{"id":9038,"date":"2023-04-16T17:16:04","date_gmt":"2023-04-16T09:16:04","guid":{"rendered":"https:\/\/vaxlab.dukekunshan.edu.cn\/paper\/insights-from-developed-countries-on-procurement-and-distribution-of-non-compulsory-vaccines-in-china\/"},"modified":"2024-07-17T23:23:31","modified_gmt":"2024-07-17T15:23:31","slug":"policy-briefing-5th-en","status":"publish","type":"paper","link":"https:\/\/vaxlab.dukekunshan.edu.cn\/en\/paper\/policy-briefing-5th-en\/","title":{"rendered":"Vaccine Procurement and Delivery: Experience from Developed Countries"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>\u4e00\u3001\u6211\u56fd\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u62db\u91c7\u60c5\u51b5\u53ca\u5b58\u5728\u7684\u95ee\u9898<\/strong><\/h2>\n\n<p 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class=\"wp-block-paragraph\"><strong>\u4e00\u662f\u901a\u8fc7\u96c6\u4e2d\u91c7\u8d2d\uff0c\u5c06\u91cf\u4e0e\u4ef7\u6302\u94a9\uff0c\u5b9e\u73b0\u201c\u4ee5\u91cf\u6362\u4ef7\u201d\u3002<\/strong>\u901a\u8fc7\u96c6\u4e2d\u91c7\u8d2d\uff0c\u5728\u91c7\u8d2d\u8fc7\u7a0b\u4e2d\u901a\u8fc7\u6570\u91cf\u627f\u8bfa\u7b49\u65b9\u5f0f\u5c06\u91cf\u4e0e\u4ef7\u6302\u94a9\u5f80\u5f80\u6709\u5229\u4e8e\u538b\u4f4e\u4ef7\u683c\u3002\u4f8b\u5982<strong>\uff0c<\/strong>\u82f1\u56fd\u5728\u62db\u6807\u8fc7\u7a0b\u4e2d\u5141\u8bb8\u5382\u5546\u6839\u636e\u4e0d\u540c\u7684\u91c7\u8d2d\u6570\u91cf\u7ed9\u51fa\u4e0d\u540c\u7684\u62a5\u4ef7\uff08\u5f80\u5f80\u91c7\u8d2d\u91cf\u8d8a\u5927\u4ef7\u683c\u8d8a\u4f4e\uff09\uff0c\u4ece\u800c\u53ef\u4ee5\u6709\u6548\u5730\u5229\u7528\u89c4\u6a21\u7ecf\u6d4e\uff0c\u540c\u65f6\u964d\u4f4e\u5382\u5546\u98ce\u9669\u3002\u52a0\u62ff\u5927\u653f\u5e9c\u4f1a\u5728\u6388\u4e88\u5382\u5546\u5408\u540c\u4e4b\u524d\u8981\u6c42\u5404\u7701\u6216\u5730\u533a\u5bf9\u5176\u9700\u6c42\u91cf\u8fdb\u884c\u4f30\u8ba1\uff0c\u5e76\u8981\u6c42\u5404\u7701\u6216\u5730\u533a\u81f3\u5c11\u8d2d\u4e70\u5176\u4f30\u8ba1\u91cf\u768475%\uff0c\u4ece\u800c\u5f62\u6210\u5bf9\u5382\u5546\u7684\u6570\u91cf\u4fdd\u969c\u3002\u4e0e\u6b64\u540c\u65f6\uff0c\u5982\u679c\u6709\u4e24\u4e2a\u5382\u5546\u4e2d\u6807\uff0c\u52a0\u62ff\u5927\u653f\u5e9c\u4e00\u822c\u4f1a\u6839\u636e\u4e24\u4e2a\u4e2d\u6807\u5382\u5546\u7684\u4ef7\u683c\u5dee\u5f02\u6765\u5206\u914d\u91c7\u8d2d\u91cf\u3002\u59822019\u5e74\u72c2\u72ac\u75c5\u75ab\u82d7\u91c7\u8d2d\u5408\u540c\u4e2d\u63d0\u5230\uff0c\u5982\u679c\u4e24\u4e2a\u5382\u5546\u4ef7\u683c\u5dee\u5f02\u572820%\u6216\u4ee5\u4e0b\uff0c\u5219\u6700\u4f4e\u4ef7\u5382\u5546\u53ef\u4fdd\u8bc1\u91c7\u8d2d\u6570\u91cf\u4e3a\u603b\u91c7\u8d2d\u91cf\u768460%\uff1b\u5982\u679c\u4ef7\u683c\u5dee\u5f02\u572820%\u4ee