(Sherbrooke) With the change of status of Dr. Richard Hamann from July, the Estrie region now has eight non-participating general practitioners. That’s two more than it was five years.
Across the province, their progression is faster. GPs participating or non-committed numbered 143 in 2011 and they are almost double in July 2016 to 282, almost 3 percent of family physicians able to charge.
“There are discussions in the Eastern Townships, there are doctors who are warning us that if it continues like this, they will stop (to be part of the public system). But the majority does not see privatization in a way to see more patients, “says Dr. Alain Demers, President of the Eastern Townships of General Practitioners Association (AMOE).
“We are not supporting this approach, he adds in the same breath. I am and I will always be a strong supporter of a public, universal, free and accessible. ”
She emphasized however that he has nothing against the decision of Dr Hamann – “it’s their choice and it is his right” – Dr. Demers agrees that the health system saw major upheavals and that care accessibility poses significant challenges.
The health minister Gaetan Barrette has set the bar high by requiring family doctors to take over 85% percent of Quebecers by 31 December 2017, the risk of receiving sanctions to encourage them to work harder.
“But the law 20 is not in force, argues Dr. Demers. It is suspended as long as we fulfill our commitments. And if everyone puts his shoulder to the wheel, I think it is possible. ”
As president of the AMOE and regional president of the Federation of General Practitioners of Quebec, he believes that the implementation of the new nomenclature and supercliniques of care provided by the RAMQ – the one criticized by Dr Hamann – are indeed part of the solution.
“These are the doctors who proposed that remuneration be based on pathology rather than the person. We not prioritize the annual review of a person in their twenties in perfect health, but to see patients who are really sick, “says Dr. Alain Demers, who is also quite normal that hold tight the RAMQ purse strings.
As for supercliniques, he sees a lot of potential, especially if the Minister Barrette abandons the idea of applying the same formula throughout the province regardless of regional differences.
For if in Montreal on supercliniques must be open every night to reduce a 14-hour waiting time in the emergency, is it really necessary to Sherbrooke, both supercliniques are open both up to 20 hours late week, asks Dr. Demers.
“It’s like a grocery store, superclinique, he illustrates. If it is open on Sundays, people will go there. Otherwise they will go on Saturday. Except that while doctors are available for the walk-in supercliniques, they are not available to make the management … ”
Dr. Demers will conclude by recalling that the Eastern Townships is a delay of ten years to catch up in terms of new doctors to support new patients. Because for ten years, with the aging of physicians and incentives to go to practice in remote areas, the new recruits in the Eastern Townships enough just to replace those who retire or die.
“We take great mouthfuls in the waiting list, it always adds new patients on the job. And this is not because doctors do not put the effort. ”
As of June 13, 27,161 patients were enrolled in the window of access to a family doctor for the Estrie region.
The support rate is 78.4 percent, according to the latest quarterly report.
Participating doctor: He practices in the health insurance system and is paid directly by the board at the rates specified in the agreement, when an insured person has presented his health insurance card.
Non-participating physician: He exercises outside the framework of the health insurance scheme, does not accept the health card and refuses to be paid according to the rates prescribed in the agreement. Thus itself determines its rates.
Disengaged doctor: He exercises outside the framework of the health insurance plan, but agrees to be paid according to the rates specified in the agreement. His patients, on presentation of the form obtained during the visit, the Régie receive an amount equal to the fees charged. Subsequently, they have to pay the doctor disengaged. Estrie does not include any general practitioner disengaged.