جستجوی مقالات مرتبط با کلیدواژه "lobbying" در نشریات گروه "پزشکی"
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Background
While anyone can lobby governments, most lobbying is driven by commercial interests. Due to limited government disclosures, it is often challenging to get a clear picture of who is lobbying whom or why. To help make lobbying more visible to the public, we set out to develop a framework of key criteria for best practice government lobbying disclosures.
MethodsWe undertook a systematic scoping review of peer-reviewed and grey literature to identify frameworks for measuring or evaluating lobbying transparency. We screened the titles and abstracts of 1727 peer-reviewed and 184 grey literature articles, assessing 230 articles for eligibility. Following screening, we included 15 frameworks from six peerreviewed and nine grey literature articles in our review. To create our framework of lobbying disclosures, we thematically coded the 15 included frameworks and used an iterative process to synthesise categories.
ResultsThe 15 frameworks covered more than only lobbying disclosures, with the most common other theme about enforcement and compliance. Most frameworks were developed to evaluate lobbying transparency in particular jurisdictions, with the United States the most common. Of the 15 frameworks analysed, those developed by nongovernmental organizations (NGOs) focused mainly on improving lobbying regulations, while most peer-reviewed studies developed frameworks to measure, compare and evaluate lobbying regulations. We developed a Framework fOr Comprehensive and Accessible Lobbying (FOCAL). It comprised eight primary categories (scope, timeliness, openness, descriptors, revolving door, relationships, financials, and contact log) covering 50 total indicators.
ConclusionGovernment transparency plays a crucial role in facilitating access to information about commercial political activities like lobbying. Our framework (FOCAL) offers a template for policy-makers to develop or strengthen regulations to improve lobbying transparency so commercial political influence strategies are more visible and subject to public scrutiny. This is an important step towards rebalancing influence toward the public interest.
Keywords: Lobbying, Transparency, Framework, Corporate Political Activity, Commercial Determinants -
A growing evidence base indicates that sugar-sweetened beverage (SSB) taxes are an effective tool to help reduce excess sugar intake. The effects of SSB taxes and the mechanisms which underlie them, however, are dependent on a number of interrelated factors such as policy design and responses of industry and consumers. Forde and colleagues contribute to unpacking these mechanisms by exploring the way in which the UK’s Soft Drinks Industry Levy (SDIL) shaped the four Ps of soft drinks marketing: product, price, placement, and promotion. This commentary builds on the authors’ insights by connecting them to existing knowledge on corporate political activity and the commercial determinants of health (CDOH) more broadly. Specifically, I discuss the risk that an industry framing of regulation-induced marketing changes as a voluntary step towards corporate responsibility undermines the need for government intervention to address obesity in other contexts and countries. I conclude by arguing that the public health community would benefit from considering marketing responses to regulation alongside industry narratives about these changes.
Keywords: Obesity, Tax, Sugar-Sweetened Beverages, Lobbying -
Suzuki and colleagues’ rare and elaborate analysis of the political processes behind the 2018 United Nations (UN) non- communicable diseases (NCD) Declaration discloses various pathways towards influencing global public health policies. Their study should be a wake-up call for further scientific political scrutiny and analysis, including clearly distinguishing between consultations such as UN multi-stakeholder hearings preceding high-level meetings and the actual negotiating and decision making process. While stakeholder positions at interactive hearings are documented and published and thus made transparent, the negotiating process among member states is not publicly known. The extent to which intergovernmental negotiations are influenced at country or regional levels by commercial interests through direct and indirect lobbying outside of public consultations should be given more attention. Lobby registers should be implemented more stringently and legislative footprints required and applied not only to legally binding but also to internationally important documents such as political declarations.Keywords: Transparency, Lobbying, Private Sector, Political Declaration, NCD, Legislative Footprint
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مقدمههر چند نظام های سلامت به دنبال حصول اهداف سلامت با استفاده از رویکردهای مبتنی بر شواهد علمی و ارزشی می باشند اما تصمیم گیری ها در این حوزه تحت تاثیر برخی عوامل ناملموس و پیش بینی نشده قرار می گیرد. هدف این مطالعه بررسی نقش لابی گری و تضاد منافع در تصمیم گیری های نظام سلامت کشور می باشد.روش کاردر این مطالعه کیفی برای گردآوری داده ها از بررسی متون و مصاحبه با خبرگان نظام سلامت استفاده شد. مصاحبه های نیمه ساختار یافته با30 نفر از خبرگان نظام سلامت از سطوح خرد، میانه و کلان انجام شد. اطلاعات حاصل ازطریق چارچوب مفهومی ترکیبی (استنتاجی/ استقرایی) تحلیل شدند.یافته هادو تم اصلی و شش زیرتم شناسایی شدند. تم اصلی ”اثرات تضاد منافع بر نظام سلامت“ شامل زیرتم های اثر بر اجرای برنامه ها، اثر بر روابط بین بخشی سازمان های ملی و اثر بر تصمیم گیری های مردم برای انتخاب فناوری های سلامت بود و تم اصلی ”اثرات لابی گری بر نظام سلامت“شامل زیرتم های اثر بر تصویب قوانین مربوط به وزارت بهداشت، اثر بر گرفتن بودجه بیش تر، اثر بر اجرا یا عدم اجرای برنامه های خاص بود.نتیجه گیریوجود تضاد منافع در نظام سلامت بیانگر عدم نظارت و کنترل کافی از سوی نهادهای مسئول می باشد اما لابی گری اگر به صورت اصولی و در راستای مکتب اخلاقی سودگرایی باشد؛ در نهایت باعث حفظ منافع بیماران می شود.کلید واژگان: لابی گری, تضاد منافع, نظام سلامت, تصمیم گیری, مطالعه کیفیBackgroundHealth systems attempt to fulfill health goals through evidence-based and value-oriented approaches, but decision-making in this sector is under the influence of some unknown and unexpected factors. The current study aimed at examining the role of lobbying and conflict of interests on the Iranian health system decision-making.MethodsThe literature review and interview with key experts were used in the current qualitative study to collect data. Thirty semi-structured interviews were carried out at micro, meso, and macro levels. Data were analyzed and interpreted through a mixed (inductive/deductive) thematic framework.ResultsTwo themes and 6 subthemes were categorized based on the analyses; the theme of the effects of conflict of interests on health system with subthemes of effect on plans implementation, effect on intersector relations of national bodies, effect on public decisions, and also the theme of effects of lobbying on health system including subthemes of effect on attaining more budget or obtaining extra resources, effect on health technologies buying, and effect on implementation or non-implementation of special plans.ConclusionsConflict of interest indicates insufficient monitor of health system authorities, but lobbying can protect patients rights, if it is principally and ethically aligned with utilitarianism.Keywords: Conflict of Interest, Lobbying, Health System, Qualitative Study, Decision-Making
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