Family medicine: the FMOQ denies taking patients hostage

The standoff between the Legault government and the Federation of General Practitioners of Quebec (FMOQ) regarding funding linked to the Front Line Access Center (GAP) continues. And the coming days will be decisive for the future of orphan patients cared for through it.

The two parties have been negotiating for weeks to ensure that a letter of understanding concluded two years ago regarding the GAPthe provisions of which should normally expire on Friday, be renewed on a transitional basis pending a broader regulation on the remuneration of family doctors.

But as the lump sum of $120 per year offered by Quebec for each orphan patient in care must cease to be paid on 1er June, family medicine groups (GMF) are turning away from the Guichet.

Data circulating in the media at the end of the week shows that the availability slots offered to GAP could drop drastically starting next week. Orphaned patients also received a letter from their GMF to warn them that they will no longer be supported.

Faced with such a situation, the tone went up a notch at the end of the week, with the Minister of Health, Christian Dubé, declaring that he would not accept that “patients are taken hostage”, which the president of the FMOQMarc-André Amyot, defended himself during a round of media interviews on Tuesday.

FMOQ”,”text”:”It is true that letters were sent to certain patients, [mais] this is not a concerted action on the part of the FMOQ”}}”>It is true that letters were sent to some patients, [mais] it is not a concerted action on the part of the FMOQhe assured ICI RDI at the start of the day.

This is not a directive that we have given and it is not in all the regions where it has been done.

A quote from Marc-André Amyot, president of the FMOQ

Convinced of the contrary, the Council for the Protection of Patients on Sunday sent a request for an investigation to the College of Physicians, recalling that the courts had already ruled that it was illegal for doctors to coordinate in this way.

FMOQ”,”text”:”It seems like a recommended consultation, instructed by the FMOQ”}}”>It seems like a recommended consultation, instructed by the FMOQdeclared its president Paul Brunet, also in an interview with ICI RDI on Tuesday morning.

Amyot may say the opposite, but in the meantime, everyone knows that, when doctors agree to stop treating or reduce the care they offer, the Quebec Court of Appeal has already said, in 2014: “We have no right to do that””,”text”:”I want to be confused if this is not the case, and DrAmyot can say otherwise, but in the meantime, everyone knows that, when doctors work together to stop treating or reduce the care they offer, the Quebec Court of Appeal already said, in 2014: “We have no right to do that””} }”>I want to be confused if this is not the case, and Dr. Amyot can say the opposite, but in the meantime, everyone knows that, when doctors work together to stop treating or reduce the care they offer, the Quebec Court of Appeal already said, in 2014: “We do not have the right to do that”he stressed.

Our Fans comment on the negotiations between Quebec and the FMOQ.

Negotiations between Quebec and the FMOQ are now continuing under the aegis of a conciliator, who has begun to hear both parties.

In an interview, Dr Amyot said Tuesday sad And disappointed that orphaned patients bear the brunt of the standoff that is being played out these days between general practitioners and the Legault government. He also shared his faintness compared to the letters of GMF transmitted to orphan patients who passed through the GAP.

In the meantime, however, the impacts of this disagreement between Quebec and the FMOQ could become very real starting next week. Daily life The duty reported for example on Tuesday morning that in Outaouais, no medical consultation slots will be offered to GAP starting Saturday.

Christian Dubé asks the doctors to find solutions. What Quebecers are asking us is not to be intransigenthe declared in a press scrum on Tuesday at the National Assembly.

I undertake not to be intransigent in the coming days, and I would ask the same thing of the union leadership of the FMOQ.

A quote from Christian Dubé, Quebec Minister of Health

Mr. Dubé also reiterated on Tuesday that he was not do not agree with the agreement in its current form on the financing of GAP and that he no longer wanted sign individual agreements with the FMOQ.

The minister, however, said open to a lot of things until the President of the Treasury Board, Sonia LeBel, signs a new framework agreement with the Federation, including GAP”,”text”:”the GAP agreement”}}”>the agreement GAPhe promised, will be a key element with other government priorities.

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Christian Dubé indicated Tuesday that he was hopeful of reaching an agreement with the FMOQ regarding funding resulting from the GAP.

Photo: Radio-Canada / Sylvain Roy Roussel

Basically, Quebec fears that the lump sums offered to GMF had the effect of encouraging them to turn to orphan patients to the detriment of their own patients or consultations without an appointment.

Minister Dubé also activated this winter a regulation resulting from a bill adopted in 2022 to force family doctors to share with him data relating to their schedule and to ensure that the total number of appointments have indeed increased since the launch of the GAP.

Conversely, the FMOQ argues that the $120 paid for each orphan patient in care has led to an increase in the supply of services, for example by convincing older doctors to continue their practice rather than retire.

She also argues that these lump sums should be considered as a form of compensation due to the fact that the appointments of the GAP are both longer and more complex, to the extent that less serious cases, which can be entrusted to other health professionals, are first sorted at the Counter.

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