At the heart of the standoff between Quebec and doctors, an access model to be preserved

In the coming days, a large family medicine group (GMF) on the South Shore of Montreal may no longer offer appointments to its 11,000 patients collectively registered with the GAP.

GAP has allowed us to hire a nurse, a secretary and a receptionist so far”,”text”:”The GAP package has allowed us to hire a nurse, a secretary and a receptionist so far”} }”>The package of GAP has allowed us to hire a nurse, a secretary and a receptionist so farnot to mention the installation of patient registration terminals for peak periods, explains Dr Alexandre Prud’homme, of the Médi-Soleil clinic, in Saint-Jean-sur-Richelieu.

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Dr Alexandre Prud’homme, from the Médi-Soleil clinic, believes that the GAP is a “model that worked extremely well”.

Photo: Radio-Canada

The current package of $120 per patient per year represents more than $1 million for the clinic where 18 family doctors work.

GAP that I had that was not taken by a patient”,”text”:”I can tell you that, in the last year, there is not a GAP that I had that was not taken ‘was not taken by a patient”}}”>I can tell you that in the last year there is not a beach GAP that I had that was not taken by a patientspecifies Dr Prud’homme, who regrets the turn of events.

An agreement signed in June 2022 between Quebec and the FMOQ expires at the end of the week. Agreement No. 368 provided in particular for a bonus of $120 per year ($30 per quarter) for each new patient vulnerable registered. This package has proven popular with doctors across Quebec, who have registered more than 940,000 patients at their clinic to date.

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The 18 family doctors at the Médi-Soleil clinic have 16,000 patients registered, in addition to 11,000 collective patients at the GAP.

Photo: Radio-Canada

During our visit to the Médi-Soleil clinic, the concern was palpable in the waiting room.

calls per day from patients to GAP who wonder what will happen. […] People are showing up on site”,”text”:”I get 20 calls a day from patients at GAP wondering what’s going to happen. […] People show up on site”}}”>I receive 20 calls a day from patients at GAP who wonder what will happen. […] People show up on siteexplains one of the receptionists, Marie-Claude Guérin.

Jacques Lussier, a retired patient registered with GAPwas there for a medication refill. I think that Minister Dubé must hold his ground, because the doctors are simply taking us hostagehe said.

To the minister, I would say: “Sit down”; doctors are ready to compromise. maybe [les] $120, we can [les] see again, but at least let’s sit down and talk about it.

A quote from Dr Alexandre Prud’homme
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Davide Gentile’s report

GAP is here to stay

Earlier today, the president of the FMOQDr. Marc-André Amyot, defended himself from encouraging family doctors to stop making appointments at GAP as part of negotiations with Quebec.

It must be said that the number of appointments offered at GAP fell from around 18,000 per week in May to less than 6,000 for the first weeks of June, according to available data.

>>Marc-André Amyot in interview.>>

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The current discussions with the government are “not very easy,” admitted the president of the FMOQ on Tuesday morning in an interview with ICI RDI.

Photo: Radio-Canada / Jérôme Labbé

$; you register these patients individually; you turn the beaches into walk-ins; or you simply stop”,”text”:”We offered them the different options available to them. […] You continue without the $120 package; you register these patients individually; you turn the beaches into walk-ins; or you simply stop”}}”>We offered them the different options available to them. […] You continue without the $120 package; you register these patients individually; you turn the beaches into walk-ins; or you just stopspecified Dr. Amyot.

In total, the 9,800 family doctors offer more than 13 million appointments per year to patients, recalled the president of the FMOQ.

Dr. Amyot also clarified that a clinic appointment remained less expensive than a visit to the emergency room.

GAP]is a saving for the government; it costs 400$, see these patients in the emergency room”,”text”:”[Le GAP], it is a saving for the government; it costs $400, see these patients in the emergency room”}}”>[Le GAP], it is a saving for the government; it costs $400, seeing these patients in the emergency roomhe said in an interview on the show All one morning.

He wishes to extend Agreement No. 368 for a few months while awaiting the renegotiation of the framework agreement signed with doctors in 2015. The latter notably provides this year for a total envelope of $3.1 billion for general practitioners.

During a press scrum, Minister Christian Dubé recalled that GAP is here to stay […]”,”text”:”GAP is here to stay […]”}}”>THE GAP is here to stay […] and Quebecers must get value for their money.

At the Ministry of Health, we have a first comparative assessment of the costs of GAP for two years.

$ for collective registered patients [au GAP] and 94$ for individual registrants for the same period”,”text”:”The estimated average cost of visits was $175 for group registrants [au GAP] and $94 for individual registrants for the same period”}}”>The estimated average cost of visits was $175 for group registered patients. [au GAP] and $94 for individual registrants for the same periodsaid spokesperson Marie-Claude Lacasse by email.

During discussions at the Salon Bleu, Liberal MP André Fortin described complete fiasco the management of the file by the CAQ government. How could he have failed so badly? he said.

2015], this is not our way of working”,”text”:”I think that, to go and do like the former liberal government and sign almost anything with the doctors [en2015]this is not the way we work”}}”>I think that to do like the former Liberal government and sign almost anything with the doctors [en 2015]this is not the way we workretorted Christian Dubé.

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