Pharmacy-based immunization: a systematic review.

Background: The coronavirus disease 2019 pandemic has prompted the exploration of new response strategies for such health contingencies in the near future. Over the last 15 years, several pharmacy-based immunization (PBI) strategies have emerged seeking to exploit the potential of pharmacies as immunization, medication sale, and rapid test centers. However, the participation of pharmacies during the last pandemic was very uneven from one country to another, suggesting a lack of consensus on the definition of their roles and gaps between the literature and practice. Purpose: This study aimed to consolidate the current state of the literature on PBI, document its progress over time, and identify the gaps not yet addressed. Moreover, this study seeks to (i) provide new researchers with an overview of the studies on PBI and (ii) to inform both public health and private organization managers on the range of possible immunization models and strategies. Methodology: A systematic review of scientific qualitative and quantitative studies on the most important scientific databases was conducted. The Preferred Reporting Items for Systematic Reviews and Meta-analyzes guidelines were followed. Finally, this study discusses the trends, challenges, and limitations on the existing literature on PBI. Findings: Must studies concluded that PBI is a beneficial strategy for the population, particularly in terms of accessibility and territorial equity. However, the effectiveness of PBI is affected by the economic, political, and/or social context of the region. The collaboration between the public (government and health departments) and private (various pharmacy chains) sectors contributes to PBI's success. Originality: Unlike previous literature reviews on PBI that compiled qualitative and statistical studies, this study reviewed studies proposing mathematical optimization methods to approach PBI.

Supply chain resilience in a Covid-19 scenario: Mapping capabilities in a systemic framework.

COVID-19 hits the global supply chains in a non-paradigm manner unfolding new and systemic complexity. Therefore, the unexpected and frequent disruptions forced the concern of preventing or creating supply chain resilience capabilities. This paper aims to provide theoretical and practical reflections on resilience in supply chains of essential goods during pandemics using a systems approach. Documental research was performed in order to characterize business practices in consulting reports and interviews with managers published in business communication media. Thus, a careful content analysis was carried out, including the coding and categorization of the leading practices indicated by these vehicles. We suggest categories of resilience factors as new concepts to face the new normal in the supply chains. These categories are Technology and People, Sourcing, Customer, Ecosystem, and Financial Assets. The systems approach consists of more qualified supply chain management stimulating several inputs and synchronized actions to sense and respond to the external environment dynamics.

El Problema de la Recogida de Productos Defectuosos en el Mercado: Enfoques Académicos y Legales / The Product Recall Problem: Academic and Legal Approaches / O Problema da Recolha de Produtos Defeitos no Mercado: Abordagens Acadêmicas e Jurídicas

Resumen Introducción: el estudio de las campañas de retiro de productos defectuosos del mercado {recalls} es un tema vigente y complejo en el contexto de la gestión de la calidad en cadenas de suministro para garantizar la seguridad y la protección de los consumidores. Objetivo: identificar los principales enfoques académicos y legales utilizados a nivel nacional e internacional para el diseño y ejecución de estrategias de retiro de productos. Materiales y métodos: se aplicó un enfoque exploratorio de la investigación, a través de una revisión de literatura y análisis bibliométrico con Vosviewer, considerando los artículos publicados en el periodo entre 1999 y 2019, en las bases de datos Taylor and Francis, EBSCO, Science Direct, Scopus, Springer Link, IEEE, Google académico y Proquest. Resultados: se evidenció un crecimiento en el número de recalls en los últimos 20 años, especialmente en la industria de juguetes (161 %), sector automotriz (140%), productos de belleza (70 %) y suministros eléctricos (64 %). Las principales metodologías para el estudio de los recalls son de naturaleza cualitativa. Conclusiones: son requeridos nuevos aportes académicos orientados al desarrollo de modelos y metodologías que permitan involucrar a todos los miembros de la cadena de suministro en el diseño y ejecución de estrategias coordinadas para disminuir los riesgos de ocurrencia de productos defectuosos o inseguros en el mercado.

Abstract Introduction: the recall study is a current and complex issue of supply chain quality management to ensure the safety and protection of consumers. Objective: identify the main national and international academic and legal approaches used to design and perform product recall strategies. Materials and Methods: an exploratory research approach was applied, through a literature review and bibliometric analysis with the Vosviewer software, by considering the articles published between 1999 and 2019 in the databases Taylor and Francis, EBSCO, Science Direct, Scopus databases, Springer Link, IEEE, Google Scholar, and Proquest. Results: there was an increase in the number of recalls in the last 20 years, especially in the toy industry (161 %), the automotive sector (140 %), beauty products (70 %) and electrical supplies (64 %). The main methodologies for studying product recalls are qualitative ones. Conclusions: new academic contributions are required for developing models and methodologies that allow all the supply chain members to be involved in designing and performing coordinated strategies to reduce the risks of defective or unsafe products in the market.

