#10239. When policy entrepreneurs fail: Explaining the failure of long-term care reforms in Poland

September 2026publication date
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Journal’s subject area:
Sociology and Political Science;
Development;
Public Administration;
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Abstract:
This article explains the failure of two long-term care (LTC) reforms attempted between 20XX and 20XX in Poland, and driven by policy entrepreneurs—individuals with a personal understanding of the challenges faced by LTC and determined to initiate policy change in the domain. The article inductively identifies the ‘outsider policy entrepreneur’ mechanism of policy reform. LTC in Poland is a negative case (or breakdown) of this mechanism, which occurs when a policy entrepreneur has enough political influence to initiate a formal reform proposal, but not enough to convince decision-makers to adopt it. The article combines an examination of the role of policy entrepreneurs in social policy change with an analysis of their interactions with domestic and foreign epistemic communities. Through showing how ‘foreign’ policy models are used by policy entrepreneurs to pursue domestic reform, the study contributes to the literature on transnational policy diffusion/transfer.
Keywords:
CEE; long-term care; Poland; policy diffusion; policy entrepreneur; policy reform

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