Gianfredi Vincenza, Filia Antonietta, Rota Maria Cristina, Croci Roberto, Bellini Lorenzo, Odone Anna, Signorelli Carlo
School of Medicine, Vita-Salute San Raffaele University, Via Olgettina 58, 20132 Milan, Italy.
Department of Infectious Diseases, Italian National Health Institute, Viale Regina Elena Rome 299, 00161 Rome, Italy.
Vaccines (Basel). 2021 Dec 3;9(12):1434. doi: 10.3390/vaccines9121434.
Ensuring timely access to affordable vaccines has been acknowledged as a global public health priority, as also recently testified by the debate sparked during the COVID-19 pandemic. Effective vaccine procurement strategies are essential to reach this goal. Nevertheless, this is still a neglected research topic. A narrative literature review on vaccine procurement was conducted, by retrieving articles from four academic databases (PubMed/MEDLINE, Scopus, Embase, WebOfScience), 'grey' literature reports, and institutional websites. The aim was to clarify key concepts and definitions relating to vaccine procurement, describe main vaccine procurement methods, and identify knowledge gaps and future perspectives. A theoretical conceptual framework was developed of the key factors involved in vaccine procurement, which include quality and safety of the product, forecasting and budgeting, procurement legislation, financial sustainability, and plurality of manufacture, contracting, investment in training, storage and service delivery, monitoring and evaluation. This information can be useful to support policymakers during planning, implementation, and evaluation of regional and national vaccine procurement strategies and policies.
确保及时获得价格可承受的疫苗已被视为一项全球公共卫生重点工作，最近在新冠疫情期间引发的辩论也证实了这一点。有效的疫苗采购策略对于实现这一目标至关重要。然而，这仍是一个被忽视的研究课题。通过从四个学术数据库（PubMed/MEDLINE、Scopus、Embase、WebOfScience）、“灰色”文献报告以及机构网站检索文章，对疫苗采购进行了叙述性文献综述。目的是阐明与疫苗采购相关的关键概念和定义，描述主要的疫苗采购方法，并识别知识空白和未来展望。构建了一个关于疫苗采购所涉及关键因素的理论概念框架，这些因素包括产品的质量和安全性、预测与预算、采购立法、财务可持续性以及生产多元化、合同签订、培训投资、储存和服务提供、监测与评估。这些信息有助于在区域和国家疫苗采购战略及政策的规划、实施和评估过程中为政策制定者提供支持。