Resumo Introdução: o estudo de recolha de produtos defeitos é uma questão actual e complexa de gestão da qualidade da cadeia de abastecimento para garantir a segurança e a protecção dos consumidores. Objetivo: identificar as principais abordagens acadêmicas e jurídicas nacionais e internacionais utilizadas para conceber e executar estratégias de recolha de produtos. Materiais e métodos: foi aplicada uma abordagem de pesquisa exploratória, por meio de uma revisão da literatura e análise bibliométrica com Vosviewer, considerando os artigos publicados no período entre 1999 e 2019, nas bases de dados de Taylor e Francis, EBSCO, Science Direct, Scopus, Springer Link, IEEE, Google Scholar e Proquest. Resultados: houve um aumento no número de recalls nos últimos 20 anos, principalmente na indústria de brinquedos (161 %), no setor automotivo (140 %), produtos de beleza (70 %) e suprimentos elétricos (64 %). As principais metodologias para o estudo de recalls são de natureza qualitativa. Conclusões: são necessárias novas contribuições académicas para o desenvolvimento de modelos e metodologias que permitam a todos os membros da cadeia de fornecimento estarem envolvidos na concepção e execução de estratégias coordenadas para reduzir os riscos de produtos defeituosos ou inseguros no mercado.

A systematic literature review of quantitative models for sustainable supply chain management.

Supply chain management is the basis for the execution of operations, being considered as the core of the business function in the 21st century. On the other hand, at present, factors such as the reduction of natural resources, the search for competitive advantages, government laws and global agreements, have generated a greater interest in the sustainable development, which, in order to achieve it, industries need to rethink and plan their supply chain considering a path of sustainability. So sustainable supply chain management emerges as a means to integrate stakeholders' concern for profit and cost reduction with environmental and social requirements, attracting significant interest among managers, researchers and practitioners. The main objective of this study is to provide a synthesis of the key elements of the quantitative model offerings that use sustainability indicators in the design and management of forward supply chains. To achieve this objective, we developed a systematic literature review that includes seventy articles published during the last decade in peer-reviewed journals in English language. In addition a 4 W's analysis (When, Who, What, and Where) is applied and three structural dimensions are defined and grouped by categories: Supply chain management, modeling and sustainability. As part of the results we evidenced a continuous growth in the scientific production of this type of articles, with a predominance of deterministic mathematical programming models with an environmental economic perspective. Finally, we identified research gaps, highlighting the lack of integral inclusion of a life cycle analysis in the design of supply chain networks.

Improving urban household solid waste management in developing countries based on the German experience.

Countries worldwide strive to improve their urban household solid waste management (UHSWM) practices. While developed countries like Germany have achieved good results with different UHSWM initiatives, developing countries still struggle to be effective with their waste management (WM) policies. With an interest in learning from the German experience, this paper provides a cross-case analysis between a German and a Brazilian city that can be of practical relevance to improving UHSWM in developing countries. The paper uses "process flow diagram" (PFD) and "wasteaware benchmark indicators" for integrated sustainable waste management (ISWM). Both methods confirmed the German city as a benchmark and attested the inefficiency of the Brazilian UHSWM. The total maximum score weightage percentage of the matrix quantification difference was significant, 98% against 50%. Findings highlight viable solutions based on the three pillars of the German solid WM system: clear laws, regular public campaigns, and fee methodology. The formalization and improvement of Brazilian UHSWM require better governance to obtain additional investments. Herein, the application of the Green Dot methodology, sponsored by industry and consumers in Germany, would enable an increase of up to 318% of the values received by a typical Brazilian cooperative. This additional investment can empower a sustainable solution where the population could opt to work with recycling, either as a formal employee or as a formal entrepreneur, shedding more light on the social pillar of the triple bottom line. Moreover, it can enable improvements in technologies, and on regular public campaigns to increase education in important sustainable matters.

Inventory replenishment decision model for the supplier selection problem using metaheuristic algorithms.

In supply chain management, fast and accurate decisions in supplier selection and order quantity allocation have a strong influence on the company's profitability and the total cost of finished products. In this paper, a novel and non-linear model is proposed for solving the supplier selection and order quantity allocation problem. The model is introduced for minimizing the total cost per time unit, considering ordering, purchasing, inventory, and transportation cost with freight rate discounts. Perfect rate and capacity constraints are also considered in the model. Since metaheuristic algorithms have been successfully applied in supplier selection, and due to the non-linearity of the proposed model, particle swarm optimization (PSO), genetic algorithm (GA), and differential evolution (DE), are implemented as optimizing solvers instead of analytical methods. The model is tested by solving a reference model using PSO, GA, and DE. The performance is evaluated by comparing the solution to the problem against other solutions reported in the literature. Experimental results prove the effectiveness of the proposed model, and demonstrate that metaheuristic algorithms can find lower-cost solutions in less time than analytical methods.

