疫苗开发,其实施和定价:一个历史视角,提出如何向前发展
Baudouin Standaert1, Oleksandr Topachevskyi2, Olivier Ethgen3
1Department of Care and Ethics, University of Hasselt, B-3590 Diepenbeek, Belgium.
Journal of market access & health policy
|October 27, 2025
概括
疫苗开发是高效的,但定价仍然是一个挑战. 限制性优化 (CO) 可能为疫苗定价提供一种比传统的成本效益分析更好的方法,以确保广泛覆盖并最大限度地提高公共卫生效益.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 卫生经济学 卫生经济学
背景情况:
- 一个多世纪以来,疫苗接种为全球公共卫生带来了显著的好处.
- 疫苗开发和生产已经转向以市场为导向的模式,主要由私营公司进行.
- 虽然开发和生产效率更高,但疫苗定价是一个越来越令人担忧的问题.
研究的目的:
- 提供疫苗开发,实施和定价策略的概述.
- 检查疫苗定价方面的挑战,特别是关于覆盖范围和预算限制的问题.
- 评估疫苗定价的替代方法.
主要方法:
- 审查历史疫苗开发和市场趋势.
- 分析影响疫苗覆盖率和计划成功的因素.
- 传统的成本效益分析与受约束的优化定价的比较.
主要成果:
- 高疫苗覆盖率对于最大限度地提高公共卫生效益至关重要,需要大量的初始投资.
- 由于预算限制,当前的定价模式可能会限制覆盖范围.
- 传统的成本效益分析不适合疫苗定价,因为它采用"更多换取更多"的原则.
结论:
- 疫苗定价需要合理,以确保充分覆盖并实现群体保护.
- 约束优化 (CO) 将价值评估与预算分配相结合,使其成为疫苗定价的潜在优越方法.
- 采用CO可以导致更有效和可持续的疫苗接种计划.
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