| Summary: | There were several new policy reforms and discourses that intersected with the Canadian health public agenda during the 1990s. Despite new circumstances and widespread Pan-Canadian pressure and leadership calling for common health reforms, these transformations across jurisdictions or policy fields were not “inevitable” as often forecast by boosters. Our objective is to better understand the role of local contextual factors (culture, institutions, and interests) and how these have influenced provincial experiences with policy reforms. These contextual factors do not exercise similar degrees of influence upon policy change. Our goal is to explore and evaluate how health care reform evolved in Newfoundland and Labrador (NL).
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