优化免疫服务:巴基斯坦儿童免疫设施的数据包装分析 (DEA)
Taimoor Ahmad1, Muhammad Ibrahim2, Olan Naz2
1Akhter Hameed Khan Foundation (AHKF), Islamabad, Pakistan.
PloS one
|March 22, 2024
概括
巴基斯坦儿童免疫设施的效率很低,平均为59%,这表明疫苗库存过剩. 通过重新分配多余库存来优化资源分配对于改善疫苗接种服务至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 疫苗学 疫苗学 疫苗学
背景情况:
- 儿童免疫是成本效益的,但由于设施层面的因素,它面临着可变的成本.
- 优化资源和加强疫苗接种服务需要有效的方法来衡量设施的性能.
- 评估COVID-19对免疫设施效率的影响至关重要.
研究的目的:
- 利用现有数据,开发和应用一种测量巴基斯坦儿童免疫设施效率的方法.
- 检查COVID-19流行病对设施效率的影响.
- 为优化免疫计划资源利用提供见解.
主要方法:
- 数据包裹分析 (DEA) 用于计算两个模型的设施效率:模型1 (注射剂量) 和模型2 (使用的总剂量).
- 输入包括库存可用性,人员,冷链设备,疫苗载体和疫苗接种.
- 托比特和西马尔-威尔逊回归模型探索了COVID-19和外部因素对效率的影响.
主要成果:
- 模型1显示平均效率为59%,而模型2显示70%,这表明疫苗库存过剩 (36-43%的减少需要).
- 在模型1中,COVID-19大流行使效率降低了10%,在模型2中没有显著的影响.
- 在2018年5月至2020年12月的四轮调查中,评估了Punjab和Sindh的466个设施.
结论:
- DEA是提高免疫设施资源利用率和效率的宝贵工具.
- 专注于注射剂量的第1模型更适用于效率分析,强调平均效率低 (59%).
- 过剩是影响效率的一个主要问题;过剩疫苗库存的重新分配对于优化至关重要.
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