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Stéphanie Collin, Lise Lamothe

Sante Publique (Vandoeuvre-Les-Nancy, France)

|June 20, 2022

Summary

This summary is machine-generated.

Canadian healthcare reform in New Brunswick faced challenges due to stakeholder dynamics. The state must adapt to actor interactions and build trust for successful public healthcare system changes.

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Area of Science:

Public Health Policy
Healthcare System Reform
Governmental Steering

Context:

Healthcare system reforms are common in developed nations but often yield suboptimal outcomes.
This study examines the historical trajectory of healthcare reform in New Brunswick, Canada.
Analysis focuses on the challenges of state-led steering amidst complex stakeholder interactions.

Purpose:

To analyze the difficulties encountered by the state in steering healthcare reforms in New Brunswick.
To understand the influence of diverse stakeholder dynamics on reform processes.
To identify key factors for successful implementation of public healthcare reforms.

Summary:

Qualitative methods, including 39 semi-structured interviews with state representatives and stakeholders, were employed.

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Stakeholder motivations, such as francophone healthcare services, significantly impacted reform trajectories.

Effective state steering requires adapting to dynamic interactions and managing diverse actor behaviors.

Impact:

State-led reforms require long-term commitment and a variety of policy instruments.
Successful reform necessitates clearly defined goals, trust-building, resistance management, and standardized data for evaluation.
Adapting to stakeholder dynamics is crucial for achieving desired public healthcare outcomes.