title: Pharmaceutical lobbying under postcommunism: universal or country-specific methods of securing state drug reimbursement in Poland?
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.
authors.affiliation: Department of Sociology, University of Cambridge, Free School Lane, Cambridge, UK.
authors.forename: Piotr
authors.initials: P
authors.lastname: Ozierański
authors.forename: Martin
authors.initials: M
authors.lastname: McKee
authors.forename: Lawrence
authors.initials: L
authors.lastname: King
mesh_terms: D003148:Communism; D003362:Cost-Benefit Analysis; D004345:Drug Industry / Q000458:organization & administration*; D005380:Financing, Government; D006077:Government Agencies / Q000458:organization & administration; D006801:Humans; D007349:Insurance, Health, Reimbursement; D008119:Lobbying; D008402:Mass Media; D010358:Patient Participation; D010565:Persuasive Communication; D011044:Poland; D011050:Policy Making; D011057:Politics