The i-GAP Project

Advance Care Planning (ACP) is a process of thinking about and sharing wishes for future health and personal care. It helps people tell others what they would want in the future if they were unable to speak for themselves.

i-GAP is a research project that is intended to increase the participation of patients and families in advance care planning and to stimulate conversations between these patients and their families and their health care providers in primary care settings.

i-GAP is working with primary care practices to:

  • Identify the barriers and facilitators to implementing ACP in primary care.
  • Assess the extent to which patients in primary care currently complete key components of ACP.
  • Identify, and create/adapt tools to improve ACP engagement in primary care.
  • Measure the impact of these tools and approaches.

Did you know?

60% of Canadians want their healthcare provider to give them information about advance care planning, but only 26% of primary care physicians are comfortable having those discussions, and 67% of primary care physicians say they need more resources and information.(1,2)

Earlier research has demonstrated that ACP can increase quality of life for dying patients, improve family and caregiver experiences and decrease health care costs.3

Learn more:

Recent Project News:


  1. Canadian Hospice Palliative Care Association, The Way Forward Survey: General/Family Practitioners and Nurses in Primary Care, for The Way Forward initiative, Ipsos Reid: 2014.
  2. Canadian Hospice Palliative Care Association, What Canadians Say: The Way Forward Survey Report, for The Way Forward initiative, Harris/Decima: 2013.
  3. Wright, AA, et al. Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment, JAMA, 2008, 300(14) 1665-1673.