Delays in Deployed Home
Palliative Care Deployment
Palliative home care professionals accuse the Quebec Federation of General Practitioners (FMOQ) of curbing the deployment of their practice.
" It's absurd. There are dire needs on the ground, "says Dr. Geneviève Dechêne, a family doctor in Verdun.
Other hospice palliative care professionals in a coalition advocate for a rapid expansion of the practice.
At the FMOQ, one asserts that these accusations are "completely false and far fetched". "I'm furious with the message.
It is not the FMOQ that blocks this, "says FMOQ President Dr. Louis Godin.
" It's absurd. There are dire needs on the ground, "says Dr. Geneviève Dechêne, a family doctor in Verdun.
Other hospice palliative care professionals in a coalition advocate for a rapid expansion of the practice.
At the FMOQ, one asserts that these accusations are "completely false and far fetched". "I'm furious with the message.
It is not the FMOQ that blocks this, "says FMOQ President Dr. Louis Godin.
Whose fault is it ?
In the past 18 months, some 20 teams have submitted proposals to deploy palliative home care in their area, says Dr. Dechêne.
But according to her, nothing moves, because "the FMOQ blocks". "It's a scandal," she says.
At the FMOQ, it is said that they wish to see palliative home care rolled out. It explains that in July 2018, a framework agreement was signed
with Quebec City and that sums were set aside to pay for GPs in intensive care home, including palliative care.
It was determined that 68 family physician groups would serve the entire province.
But according to Dr. Godin, none of the doctors' proposals tabled to date for intensive home care "fit the pattern the government is asking for." Dr. Godin explained, for example, that he had received proposals where the number of doctors was too low and the number of patients served was too low. According to Dr. Godin, since the fall of 2018, the FMOQ has been waiting for the government to present new possible models.
"When I hear it's the federation blocking, I'm not happy. It's completely wrong, "he says.
Requested service
Dr. Dechêne replied that it is wrong to say that specific models must be proposed by physicians wishing to provide palliative home care. "These are unwritten requirements that the FMOQ applies to curb the development of the practice," she says. According to her, the initial agreement with Quebec provided precisely not to go too far in the definition of home intensive care models "to let teams create themselves".
Dr. Dechene says that 80% of end-of-life patients want to end their days at home and that the End-of-Life Care Act provides for those who wish to do so. However, very few people can still receive home palliative care in Quebec, she says.
At the Department of Health and Social Services, it is mentioned that the terms of Letter of Agreement 336, on the Continuous Delivery of Medical Services in the CLSC Home Intensive Care Program (SIAD), "are currently under revision by the parties ".
"In the meantime, it was agreed to postpone the accession of new teams," says the MSSS.
In the past 18 months, some 20 teams have submitted proposals to deploy palliative home care in their area, says Dr. Dechêne.
But according to her, nothing moves, because "the FMOQ blocks". "It's a scandal," she says.
At the FMOQ, it is said that they wish to see palliative home care rolled out. It explains that in July 2018, a framework agreement was signed
with Quebec City and that sums were set aside to pay for GPs in intensive care home, including palliative care.
It was determined that 68 family physician groups would serve the entire province.
But according to Dr. Godin, none of the doctors' proposals tabled to date for intensive home care "fit the pattern the government is asking for." Dr. Godin explained, for example, that he had received proposals where the number of doctors was too low and the number of patients served was too low. According to Dr. Godin, since the fall of 2018, the FMOQ has been waiting for the government to present new possible models.
"When I hear it's the federation blocking, I'm not happy. It's completely wrong, "he says.
Requested service
Dr. Dechêne replied that it is wrong to say that specific models must be proposed by physicians wishing to provide palliative home care. "These are unwritten requirements that the FMOQ applies to curb the development of the practice," she says. According to her, the initial agreement with Quebec provided precisely not to go too far in the definition of home intensive care models "to let teams create themselves".
Dr. Dechene says that 80% of end-of-life patients want to end their days at home and that the End-of-Life Care Act provides for those who wish to do so. However, very few people can still receive home palliative care in Quebec, she says.
At the Department of Health and Social Services, it is mentioned that the terms of Letter of Agreement 336, on the Continuous Delivery of Medical Services in the CLSC Home Intensive Care Program (SIAD), "are currently under revision by the parties ".
"In the meantime, it was agreed to postpone the accession of new teams," says the MSSS.
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