The institutional approach emphasizes the process and the needs of the institutions. It is presented in clear steps and starts at the top of the hierarchy (top-down).

This vision focuses on the process, and therefore logic dictates that following the predetermined frame will provide clear and measurable results that can be defined as engagement.

Source (French only): Engagement des communautés francophones : les carrefours santé comme moteurs de participation. Centre régional de recherche et d’intervention en développement économique et communautaire (CRRIDEC), 2012