{"id":364,"date":"2014-12-23T19:23:00","date_gmt":"2014-12-23T19:23:00","guid":{"rendered":"http:\/\/rf.podcastfixit.com\/index.php\/2014\/12\/23\/doctors-speak-out-against-bill-20\/"},"modified":"2015-06-01T19:40:42","modified_gmt":"2015-06-01T19:40:42","slug":"doctors-speak-out-against-bill-20","status":"publish","type":"post","link":"https:\/\/newscoverage.org\/index.php\/2014\/12\/23\/doctors-speak-out-against-bill-20\/","title":{"rendered":"Doctors speak out against Bill 20"},"content":{"rendered":"

By Michelle Pucci<\/b>
\nwww.thesuburban.com<\/a><\/p>\n

Laval family doctors feel threatened by Quebec\u2019s latest health care bill, which imposes quotas on the number of patients and how often they see other doctors. <\/p>\n

\u201cIt\u2019s evident that we have to give better access to the population for medical service,\u201d said Michel Breton, president of Laval\u2019s association of general practitioners (AMOL). \u201cWe totally agree with that, we just don\u2019t agree with the way it\u2019s done.\u201d <\/p>\n

The bill is that latest part of a tradition in Quebec to control medical practice through pressure tactics, Breton says. Under the new law, family doctors are expected to follow up with 1,000-1,500 patients and ensure that they visit them 80 per cent of the time. If not, doctors can have their wages cut up to 30 percent. Most young GPs, Breton says, only have 500-800 patients.<\/p>\n

It\u2019s a simple answer for a complicated problem, according to doctors at the Centre M\u00e9dical Laval. The bill is meant to catch underperforming doctors, who work fewer hours and see fewer patients than their private counterparts, but it doesn\u2019t consider diverse working situations. <\/p>\n

\u201cDoctors are professionals and they are supposed to know how to practice medicine,\u201d said Breton. <\/p>\n

New doctors are obliged to work at least 12 hours in health centres, like hospitals or old-age homes. The more hours they work, the fewer patients they are responsible for. But the Laval association says more and more people are opting for hospital work and hours are difficult to find. <\/p>\n

Genevi\u00e8ve Cot\u00e9 says the law doesn\u2019t count the work she does at her own anonymous walk-in clinic on des Laurentides, because she doesn\u2019t follow-up with all the patients she sees. She works with street workers and addicts that often won\u2019t visit clinics and will often go to food banks or communal areas to offer treatment. <\/p>\n

Doctors that take on vulnerable patients like addicts, patients with chronic or mental illness, or elderly patients will be taken into account, according to an open letter by Health Minister Ga\u00e9tan Barrette. They could count for more than one patient, encouraging doctors to spend more time with them.<\/p>\n

Some families find doctors in Laval, before eventually moving to more remote regions like the Laurentians or Lanaudi\u00e8re. When these displaced families cannot find doctors in their new towns, they\u2019re forced to travel back to Laval for checkups with doctors like Genevi\u00e8ve l\u2019\u00c9cuyer to maintain her loyalty requirements.<\/p>\n

\u201cI can\u2019t just abandon these patients and I\u2019m not going to ask them to come see me when they have an emergency,\u201d she said. <\/p>\n

L\u2019ecuyer\u2019s loyalty rate stands at 68 per cent right now and if unchanged, will mean a 20 per cent salary cut. Meanwhile, the doctor\u2019s delivery rate of about 400 births per year goes unnoticed, she says. <\/p>\n

The ministry has plans in place to increase accessibility in rural regions, according to Barrette\u2019s press attach\u00e9 Joanne Beauvais. <\/p>\n

But doctors should not feel obligated to keep on patients who have moved away\u2014although Beauvais says she understands that patients may prefer to have the same family doctor when they move. <\/p>\n

\u201cThe issue is not whether there are enough doctors, the issue is that 60 per cent of GPs work an average of 117 days,\u201d Beauvais told The Suburban.<\/i><\/p>\n

Despite claims from doctors that the bill is unfair, Beauvais says there are many options for them and consultation is ongoing. <\/p>\n

\u201cWe will make sure the leverage is there so doctors see as many patients as they need and patients are taken care of,\u201d she said.<\/p>\n","protected":false},"excerpt":{"rendered":"

By Michelle Pucci www.thesuburban.com Laval family doctors feel threatened by Quebec\u2019s latest health care bill, which imposes quotas on the number of patients and how often they see other doctors. \u201cIt\u2019s evident that we have to give better access to the population for medical service,\u201d said Michel Breton, president of Laval\u2019s association of general practitioners<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-364","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\nDoctors speak out against Bill 20 - Newscoverage<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/newscoverage.org\/index.php\/2014\/12\/23\/doctors-speak-out-against-bill-20\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Doctors speak out against Bill 20 - 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