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Pharmaceutical lobbying under postcommunism: universal or country-specific methods of securing state drug reimbursement in Poland?

Published online by Cambridge University Press:  08 August 2011

Piotr Ozierański ,
Martin McKee  and
Lawrence King
Piotr Ozierański
Affiliation:
Department of Sociology, University of Cambridge, Free School Lane, Cambridge, UK
Martin McKee
Affiliation:
European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, UK
Lawrence King*
Affiliation:
Department of Sociology, University of Cambridge, Free School Lane, Cambridge, UK
*
Correspondence to: Dr. Lawrence King, Department of Sociology, University of Cambridge, Free School Lane, Cambridge, CB2 3RQ, UK. Email: lk285@cam.ac.uk
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Abstract

This paper aims to fill in the gap in research on the effect of pharmaceutical lobbying on drug reimbursement policy, particularly in Poland, a post-communist country. To this end, we conducted in-depth, semi-structured, anonymous, elite interviews in Poland, supplemented by a review of legislation, policy documents, official reports and press articles, as well as observations. Overall, 109 representatives of stakeholders involved in reimbursement policy were interviewed. We identified two key lobbying methods: informal persuasion and third-party endorsements. These methods are coupled with two supplementary ones: lobbying through parliament and ministries, as well as diplomatic pressure. Pharmaceutical lobbying methods in Poland clearly resemble those used in other European countries. What is notable about the Polish case is extensive reliance on informal lobbying and diplomatic pressure.

Type
Articles
Information
Health Economics, Policy and Law , Volume 7 , Issue 2 , 02 March 2012 , pp. 175 - 195
Copyright
Copyright © Cambridge University Press 2011

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