Current needs: the numbers

Given the aging population, the number of deaths is increasing every year. Though patients wish to spend their last moments at home surrounded by their loved ones, the end-of-life resources that would allow them to do so are grossly inadequate.

75 %

The percentage of Quebecers who prefer to die at home*

18 %

The target proportion of deaths at home set by the Ministère de la santé et des services sociaux (MSSS) for 2020

9,1 %

Percentage of deaths that occur at home in Québec**

25 083

The average number of days of hospitalization per year in Quebec in the last month of life for among the population likely to benefit from palliative care**

The demographic intensification of the needs of end-of-life patients calls for an INCREASE in home care resources.

* Annual activity report for April 1, 2019, to March 31, 2020, Commission sur les soins de fin de vie (2020) | French only.

** Indicateurs de soins palliatifs : mise à jour des résultats pour la population adulte du Québec, INSPQ, December 2020 | French only.

Medical assistance in dying (MAID)

  • Until 2019-2020, only 20 % of all medical assistance in dying was administered at home.

  • Due to the COVID-19 pandemic, this almost doubled in 2020-2021, to reach 39%.

  • Medical assistance in dying continues to be 48% hospital-based, resulting in multiple trips between home and hospital for patients at the end of life.

Annual activity report for April 1, 2020, to March 31, 2021, Commission sur les soins de fin de vie (2021) | French only

All MAID requesters should be able to receive this care in their home if they wish.


Coined by Aux trois sentiers, this neologism describesing engaged professionals who take an innovative approach to providing end-of-life care by focusing first and foremost on the patient and their needs, wishes and situation.

We want to bring care and services to patients, rather than ask the dying to travel to hospitals at this sacred time in their lives.


Offer a continuum of personalized care and services to people at the end of life and to their loved ones


A humane end of life



Positioning Aux trois sentiers – Palliactive care

  • Provide support as needs increase in the active dying period
  • Suggest a personalized care trajectory
  • Collaborate with other palliative and end-of-life care organizations
  • Complement existing services
  • Initial priority given to the Montréal area
  • Universal and free access through Quebec’s provincial medical insurance (RAMQ)

What makes us different

By providing the best possible care, we strive to enable our patients to have as peaceful an end-of-life period as possible.

We take innovative actions and out-of-the-box thinking to offer the following services at home:

  • Telemedicine
  • Installation of ultrasound-guided peripheral and central venous catheters
  • Continuous intravenous palliative sedation
  • Medical assistance in dying

Board of directors

A team of professionals driven by a shared desire to blaze new trails and make a difference in the end-of-life care environment.

Caroline Ouellet

Chair and founder
Aux trois sentiers – Palliactive Care

Intensive care anesthetist
Centre hospitalier de l’Université de Montréal (CHUM)

« I put my heart into helping people say goodbye to life and experience a beautiful death. »

Sylvain Charbonneau

Aux trois sentiers – Palliactive Care

Blue Cross Canassurance

« I hope the end-of-life experience I had with my own dad will continue to inspire me to think outside the box. »

Grégoire Pilon

Aux trois sentiers – Palliactive Care

Senior team leader
EY (Ernst & Young)

« I want to help make sure deaths can unfold in ways that respect people’s wishes. »

Sylvain Bellavance

Aux trois sentiers – Palliactive Care

Lawyer and negotiator
Sylvain Bellavance Avocat Inc.

« I am driven to promote optimal support and care, for a dignified and peaceful end of life. »

Julie Paquette

Aux trois sentiers – Palliactive Care

General Director
Dispensaire diététique de Montréal

« Death is a precious moment that must be experienced with compassion. »

Ghyslain Poisson

Aux trois sentiers – Palliactive Care

Professional golfer
École de golf Ghyslain Poisson

« I would like people to be able to feel safe and comfortable in their final days, enveloped in good care and company. »

Nathalie Savoie

Aux trois sentiers – Palliactive Care

Consultant and caregiver

« I hope my grateful involvement will soften the end of life for a few people. »

Want to get involved?
Be part of the change!

Let’s work together to help Quebecers who want a dignified end-of-life experience. Let’s have the courage to offer them beauty at the end of life.