TY - JOUR AU - E. Martin A1 - AB - In December 2024, Santé Québec (SQ), a province-wide agency overseeing health and social services delivery, was launched. Denis's essay offers an insightful and valuable lens to analyze the reform's underlying assumptions and to reflect on the opportunities and challenges ahead. SQ aims to separate policy making and planning from service delivery, a distinction that may prove difficult in practice. Moreover, the infrastructure for meaningful decentralization might be lacking, given Quebec's health system legacy of extensive structural integration. Nonetheless, existing assets - such as health regions, population-based responsibility and local health and social services networks - could prove to be valuable tools for stakeholder engagement and innovation. AD - Associate Professor, Faculty of Nursing, Université Laval, Researcher, VITAM, Centre de recherche en santé durable, Université Laval, Québec City, QC. AN - 41125565 BT - Healthc Pap C5 - Education & Workforce CP - 2 DA - Aug DO - 10.12927/hcpap.2025.27697 DP - NLM IS - 2 JF - Healthc Pap LA - eng N2 - In December 2024, Santé Québec (SQ), a province-wide agency overseeing health and social services delivery, was launched. Denis's essay offers an insightful and valuable lens to analyze the reform's underlying assumptions and to reflect on the opportunities and challenges ahead. SQ aims to separate policy making and planning from service delivery, a distinction that may prove difficult in practice. Moreover, the infrastructure for meaningful decentralization might be lacking, given Quebec's health system legacy of extensive structural integration. Nonetheless, existing assets - such as health regions, population-based responsibility and local health and social services networks - could prove to be valuable tools for stakeholder engagement and innovation. PY - 2025 SN - 1488-917x SP - 66 EP - 71+ ST - Just Out of the Starting Blocks: Advancing Province-Wide Integrated Health and Social Services Governance in Quebec T1 - Just Out of the Starting Blocks: Advancing Province-Wide Integrated Health and Social Services Governance in Quebec T2 - Healthc Pap TI - Just Out of the Starting Blocks: Advancing Province-Wide Integrated Health and Social Services Governance in Quebec U1 - Education & Workforce U3 - 10.12927/hcpap.2025.27697 VL - 23 VO - 1488-917x Y1 - 2025 ER -