Published: January 1, 2016 The-health-and-social-services-system-in-Quebec-Access-in-English Understanding The-health-and-social-services-system-in-Quebec-Access-in-English: Insights and trends. Download Document Documents The-health-and-social-services-system-in-Quebec-Access-in-English The need to draw a profile of our linguistic and cultural minorities became apparent to us once we learned of the results of the Québec Survey of Child Development in Kindergarten (QSCDK). That survey showed significant gaps in the general development of English and French-speaking children who attend kindergarten in Estrie. Why were there such differences? Were they the result of language or cultural barriers, or of other factors (e.g., poverty)? One thing is certain: we find such gaps unacceptable. We must therefore understand them better in order to take appropriate action.