Newfoundland responds to change.
The authors recount how Newfoundland's health care system accommodated severe fiscal restraint imposed by the provincial government in 1990. By outlining the role of the Newfoundland Hospital and Nursing Home Association and other provincial health partners, the authors contend that dialogue and cooperation are key to successful reform. Newfoundland's health care community developed specific objectives, guidelines for restructuring, and a province-wide perspective to help reduce the effect of funding cuts.