5\u4e0a\u300130%\u4ee5\u4e0b\uff0c\u5219\u6700\u4f4e\u4ef7\u5382\u5546\u53ef\u4fdd\u8bc1\u603b\u91cf\u768465%\uff1b\u5982\u679c\u4ef7\u683c\u5dee\u5f02\u572830%\u300140%\u4ee5\u4e0b\uff0c\u5219\u6700\u4f4e\u4ef7\u5382\u5546\u53ef\u4fdd\u8bc1\u603b\u91cf\u768470%\u3002\u4e24\u4e2a\u6700\u4f4e\u4ef7\u683c\u7684\u6295\u6807\u5382\u5546\u4e4b\u95f4\u7684\u4ef7\u683c\u5dee\u5f02\u8d8a\u5927\uff0c\u6388\u4e88\u4ef7\u683c\u6700\u4f4e\u6295\u6807\u5382\u5546\u7684\u6570\u91cf\u5c31\u8d8a\u9ad8\u3002<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>\u4e8c\u662f\u57fa\u4e8e\u7efc\u5408\u8bc4\u5206\u7cfb\u7edf\u9074\u9009\u75ab\u82d7\u4f9b\u5e94\u5546\uff0c\u5e76\u6839\u636e\u91c7\u8d2d\u5546\u5f97\u5206\u5206\u914d\u91c7\u8d2d\u4efd\u989d\u3002<\/strong>\u82f1\u56fd\u536b\u751f\u548c\u793e\u4f1a\u4fdd\u969c\u90e8\uff08DHSC\uff09\u8d1f\u8d23\u91c7\u8d2d\u56fd\u6c11\u5065\u5eb7\u670d\u52a1\uff08NHS\uff09\u8986\u76d6\u7684\u75ab\u82d7\u3002\u5728\u7b5b\u9009\u5382\u5546\u65f6\uff0cDHSC\u91c7\u7528\u4e86\u4e00\u5957\u8f83\u4e3a\u5168\u9762\u7684\u8bc4\u5206\u7cfb\u7edf\u5bf9\u5382\u5546\u7684\u6295\u6807\u65b9\u6848\u8fdb\u884c\u8bc4\u4f30\uff0c\u5206\u522b\u4ece\u75ab\u82d7\u4ef7\u683c\u3001\u75ab\u82d7\u8d28\u91cf\uff0c\u53ca\u75ab\u82d7\u4ea4\u4ed8\u7684\u98ce\u9669\u4e09\u4e2a\u7ef4\u5ea6\u8fdb\u884c\u6253\u5206\u3002\u5176\u4e2d\uff0c\u6ca1\u6709\u8fbe\u5230\u6700\u4f4e\u75ab\u82d7\u8d28\u91cf\u8981\u6c42\u7684\u5382\u5546\u5c06\u88ab\u4e00\u7968\u5426\u51b3\uff0c\u4e0d\u518d\u53c2\u4e0e\u6574\u4f53\u7684\u6253\u5206\u8bc4\u4f30\u3002\u53e6\u5916\uff0c\u5728\u4ea4\u4ed8\u98ce\u9669\u8bc4\u4f30\u90e8\u5206\uff0c\u5382\u5546\u9700\u8981\u5411\u653f\u5e9c\u62a5\u544a\u5176\u53c2\u4e0e\u75ab\u82d7\u4f9b\u5e94\u94fe\u7684\u60c5\u51b5\u4ee5\u4f9b\u653f\u5e9c\u8bc4\u4f30\u5176\u76f8\u5173\u98ce\u9669\u3002\u536b\u751f\u90e8\u95e8\u5c06\u5bf9\u6bcf\u4e2a\u5382\u5546\u7684\u603b\u5206\u8fdb\u884c\u6392\u540d\uff0c\u5f97\u5206\u6392\u524d\u7684\u5382\u5546\u5c06\u88ab\u6388\u4e88\u5408\u540c[9]\u3002\u6210\u529f\u7684\u6295\u6807\u65b9\u6848\u4f1a\u517c\u5177\u5b89\u5168\u6027\u3001\u6709\u6548\u6027\u3001\u53ef\u7528\u6027\uff0c\u5e76\u7efc\u5408\u8003\u8651\u4ef7\u683c\u4ee5\u53ca\u4e4b\u524d\u7684\u5408\u540c\u8bb0\u5f55\u3002\u540c\u65f6\uff0c\u536b\u751f\u90e8\u95e8\u503e\u5411\u4e8e\u5c3d\u53ef\u80fd\u6388\u4e88\u591a\u4e2a\u5382\u5546\u5408\u540c\uff0c\u5e76\u6839\u636e\u4e0d\u540c\u5382\u5546\u5f97\u5206\u60c5\u51b5\u5206\u914d\u91c7\u8d2d\u4efd\u989d\u3002\u5728\u5bf9\u67d0\u7c7b\u75ab\u82d7\u6388\u4e88\u591a\u4e2a\u5382\u5546\u5408\u540c\u7684\u60c5\u51b5\u4e0b\uff0c\u5982\u767e\u767d\u7834\u548c\u810a\u9ad3\u7070\u8d28\u708e