通过顺序优化,在非合作,协调,假设的儿科疫苗市场中提高可负担性和利
Bruno Alves-Maciel1, Ruben A Proano2
1Post Doctoral Associate, Department of Health Policy and Management, 60 College St. New Haven, 06510, Washington, D.C., CT, USA.
Health care management science
|July 1, 2024
概括
这项研究探讨了优化全球儿科疫苗采购. 新的策略通过战略性订单谈判和管理不同市场细分市场的分层定价来提高可负担性和生产者的利能力.
科学领域:
- 卫生经济学 卫生经济学
- 供应链管理 供应链管理
- 制药政策 制药政策
背景情况:
- 全球儿科疫苗市场面临着平衡不同经济体负担能力与生产商利能力的挑战.
- 当前的采购模式可能无法完全优化所有利益相关者的结果,需要创新的方法.
- 协调实体在谈判疫苗价格和确保供应方面发挥着至关重要的作用.
研究的目的:
- 分析在假设的全球市场中影响疫苗负担能力和生产商利能力的因素.
- 开发和评估新的采购策略,以协调代表不同购买力国家的实体.
- 调查谈判顺序,市场细分和成本回收对市场动态的影响.
主要方法:
- 一个连续的谈判框架,涉及三个阶段的优化过程.
- 使用混合整数编程 (MIP) 和线性编程 (LP) 来确定最佳的采购计划和价格.
- 模拟的场景与不同数量的协调实体,市场细分和生产者成本回收策略.
主要成果:
- 谈判顺序和生产商固定成本的回收对市场的利能力和可负担性产生重大影响.
- 低收入国家通过管理众多市场细分的实体从分层定价中受益.
- 高收入和中等收入国家通过更少,更广泛的市场细分来实现更高的负担能力.
- 通过收入水平的下降来优先考虑谈判,提高了负担能力和利,特别是在数量折扣方面.
结论:
- 该研究提出了挑战当前疫苗市场动态的替代策略.
- 优化协调和分层定价可以显著提高低收入国家的负担能力.
- 采购策略必须根据国家收入水平和生产者成本结构进行调整,以获得最佳结果.
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