Introduction: Across Europe, immunization programs have brought immense benefits to the prevention of infectious diseases. The vaccines used are procured through a variety of models such as tenders and Pricing & Reimbursement. However, to date, the impact of the procurement method on the performance and sustainability of vaccination programs and on public health has received little attention.Areas covered: Drawing on a review of the academic and policy literature, complemented by an interview program with stakeholders involved in the procurement of vaccines, the authors have documented the relationship between procurement method dynamics and the level of protection against vaccine-preventable diseases in Germany, Italy, Spain and Romania for, measles-containing vaccines, hexavalent and influenza vaccines.Expert opinion: Price-based tenders can contribute to vaccine supply issues, discourage the provision of value-added services supporting vaccination coverage and disincentives future R&D. Although it is observed that price-based tenders can intensify competition in the short term, there can be unintended consequences such as damage to long-term competition. As European countries are committed to strengthen their immunization programs, they should consider the implications of current vaccine procurement models on the vaccine ecosystem and on public health.

中文翻译：

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疫苗采购方法对某些欧洲国家的公共卫生的影响。

简介：在整个欧洲，免疫接种计划为预防传染病带来了巨大的好处。所使用的疫苗可通过多种模式采购，例如招标，定价和报销。然而，迄今为止，采购方法对疫苗接种计划的绩效和可持续性以及对公共卫生的影响鲜有引起关注。涉及的领域：借鉴学术和政策文献，辅以与利益相关者的访谈计划在疫苗的采购中，作者记录了采购方法动态与德国，意大利，西班牙和罗马尼亚针对含麻疹疫苗，六价疫苗和流感疫苗的疫苗可预防疾病的防护水平之间的关系。基于价格的招标会导致疫苗供应问题，阻碍提供支持疫苗接种覆盖范围的增值服务，并阻碍未来的研发。尽管观察到以价格为基础的招标会在短期内加剧竞争，但可能会产生意想不到的后果，例如损害长期竞争。由于欧洲国家致力于加强其免疫计划，因此它们应考虑当前疫苗采购模式对疫苗生态系统和公共卫生的影响。可能会产生意想不到的后果，例如损害长期竞争。由于欧洲国家致力于加强其免疫计划，因此它们应考虑当前疫苗采购模式对疫苗生态系统和公共卫生的影响。可能会产生意想不到的后果，例如损害长期竞争。由于欧洲国家致力于加强其免疫计划，因此它们应考虑当前疫苗采购模式对疫苗生态系统和公共卫生的影响。