Demand planning for vaccinations using the example of seasonal influenza vaccination - country comparison and implications for Germany

Abstract Background Annual vaccination is the most important measure to prevent influenza infection. However, demand planning of influenza vaccines is challenging due to seasonal adaptations of virus strains and long production times. The aim was to analyze how other countries manage the demand plan...

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Main Authors: Anna Bußmann, Christian Speckemeier, Pauline Schlesiger, Jürgen Wasem, Isabelle Bekeredjian-Ding, Bernhard Ultsch
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-22420-0
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author Anna Bußmann
Christian Speckemeier
Pauline Schlesiger
Jürgen Wasem
Isabelle Bekeredjian-Ding
Bernhard Ultsch
author_facet Anna Bußmann
Christian Speckemeier
Pauline Schlesiger
Jürgen Wasem
Isabelle Bekeredjian-Ding
Bernhard Ultsch
author_sort Anna Bußmann
collection DOAJ
description Abstract Background Annual vaccination is the most important measure to prevent influenza infection. However, demand planning of influenza vaccines is challenging due to seasonal adaptations of virus strains and long production times. The aim was to analyze how other countries manage the demand planning of seasonal influenza vaccines and to draw implications for the German demand planning system for seasonal (influenza) vaccines. Methods A two-stage approach has been adopted. As a first step, an analysis of the German demand planning system was carried out to identify key challenges. Second, an analysis of comparable countries with regard to solution strategies was conducted. For this, six comparator countries were selected based on different healthcare systems and structures (Australia, Canada, Great Britain, Singapore, Switzerland, USA). Targeted searches in PubMed, Google Scholar and on websites of agencies and organizations were performed. Further information was requested through e-mail correspondence with the ministries of health and other relevant institutions. In addition, experts from the pharmaceutical industry in the selected countries were approached via written survey. Results Identified challenges in the demand planning of influenza vaccines in Germany include a lack of reliability of the current demand planning system, bureaucratic burden, lack of binding orders, financial liability of GPs, vaccine discard and limited possibilities of reordering. Various approaches have been identified in six comparator countries. Some of them are already implemented in the German system, others could address the challenges in the German demand planning for influenza vaccines. These include vaccine forecast methods, monitoring systems/vaccination registers, a central platform for orders, (earlier) preorders, centralized purchase system, reimbursement of a surplus and reallocation and return systems. The different approaches are discussed and linked to address the challenges of the German system. Conclusions Several approaches have been identified that may be suitable to address the challenges of the German system of (influenza) vaccine demand planning. In the future, further investigation is necessary to assess the potential feasibility and implementation on a health policy level.
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spelling doaj-art-67d5fc9c27ba4e7bbb0d9a2572854d3f2025-08-20T02:25:41ZengBMCBMC Public Health1471-24582025-04-0125111410.1186/s12889-025-22420-0Demand planning for vaccinations using the example of seasonal influenza vaccination - country comparison and implications for GermanyAnna Bußmann0Christian Speckemeier1Pauline Schlesiger2Jürgen Wasem3Isabelle Bekeredjian-Ding4Bernhard Ultsch5Essener Forschungsinstitut für Medizinmanagement (EsFoMed) GmbHEssener Forschungsinstitut für Medizinmanagement (EsFoMed) GmbHEssener Forschungsinstitut für Medizinmanagement (EsFoMed) GmbHLehrstuhl für Medizinmanagement, Universität Duisburg-EssenInstitut für Medizinische Mikrobiologie und Krankenhaushygiene, Philipps-Universität MarburgModerna Germany GmbHAbstract Background Annual vaccination is the most important measure to prevent influenza infection. However, demand planning of influenza vaccines is challenging due to seasonal adaptations of virus strains and long production times. The aim was to analyze how other countries manage the demand planning of seasonal influenza vaccines and to draw implications for the German demand planning system for seasonal (influenza) vaccines. Methods A two-stage approach has been adopted. As a first step, an analysis of the German demand planning system was carried out to identify key challenges. Second, an analysis of comparable countries with regard to solution strategies was conducted. For this, six comparator countries were selected based on different healthcare systems and structures (Australia, Canada, Great Britain, Singapore, Switzerland, USA). Targeted searches in PubMed, Google Scholar and on websites of agencies and organizations were performed. Further information was requested through e-mail correspondence with the ministries of health and other relevant institutions. In addition, experts from the pharmaceutical industry in the selected countries were approached via written survey. Results Identified challenges in the demand planning of influenza vaccines in Germany include a lack of reliability of the current demand planning system, bureaucratic burden, lack of binding orders, financial liability of GPs, vaccine discard and limited possibilities of reordering. Various approaches have been identified in six comparator countries. Some of them are already implemented in the German system, others could address the challenges in the German demand planning for influenza vaccines. These include vaccine forecast methods, monitoring systems/vaccination registers, a central platform for orders, (earlier) preorders, centralized purchase system, reimbursement of a surplus and reallocation and return systems. The different approaches are discussed and linked to address the challenges of the German system. Conclusions Several approaches have been identified that may be suitable to address the challenges of the German system of (influenza) vaccine demand planning. In the future, further investigation is necessary to assess the potential feasibility and implementation on a health policy level.https://doi.org/10.1186/s12889-025-22420-0InfluenzaSeasonal vaccinesDemandPlanningVaccination rate
spellingShingle Anna Bußmann
Christian Speckemeier
Pauline Schlesiger
Jürgen Wasem
Isabelle Bekeredjian-Ding
Bernhard Ultsch
Demand planning for vaccinations using the example of seasonal influenza vaccination - country comparison and implications for Germany
BMC Public Health
Influenza
Seasonal vaccines
Demand
Planning
Vaccination rate
title Demand planning for vaccinations using the example of seasonal influenza vaccination - country comparison and implications for Germany
title_full Demand planning for vaccinations using the example of seasonal influenza vaccination - country comparison and implications for Germany
title_fullStr Demand planning for vaccinations using the example of seasonal influenza vaccination - country comparison and implications for Germany
title_full_unstemmed Demand planning for vaccinations using the example of seasonal influenza vaccination - country comparison and implications for Germany
title_short Demand planning for vaccinations using the example of seasonal influenza vaccination - country comparison and implications for Germany
title_sort demand planning for vaccinations using the example of seasonal influenza vaccination country comparison and implications for germany
topic Influenza
Seasonal vaccines
Demand
Planning
Vaccination rate
url https://doi.org/10.1186/s12889-025-22420-0
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