Introduction: We are facing a paradigm shift, evolving from a paternalistic model to a deliberative model in which the person-as a patient, relative or carer-takes a protagonist, active, dynamic and directional role, encouraging responsibility, empowerment and shared decisions. In addition, we must consider the tendency to promote a focus on the individual and their environment, which is committed to a partnership between the health and social world and comprehensive care from a population and integrated vision. This change of role implies a link between the community and health systems. In this sense, it has been implemented the Expert Patient Program Catalonia™ (EPPC), an initiative committed to taking responsibility for people with chronic health problems and to promoting self-care. The EPPC is a multidisciplinary initiative based on patient-healthcare professional collaboration and team work. In EPPC, Expert Patient (EP) leads the process and transmits knowledge about their disease to other patients who suffer from the same health problem. The healthcare professional becomes an observer, and only intervenes if it is necessary. The Expert Patient is a

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Introduction: Although in our cultural context death and end of life are still taboos, clinical approaches based on shared decision-making and person-centered care are emerging.

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