Production, storage, and destination of seafood industry waste in five states of Brazil / Produção, armazenagem e destinação do resíduo da industrialização de pescado em cinco estados brasileiros

Large quantities of waste are generated throughout the seafood supply chain. Although this material has a great potential for use (e.g. pharmaceutical industry, animal feed production), if not managed properly it represents an environmental risk. In order to meet the volume, destination, and method of storage of waste of Brazilian seafood supply chain, we got information from 29 companies that have Official Veterinary Inspection (SIF). After the industrialization of seafood only 44% on average of the total raw material is used for human consumption and 59.2% of the unused portion is discarded in landfill.(AU)

Grandes quantidades de resíduo são geradas ao longo da cadeia produtiva do pescado. Embora este material apresente um grande potencial de aproveitamento (e.g. indústria farmacêutica, produção de ração), se não for corretamente destinado, representa risco ambiental. A fim de conhecer o volume, a destinação e o método de armazenamento do resíduo produzido pela indústria do pescado no Brasil, 29 empresas de processamento de pescado, sob Serviço de Inspeção Federal (SIF), foram estudadas em todo o país. Identificou-se que cerca de 44% do total produzido é matériaprima utilizada para consumo humano, e 59,2% representa resíduo sem finalidade útil, descartado em lixões.(AU)

Production, storage, and destination of seafood industry waste in five states of Brazil / Produção, armazenagem e destinação do resíduo da industrialização de pescado em cinco estados brasileiros

Large quantities of waste are generated throughout the seafood supply chain. Although this material has a great potential for use (e.g. pharmaceutical industry, animal feed production), if not managed properly it represents an environmental risk. In order to meet the volume, destination, and method of storage of waste of Brazilian seafood supply chain, we got information from 29 companies that have Official Veterinary Inspection (SIF). After the industrialization of seafood only 44% on average of the total raw material is used for human consumption and 59.2% of the unused portion is discarded in landfill.(AU)

Grandes quantidades de resíduo são geradas ao longo da cadeia produtiva do pescado. Embora este material apresente um grande potencial de aproveitamento (e.g. indústria farmacêutica, produção de ração), se não for corretamente destinado, representa risco ambiental. A fim de conhecer o volume, a destinação e o método de armazenamento do resíduo produzido pela indústria do pescado no Brasil, 29 empresas de processamento de pescado, sob Serviço de Inspeção Federal (SIF), foram estudadas em todo o país. Identificou-se que cerca de 44% do total produzido é matériaprima utilizada para consumo humano, e 59,2% representa resíduo sem finalidade útil, descartado em lixões.(AU)

Determinando los factores del capital relacional en la interacción de cliente proveedor en MiPyMES

El objetivo de esta investigación ha sido determinar y analizar los factores que caracterizan el capital relacional en la interacción cliente-proveedor en pequeñas y medianas empresas en una región específica de México. Con fundamento en la revisión de literatura se identifican las perspectivas de análisis de la variable de capital relacional en el trato con los proveedores. Se desarrolló y aplicó un cuestionario para recabar datos en 258 micro, pequeñas y medianas empresas (MiPyMES) del noreste de México. Se utilizó la técnica de análisis factorial exploratorio para la determinación de los factores que mejor reflejan la estructura subyacente de las variables de estudio. Se obtuvieron tres dimensiones importantes mediante lo cual se puede afirmar que la comunicación y el compromiso, la integración y la socialización son los factores que caracterizan la relación cliente - proveedor en las micro, pequeñas y medianas empresas estudiadas.

The objective of this research was to determine and analyze factors that characterize relational capital in the supplier customer interaction in small and medium enterprises in a specific region of Mexico. Based on the literature review, the prospects for analysis of relational capital variable in dealing with suppliers are identified. It was developed and applied a questionnaire to collect data on 258 small and medium enterprises (SME's) in northeastern Mexico. The exploratory factor analysis technique for the determination of the factors that better reflect the underlying structure of the study variables was used. Three important dimensions by which we can say that communication and engagement, integration and socialization are the factors that characterize the client relationship were obtained related to the SME's studied.

O objetivo desta pesquisa foi determinar e analisar os fatores que caracterizam o capital relacional na interação cliente-fornecedor em pequenas e médias empresas em uma região específica do México. Com base na literatura de análise de revisão perspectivas de capital variável relacional em lidar com fornecedores são identificados. Foi desenvolvido e aplicado um questionário para coletar dados sobre 258 micro, pequenas e médias empresas (MPMEs) no nordeste do México. foi utilizada a técnica de análise fatorial exploratória para a determinação dos fatores que melhor refletem a estrutura subjacente das variáveis do estudo. fornecedor por micro, pequenas e médias empresas estudadas - três dimensões importantes pelos quais podemos dizer que a comunicação e engajamento, integração e socialização são os fatores que caracterizam o relacionamento com o cliente é obtido.

