONORS)
TTI MARKERS (PREVALENCE AMONG DONORS)
FOLLOW UP INDICATORS ( NB OF VNRBD, % OF TTI ETC..;)
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NATIONAL POLICY
IMPLEMENTATION OF BLOOD DONATION STRATEGY (since 2008)
IMPLEMENTATION OF A HAEMOVIGILANCE NETWORK (since 2007)
COLLECTION OF SURPLUS OF PLASMA FOR CONTRACT FRACTIONATION
(3 operations since 1999 )
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CONCLUSION
GOVERNMENT MONOPOLY HAS MANY ADVANTAGES CENTRALIZED AND COORDINATED BT
SERVICESIMPLEMENTATION OF NATIONAL
POLICYONLY ONE NATIONAL STRATEGY
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CONCLUSION
THE CHAIN OF CONSUMABLES IS UNDER CONTROL
STANDARDIZATION OF BLOOD TRANSFUSION PRACTICES
COST CONTROL AND SINGLE PRICE.