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In 1993 a purchaser-provider split was introduced into the New Zealand health service. The Blood Transfusion Service was embedded in the new hospital organisations, crown health enterprises, which were required to be profit driven. A National Blood Transfusion Trust was set up to preserve the gift relationship and to ensure that there is no profiteering in blood. Nevertheless, the costs associated with collecting, processing, and distributing blood products can be passed on to providers, who are later reimbursed. This study aimed to examine the motives of New Zealand blood donors and whether the changes in the blood transfusion service might affect their donations.
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Philippa Howden‐Chapman (1996) studied this question.
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