The CAPCH has defined four key principles comprised of ten critical elements which are necessary conditions for Canadians to have a truly people centred health and wellness system.

1. Responsibility – People are responsible for their health and wellness.  This principle is comprised of three key elements:

• Ownership – People own the realities and determinants of their personal health and wellness and their need for health care services.
• Empowerment - People empower themselves and can be further empowered by health care professionals to manage their health and wellness.
• Commitment – People strive to improve their health and wellness.

2. Autonomy – People make their own decisions affecting their health and wellness.  This principle is comprised of three key elements:

• Individuality – People’s individuality and definitions of health care quality are respected.
• Authority – People have the authority to manage any or all aspects of their health and wellness and to delegate that authority to someone else.
• Choice – People have the right to know and choose among all available options on how best to manage their health and wellness.

3. Informed Health Management – People have the information needed to manage and make informed decisions about their health and wellness.  This principle has three key elements:

• Personal Health Information – People own their personal health information.  This is defined as personal health records and information about alternative treatment options.
• Access – People have access to their personal health information at all times.  This information is clear and understandable.
• Privacy – People’s health information is private.  They have the right to share it with whomsoever they choose.

4. Partnership – People partner with healthcare providers to ensure the best possible outcomes.  This principle has one very important element:

• Support – People receive the support they require to take responsibility and ownership of their personal health, to access their information and to take decisions concerning the options available to them.  Health care professionals collaborate with one another to provide the best possible health care and wellness options and services to the people they serve.