“Extensive decentralization” of the health network | We should avoid “rebranding of structures”

Funny Levesque
Tap

Ariane Lacorsier
Tap

The 20 months of the epidemic showed the “limitations” of the health system in Quebec, as agreed by Premier Franకోois Legalt in his inaugural address. A year before the general election, he wants to make changes to his network, even the “most important project” of the last year of his mandate.

Quebec intends to “decentralize” its health network to “regions and sub-regions”, suggesting that Barrett revise the version. “Effective management, whether in the private or public sector, has been shown to start with decentralization,” the prime minister said.

“The best people to choose the best ways to achieve these goals are the people on earth, the people closest to the action,” Mr. Legalt added.

Carol Trempay, CEO of the Association of Senior Health and Social Services executives, believes this decentralization is “good news” because “the more budgets are followed, the better the areas we will be affected by”. M.^{To me} However, Trump believes that this decentralization must be done “without rebranding the structures.” “That, we had lunch-dinner-supper,” she explained.

For the Interprofessional Health Federation (FIQ), the priority is not to participate in the “new version”.

“It’s worrying,” said Nathalie Lowesque, the company’s interim president.

Despite the government’s intentions, FIQ said it has the impression that the government has been moving forward against the “tides” of the unions since the outbreak began.

“Breaking Free” from Agencies

Believing that the health network “depends on private agencies”, Mr Legalt said he would “get rid of it”. He said he was working on a “breakdown mechanism from the public network” to avoid resorting to agencies. On this subject, the Association of Nursing Personnel Private Companies of Quebec (EPPSQ) suggested that details be provided by Quebec on Wednesday.

According to Jeff Begley, president of the Federation of Health and Social Services (FSSS-CSN), many of the issues raised in the Prime Minister’s speech were “requested by the FSSS for years”. Part of this is network decentralization and the elimination of private agencies.

Stitched by family doctors

Mr Legalt did not hide his impatience with family doctors. “I always thought it was best to be with doctors. But if necessary, do not hesitate to make a diagnosis,” he warned.

President of the Federation of General Practitioners of Quebec (FMOQ), d^R Louis Godin warned the Legault government that, by imposing a law, for example, preferring any other way than a negotiated agreement would be the “worst option”.

According to Quebec, an agreement with FMOQ will provide better access to one of the keys to “unlocking emergencies” and two of Legalt’s government’s committed front-line services.

Order for home care

Mr Legalt stressed that “the number of people aged 75 and over will double in 20 years”. In addition to building nursing homes, the government wants to “do more for seniors who want and can stay at home.”

He directed the Commissioner of Health and Welfare, Joan Costongway, to look into the issue and make recommendations. According to the FADOQ network, Quebec “lost the boat” but “took no immediate action to improve home care”.

Franకోois Legalt reiterated the agreement with private CHSLDs to “ensure quality care for the elderly”, which was commended by Quebec’s Association of Private Long-Term Companies.