(Quebec) We will have to wait until 2023 to address the delays caused by the epidemic in surgeries. Quebec submitted its catch-up plan on Thursday to reduce the waiting list for surgery, which was significantly extended due to the epidemic.
The Minister of Health and Social Services, Christian Dubey, presented on Thursday the major trends of his strategy to capture surgical interventions. The health crisis, especially the first wave in the spring of 2020, increased the waiting list, with operating theaters sometimes operating at 50% of their capacity.
Before the epidemic, about 125,000 people were waiting for surgery. Today, their number is 145,000, including 47,000 who have been waiting more than six months. Others have 19,000 waiting more than a year. Hence the work is heavy.
Quebec hopes to return to “pre-pandemic levels” by March 2023. The year 2021 should allow the authorities to “stabilize” surgical operations at a rate of 100%. Currently, this level is almost 90% due to the loss of epidemic speed in Quebec. About 26,000 operations are performed per month.
By October 2021, that number will increase to 36,000. Especially in 2022, we want to do 5,000 operations per month to reach an average of 40,000 monthly operations.
“Otherwise it takes time and courage to do so,” said Assistant Minister of State for Health and Social Services D.S.Back Lucy Opportune.
“Perhaps the timeline seems to be too far away in some cases. We know this, but I think it’s our job, then our role should be realistic, “said Health Minister Christian Dubey.
Quebec is giving up the summer to figure out the solutions that will be used to achieve its goals. The catch-up plan should be implemented in the fall. Mr Dubey said health workers – at the end of their rope – wanted to take a vacation. He recalled that the vaccination campaign continued throughout the summer.
“What we do not want to do, especially during an epidemic, is to bring in advance the solutions we impose on our partners,” Mr. Dubey explained.
It is easy to say that we can open the operating room for another two hours a day, then it gives a lot. But without nurses who are willing to come and do it, it doesn’t make much.
Christian Dubey, Minister of Health
The Legalt government is still in talks with health network employees to renew their collective agreement. Employment contracts are terminated in the event of a health emergency.
Quebec has entered into 25 agreements with private medical clinics to expedite the resumption of operations. D. that will continue to be “an important part of the solution” to capture the private sectorBack Opportunity. The “majority” contracts with these clinics are for two years.
The implementation of this future catch-up plan has not yet been calculated, but Minister Christian Dubey has argued that it is a “financial problem”[était] Not a share ”.
Provide for a “invisible” list
The health minister explained that in the summer patients from the “invisible list” would be able to come to their attending physician. Over a one-year period, officials observed a 24% decrease in consultations and requests for activity, compared to the level observed before the epidemic.
It is therefore not an exaggeration to estimate that “thousands” of cases could be added to the current waiting list.
This is the list we are talking about. These doctors may or may not see a doctor yet [en raison de la pandémie] To be put on the waiting list.
The dBack Minister of Health and Social Services Assistant Minister Lucy Opterni
She said those currently on the list for more than six months will be given “priority” for surgery “in the next few months”. Minister Christian Dubey went a little further by confirming that he hopes to “contact these people, by the end of the summer”.
Mr Dubey assured that his teams could follow the reduction in the waiting list in real time after finalizing the plan to measure progress. For oncology patients, the average time for surgical intervention in Quebec is 17 days, despite the epidemic, qualifying for DBack Be careful.
The goal is to reduce the average waiting time for all other activities to six months or less. The target is to be partially reached by March 2023. To achieve this fully, dBack Opatrney predicts it will take another year, leading to March 2024.
That’s what they said
These are realistic goals […] The main challenge is to make it happen on the pitch. Every hospital has different facts, every area has one, and we saw it during the epidemic […] This is a very complex mosaic, so we should leave room for maneuvering for local teams.
The dr Vincent Oliva, President of the Quebec Federation of Specialist Physicians
This is ambitious […] The great challenge for the coming weeks and months to succeed in meeting this delay is that it remains human resources. […] Are all resources at the level we expect? It is my opinion that this is a big problem.
The dr Louis Godin, President of the General Practitioners Federation of Quebec
There is currently a severe shortage of health professionals in the network, in which case the government faces difficult options. It is clear that the resumption of operations must be done in the context of security. […] Without resorting to a catch-up plan, the number of health care professionals available should be taken into consideration [aux heures] Extra mandatory.
Nancy Bedard, FIQ President