Evidence map›Paper›PMID 41565311›Full record

ArticleBMJ (Clinical research ed.)2026

Impact of shifting blood donation policy from gift to honour model: staggered difference-in-differences analysis in China.

Yuhao Liu, Yiming Pan, Zhoutao Zheng, Bo Pan, Shiyu Zhang, Ling Li, Jinghan Zhao, Wen-Hua Wei, Pascal Geldsetzer, Till Bärnighausen and 2 more

Abstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Yuhao LiuSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.ORCID 0009-0009-5177-5969
Yiming PanInstitute of Blood Transfusion, Chinese Academy of Medical Sciences & Peking Union Medical College, Chengdu, China.
Zhoutao ZhengSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Bo PanInstitute of Blood Transfusion, Chinese Academy of Medical Sciences & Peking Union Medical College, Chengdu, China.
Shiyu ZhangSchool of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Ling LiDepartment of Blood Transfusion, The Third People's Hospital of Chengdu, Affiliated Hospital of Southwest Jiaotong University, Chengdu, China.
Jinghan ZhaoSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Wen-Hua WeiCentre for Biostatistics, Division of Population Health, Health Services Research and Primary Care, The University of Manchester, Manchester, UK.
Pascal GeldsetzerDivision of Primary Care and Population Health, Department of Medicine, Stanford University, Stanford, CA, USA.
Till BärnighausenSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.ORCID 0000-0002-4182-4212
Simiao ChenSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.ORCID 0000-0003-0555-2157
Zhong LiuSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.ORCID 0000-0001-8173-9656

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of a new blood donation incentive policy-an honour model promoting blood donation quality and quantity to inform future policy changes in China and worldwide.

designStaggered difference-in-differences analysis in China.

settingBlood donation policies (from provincial government official websites), annual blood donation data (from China's reports on blood safety and annual reports on development of China's blood collection and supply industry), and demographic and socioeconomic indicators (from China city statistical yearbooks and provincial statistical yearbooks) from 2012 to 2018. POPULATION: Blood stations from 30 provinces of China; four regions excluded because data not available.

interventionThe honour model (social recognition through an honour card granting frequent blood donors honorary incentives such as free access to public bus services and outpatient consultations in hospitals) was piloted to stimulate blood donations in intervention provinces.

main outcome measureAnnual total count of blood donations and total count of whole blood donations to measure the quantity of blood donations, and annual donor eligibility rate to measure the quality of blood donations.

resultsThe honour model increased blood donation counts by 3.55% (95% confidence interval 1.30% to 5.80%, P=0.003) by the end of the second year of implementation. By the end of the fifth year, this effect had doubled to 7.70% (2.42% to 12.98%, P=0.006). Most of these increases were driven by absolute increases in whole blood donation of 3.34% (1.11% to 5.56%, P=0.005) and 7.23% (1.90% to 12.56%, P=0.01) by the end of the second and fifth years, respectively. The honour model did not significantly affect the donor eligibility rate. The Borusyak-Jaravel-Spiess difference-in-differences analysis, synthetic difference-in-differences analysis, and placebo test all suggested the results were robust.

conclusionsThe honour model of blood donation increased the quantity of blood donation in China, while donation quality remained unchanged. This impact was sustained after the introduction of the honour model within the study period.

Indexed as

Blood DonationBlood DonorsHealth PolicyMotivationChinaFemaleHumansMale

Identifiers

PMID41565311
PMCPMC12821159

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.