\u75ab\u82d7\u7684\u91c7\u8d2d\uff0c\u5f97\u5206\u6700\u9ad8\u7684\u5382\u5546\u5c06\u83b7\u5f97\u81f3\u5c1151%\u7684\u4efd\u989d\uff0c\u5269\u4f59\u7684\u4efd\u989d\u5c06\u7531\u5f97\u5206\u6700\u9ad8\u7684\u5382\u5546\u548c\u81f3\u5c11\u4e00\u4e2a\u5176\u4ed6\u5382\u5546\u5206\u4eab[10]\u3002<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>\u4e09\u662f\u75ab\u82d7\u914d\u9001\u7ba1\u7406\u91c7\u53d6\u96c6\u7ea6\u5316\u65b9\u5f0f\u4ee5\u964d\u4f4e\u6210\u672c\uff0c\u540c\u65f6\u52a0\u5f3a\u4fe1\u606f\u5316\u76d1\u7ba1\u3002<\/strong>\u7f8e\u56fd\u75be\u75c5\u9884\u9632\u4e0e\u63a7\u5236\u4e2d\u5fc3\u901a\u8fc7\u75ab\u82d7\u7ba1\u7406\u4e1a\u52a1\u6539\u8fdb\u9879\u76ee(Vaccine Management Business Improvement Project, VMBIP)\u8fdb\u884c\u75ab\u82d7\u914d\u9001\u96c6\u7ea6\u5316\u6539\u9769\uff0c\u59d4\u6258\u6700\u5927\u7684\u836f\u54c1\u6279\u53d1\u4f01\u4e1a\u9ea6\u514b\u68ee\u516c\u53f8(McKesson Corporation)\u8d1f\u8d23\u6240\u6709\u514d\u8d39\u75ab\u82d7\u7684\u914d\u9001\u5de5\u4f5c\uff0c\u4ee5\u524a\u51cf\u5dde\u7ea7\u548c\u5730\u533a\u7684\u5e93\u623f\u6570\u91cf\uff0c\u964d\u4f4e\u5e93\u5b58\u548c\u4ed3\u50a8\u7ba1\u7406\u6210\u672c\uff0c\u540c\u65f6\u914d\u9001\u5546\u63a5\u7ba1\u90e8\u5206\u75ab\u82d7\u5382\u5546\u7684\u9884\u7559\u5e93\u5b58\uff0c\u8054\u90a6\u5c42\u9762\u53ef\u5728\u7d27\u6025\u72b6\u6001\u4e0b\u8c03\u914d\u8be5\u8d44\u6e90[12]\u3002\u82f1\u56fd\u4e5f\u91c7\u7528\u4e2d\u592e\u914d\u9001\u5546\u6a21\u5f0f\u8d1f\u8d23\u5168\u56fd\u7684\u75ab\u82d7\u50a8\u5b58\u548c\u5206\u53d1\u670d\u52a1\uff0c\u536b\u751f\u90e8\u901a\u8fc7\u7ade\u4e89\u6027\u62db\u6807\u6bcf3-5\u5e74\u62df\u5b9a\u914d\u9001\u670d\u52a1\u5408\u540c\uff0c\u914d\u9001\u5546\u5229\u7528\u75ab\u82d7\u7684\u6218\u7565\u50a8\u5907\u7a33\u5b9a\u75ab\u82d7\u7684\u4f9b\u7ed9[4]\u3002\u65e5\u672c\u901a\u8fc7\u4fe1\u606f\u5316\u6280\u672f\u3001\u6e29\u5ea6\u4f20\u611f\u6280\u672f\uff0c\u5bf9\u75ab\u82d7\u51b7\u94fe\u914d\u9001\u7684\u5168\u8fc7\u7a0b\u5b9e\u65bd\u76d1\u63a7\uff0c\u5e76\u901a\u8fc7GPS\u5b9a\u4f4d\u7cfb\u7edf\u5728\u5408\u7406\u89c4\u5212\u8def\u7ebf\u7684\u57fa\u7840\u4e0a\u63d0\u9ad8\u914d\u9001\u6548\u7387\uff0c\u5e76\u5bf9\u90e8\u5206\u6e29\u5ea6\u8981\u6c42\u4e25\u683c\u7684\u75ab\u82d7\u8bbe\u7f6e\u533a\u57df\u6d41\u901a\u9650\u5236\uff0c\u4ece\u800c\u51cf\u5c11\u75ab\u82d7\u5728\u914d\u9001\u8fc7\u7a0b\u4e2d\u7684\u98ce\u9669<a id=\"_ftnref3\" href=\"#_ftn3\">\u3002<\/a><\/p>\n\n<p