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合理、高效的疫苗储存配送服务管理仍是一些中、低收入国家面临的困境。利用社会资源,采取外包管理来改善疫苗供应体系资源和绩效成为一个重要的管理策略。我国一些经济相对发达地区,也在不断探索、实践疫苗第3方冷链物流管理策略。我们在分析天津市免疫规划疫苗储存配送外包管理实施背景基础上,总结了外包管理工作中配送流程实践经验,统计2011—2016年度外包配送实施效果,并对下一步的工作开展提出引入有效疫苗管理工具、加大信息化水平建设、开展满意度评估和出台管理规范的政策建议。
Reasonable and efficient vaccine storage and distribution service management is still the dilemma faced by some middle- and low-income countries. The use of social resources and outsourcing management to improve the resources and performance of the vaccine supply system has become an important management strategy. Some relatively developed areas of our economy are also constantly exploring and implementing the strategy of third-party cold chain logistics management for vaccines. Based on the background of analyzing the implementation background of vaccine administration and vaccine outsourcing management in Tianjin, we summed up the practical experience of the delivery process in outsourcing management, and calculated the effect of outsourcing and delivery in 2011-2016, and proposed the introduction of effective vaccine management Tools, increase the level of information technology, carry out satisfaction assessment and the introduction of regulatory policy recommendations.