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Advocacy and Policy Change in the Multilevel System of the European Union: A Case Study within Health Policy
National Research Council of Italy, Bologna, Italy
- 1 National Research Council of Italy, Bologna, Italy
Open Journal of Political Science·Volume 02 (2012)·Pages 32–44·Published 31 October 2012·DOI10.4236/ojps.2012.23005
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Abstract
Health policy is basically Member States’ competence. However, the European Union has recently raised a number of key questions facing both (pharmaceutical) industries and public health interests. By applying the Advocacy Coalition Framework, the paper sheds light on policy change within the European multilevel system. The analysis is based on a case-study strategy. Two processes in the pharmaceutical policy are taken into account: the “Pharma Forum” and the “Pharma Package”. They both concern “information to patient”—a controversial policy issue at the crossroad of competing pressures.
KeywordsAdvocacy Coalition FrameworkEuropean UnionPolicy ChangeLobbyingPharmaceutical Policy
- Anderson, P. (2009). The new old world. London: Verso.
- Bryant, T. (2002). Role of knowledge in public health and health promotion policy change. Health Promotion International, 17, 89-98. doi:10.1093/heapro/17.1.89
- Carboni, N. (2009). Advocacy groups in the multilevel system of the EU: A case study in health policy-making. OSE Paper Series, Research Paper 1, 1-35.
- Cram, L. (1993). Calling the tune without paying the piper: Social policy regulation: The role of the commission in European Union social policy. Policy and Politics, 21, 135-146. doi:10.1332/030557393782453899
- Cram, L. (1997). Policy-making and the integration process implications for integration theory. London: Routledge.
- European Public Health Alliance (2008). Pharmaceutical package: Better but far from perfect. Brussels: European Public Health Alliance Press Release.
- Greer, S. (2006). Uninvited europeanization: Neofunctionalism and the EU in health policy. Journal of European Public Policy, 13, 134-152. doi:10.1080/13501760500380783
- Greer, S., & Vanhercke, B. (2009). Healthcare and the EU: The hard politics of soft law. In E. Mossialos, R. Baeten, & T. Hervey (Eds.), Health system governance in Europe: The role of EU law and policy. Cambridge: Cambridge University Press.
- Héritier, A. (2007). Explaining institutional change in Europe. Oxford, OH: Oxford University Press. doi:10.1093/acprof:oso/9780199298129.001.0001
- Jenkins-Smith H. C., & Sabatier, P. (1993). Policy change and learning. Boulder, CO: Westview Press.
- Jenkins-Smith H. C., & Sabatier, P. (1999). The advocacy coalition framework: An assessment. In P. Sabatier (Eds.), Theories of the policy process (pp. 117-166). Boulder, CO: Westview Press.
- Laffan, B. (1997). From policy entrepreneur to policy manager: The challenge facing the European Commission. Journal of European Public Policy, 4, 422-438. doi:10.1080/13501769780000081
- Lamping, W. (2005). European integration and health policy: A peculiar relationship. In M. Steffen (Ed.), Health governance in Europe. Issues, challenges, and theorie (pp. 18-48). London: Routledge.
- Leibfried, S., & Pierson, P. (2000). Social policy. Left to courts and markets? In H. Wallace and W. Wallace (Eds.), Policy making in the European Union (pp. 273-293). Oxford, OH: Oxford University Press.