class=\"wp-block-paragraph\"><strong>\u56db\u662f\u91c7\u7528\u957f\u671f\u5408\u540c\u7b56\u7565\u964d\u4f4e\u6d41\u611f\u7b49\u75ab\u82d7\u9700\u6c42\u4e0d\u786e\u5b9a\u6027\u5e26\u6765\u7684\u98ce\u9669\u3002<\/strong>\u6d41\u611f\u75ab\u82d7\u7684\u91c7\u8d2d\u4e0e\u5206\u914d\u7531\u52a0\u62ff\u5927\u8054\u90a6\u3001\u5404\u7701\u53ca\u5c5e\u5730\u7684\u536b\u751f\u90e8\u95e8\u8054\u5408\u534f\u8c03\u3002\u6bcf\u5e74\uff0c\u8fd9\u4e9b\u76f8\u5173\u673a\u6784\u90fd\u9700\u8981\u57fa\u4e8e\u8fc7\u5f80\u7ecf\u9a8c\u3001\u6d41\u611f\u5b63\u9884\u6d4b\u4ee5\u53ca\u514d\u75ab\u89c4\u5212\u9879\u76ee\u6765\u9884\u4f30\u4e0b\u4e00\u4e2a\u6d41\u611f\u5b63\u7684\u75ab\u82d7\u9700\u6c42\u3002\u4e3a\u4e86\u964d\u4f4e\u5382\u5546\u98ce\u9669\uff0c\u52a0\u62ff\u5927\u653f\u5e9c\u91c7\u53d6\u4e86\u4e0e\u5382\u5546\u7b7e\u8ba2\u957f\u671f\u5408\u540c\u7684\u7b56\u7565\u3002\u4f8b\u5982\uff0c\u81ea2001\u5e74\u4ee5\u6765\uff0cGlaxoSmithKline 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Agency\uff09\u4f1a\u7275\u5934\u534f\u8c03\u5404\u5730\u536b\u751f\u90e8\u95e8\uff0c\u901a\u8fc7\u8c03\u914d\u5e93\u5b58\u3001\u5411\u5382\u5546\u8ffd\u52a0\u91c7\u8d2d\u4ee5\u53ca\u548cPSPC\u7edf\u7b79\u96c6\u4e2d\u91c7\u8d2d\u7b49\u63aa\u65bd\uff0c\u6765\u786e\u4fdd\u75ab\u82d7\u77ed\u7f3a\u6311\u6218\u7684\u5feb\u901f\u89e3\u51b3\u3002<\/p>\n\n<h2 class=\"wp-block-heading\"><strong>\u4e09\u3001\u52a0\u5f3a\u975e\u514d\u75ab\u89c4\u5212\u75ab\u82d7\u91c7\u8d2d\u914d\u9001\u7ba1\u7406\u7684\u7b56\u7565\u5efa\u8bae<\/strong><\/h2>\n\n<p 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id=\"_ftn3\"><\/a>\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Non-national immunization program (non-NIP) vaccines play an important role in the prevention and control of key infectious diseases. However, there are still issues with high prices and low vaccination rates for non-NIP vaccines in China. <\/p>\n","protected":false},"featured_media":8984,"menu_order":0,"template":"","format":"standard","meta":{"type_label":"none_selected"},"paper-tag":[79],"class_list":["post-9038","paper","type-paper","status-publish","format-standard","has-post-thumbnail","hentry","paper-tag-featured"],"_links":{"self":[{"href":"https:\/\/vaxlab.dukekunshan.edu.cn\/en\/wp-json\/wp\/v2\/paper\/9038","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vaxlab.dukekunshan.edu.cn\/en\/wp-json\/wp\/v2\/paper"}],"about":[{"href":"https:\/\/vaxlab.dukekunshan.edu.cn\/en\/wp-json\/wp\/v2\/types\/paper"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vaxlab.dukekunshan.edu.cn\/en\/wp-json\/wp\/v2\/media\/8984"}],"wp:attachment":[{"href":"https:\/\/vaxlab.dukekunshan.edu.cn\/en\/wp-json\/wp\/v2\/media?parent=9038"}],"wp:term":[{"taxonomy":"paper-tag","embeddable":true,"href":"https:\/\/vaxlab.dukekunshan.edu.cn\/en\/wp-json\/wp\/v2\/paper-tag?post=9038"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}