A contribuição da logística integrada às decisões de gestão das políticas públicas no Brasil / The contribution of integrated logistics to public policy management decisions in Brazil

Neste artigo buscamos identificar e sistematizar os componentes logísticos da gestão de políticas públicas, analisando como as decisões logísticas são centrais e, ao mesmo tempo, específicas para se pensar a melhoria do Estado e dos serviços públicos. Além disso, buscamos identificar como essas decisões logísticas, do ponto de vista da logística integrada e do gerenciamento da cadeia de suprimentos, podem ser consideradas, nos processos decisórios da gestão de políticas públicas, como instrumento de promoção da eficiência e de impactos significativos nos próprios resultados da administração pública. Para tanto, este artigo identifica e classifica uma série de decisões logísticas essenciais que caracterizam a ideia de logística no setor público. Também analisa algumas experiências e casos que demonstram a importância e especificidade dessas discussões para as políticas públicas.

This article aims to identify and classify the logistics aspects of the management of public policies, examining how logistics decisions are essential to improve the state organizations and public services performance. Adopting integrated logistics and supply chain management point of view we seek to identify how these logistics decisions can be considered in decision making processes of public policy management as a tool to promote efficiency and significant impacts on results of public organizations management. Therefore, this article presents a series of essential decisions that concern the central idea of logistics in the public sector. It also discusses some experiences and cases that demonstrate the importance and specificity of these discussions to public policy.

Organización del abasto de medicamentos en los servicios estatales de salud: potenciales consecuencias de la mezcla público-privada / Organization of the drug supply chain in state health services: potential consequences of the public-private mix.

OBJETIVO. Evaluar las consecuencias de la subrogación privada sobre el proceso general de abasto y el surtimiento completo de recetas en los servicios estatales de salud. MATERIAL Y MÉTODOS. La investigación se realizó utilizando técnicas cuantitativas y cualitativas en 13 entidades federativas. La información se recolectó mediante entrevistas y observación directa. Las entrevistas se aplicaron a personal de los servicios estatales de salud relacionados con la cadena de abasto de medicamentos y a usuarios de los servicios de atención. La aproximación cuantitativa examinó, en una muestra por conveniencia de usuarios, el porcentaje de recetas completas surtidas. RESULTADOS. Las entidades que han optado por el modelo tercerizado en su totalidad y lo controlan adecuadamente han incrementado el suministro de medicamentos entre sus usuarios y garantizado el abasto en las unidades de atención a su cargo. Otras entidades con modelo tercerizado tienen múltiples problemas: compra directa de medicamentos no incluidos en el cuadro básico, incumplimiento de proveedores y escasez de insumos en los laboratorios que proveen a la empresa. Como principales inconvenientes de todos los modelos se identificaron la subordinación de los criterios médicos a los criterios administrativos; la insuficiente planeación basada en las necesidades locales de atención; la heterogeneidad de los procedimientos; el conocimiento insuficiente de la normatividad y la falta de regulación. CONCLUSIÓN. Los resultados indican que la incorporación de proveedores privados en la cadena de abasto de medicamentos podría no ser la solución para abatir el desabasto que padecen los servicios de salud, especialmente a escala hospitalaria. El cambio hacia modelos subrogados (tercerizados) se ha desarrollado sin incorporar mecanismos de evaluación, y las consecuencias que esta transición puede acarrear sobre los sistemas estatales de salud deben ser investigadas con mayor profundidad.

OBJECTIVE. To assess the consequences of private outsourcing on the overall supply and filling of prescriptions in state health services. MATERIAL AND METHODS. The research was conducted using quantitative and qualitative techniques in 13 states. The information was collected through interviews and direct observation. The interviews were carried on staff of state health services related to the drug supply chain and users of health services. The quantitative approach examined the percentage of stocked full recipes in a sample of users. RESULTS States that have opted for the fully outsourced model, and properly monitored this choice, have increased the supply of drugs to their users and guaranteed the supply in the care units in charge. Other states with the outsourced model have multiple problems: direct purchase of drugs not included in the basic drugs catalogue, failure of suppliers and shortage of supplies in the laboratories that provide the company. The main disadvantages identified in all models were: the subordination of the medical criteria to administrative criteria, insufficient planning based on local care needs, heterogeneous procedures, insufficient knowledge of regulations and lack of normativity. CONCLUSION. The results indicate that the incorporation of private providers in the drug supply chain may not be the solution to bring down the shortage faced by health services, especially at the hospital level. The shift to outsourcing models has developed without incorporating evaluation mechanisms and the consequences that this transition can have on state health systems must be investigated more deeply.