The issue on "The Patient Experience in Ontario 2020: What is Possible?"taught us how Ontario is trying to shift to a consistent culture of patient engagement at all levels of their healthcare system, from clinical to organizational and political.We all know that our healthcare systems, built between 1940 and 1970, were structured around acute and highly specialized care provided by health facilities.Now, we see that needs have changed considerably over the last 30 years due to a significant increase in the prevalence of chronic diseases (Beaglehole et al. 2011), which is currently the leading cause of morbidity and mortality in Western countries ( Jeon et al. 2009).In particular, in Canada, 65% of the population aged 12 and above and 90% of Patient Engagement: The Quebec Path
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Pomey et al. (2016) studied this question.