While the concepts underpinning advance care planning are broadly similar across the country, the legal structures, terminology, and documents used to support ACP vary markedly from one province and territory to another. These regional differences that are rooted in distinct legislative frameworks, create challenges for individuals, families, health care providers, and advocates who work to normalize ACP across Canada.

Across Canada, ACP is recognized as a crucial part of patient-centered care, helping ensure that people receive treatment aligned with their values and goals. Yet, despite the growing awareness of its importance, a critical gap persists: ACP documents often don’t “follow you” across health care systems, hospitals, or even provinces.