When the Minister of Health and Social Services Christian Dubé appeared in June to talk about the relaunch of surgeries, the latter was hopeful to start catching up at the end of September.
However, hospitals tend to remain in load shedding mode.
According to ministry data, the average surgical activity rate has peaked for months at around 85% to 90%. As a result, around 19,000 patients have been waiting for more than a year, compared to less than 2,600 before the pandemic. There are even 2430 patients on the waiting list for more than 2 years.
In a recent communication to the CEOs of the health network and to the directors of professional services in establishments, the senior official of the MSSS, Martin Forgues, recognizes that the recovery is not for tomorrow and that it is necessary to prioritize.
” Even today, the capacity in terms of resuming surgical activities is limited due to the lack of manpower. “
Therefore, we want you to reactivate your surgical prioritization committees and prioritize patients over one year waiting., specifies Mr. Forgues.
The latter fixes% of your patients out of time of more than one year “,” text “:” a minimum target of 35% of your patients out of time of more than one year “}} ‘>a minimum target of 35% of your patients out of time of more than a year.
In 30 years of profession, the president of the Association d’orthopédie du Québec, Dr. Jean-François Joncas, says he has never seen such a situation.
There are a lot of surgeons, a lot of patients who wait more than a year to take action, he notes. It’s unprecedented […] I have never seen that.
Dr Joncas welcomes the directive sent to CEOs of healthcare establishments.
This means that the hospitals must form a committee on which the surgeon, anesthesiologist, manager and nursing staff will sit to identify among the waiting clientele which one must be prioritized to avoid that it is always the same groups of patients who are favored to the detriment. other patients, he explains.
The latter expects orthopedic patients with pain and loss of mobility to be considered as much as those in oncology.
” When certain managers prioritize at all costs according to the cancer diagnosis without nuance, for example the orthopedic clientele may be at a disadvantage […] and it must, like certain less urgent cancers, have the right to be operated on within a reasonable timeframe. “
There are surgeons who pull the blanket more than others and obtain operating time for surgeries that may have a little less pressure to the detriment of others, says the president of the Association d’orthopédie du Québec.
Think about mobility
Dr. Serge Legault, Vice-President of the Federation of Specialist Physicians of Quebec (FMSQWe had succeeded in reducing the waiting list of more than one year from 4000 to 800 patients, he said.), recalls the results obtained five years ago with a joint working group FMSQ /MSSS .4000 to 800patients “,” text “:” We had succeeded in reducing the waiting list of more than one year from 4000 to 800 patients “}} ‘>
Craftsman of the first prioritization committees at the start of the pandemic, Dr. Legault recognizes the challenge of the 19,000 patients on the waiting list for over a year.years of experience behind the tie and I’ve never seen that. “,” text “:” It’s unprecedented, I have 30 years of experience behind the tie and I’ve never seen it. “} }”>It’s unprecedented, I have 30 years of experience behind the tie and I’ve never seen it.
The latter specifies that other solutions must be considered, such as moving patients to other regions.
” This is not something that is being considered for the moment, but you have to keep an open mind to look at innovative solutions that sometimes may seem a little out of the ordinary, but we are in an exceptional situation. of the ordinary. Everything is on the table. “
$ 800 million for the 3-year stimulus
In his economic update last week, Quebec Finance Minister Eric Girard unveiled $ 804 million for the plan to reduce the surgical waiting list over a three-year period until ‘in 2024. In June, Minister Christian Dubé spoke instead of a two-year plan until 2023.
According to the president of the Association d’orthopédie du Québec, Jean-François Joncas,
there may be things that can help with new amounts, but it is really a problem at the base of human resources mainly.
For the vice-president of the FMSQwe need people available to treat the patient postoperatively, (but) as long as the surgical activity is not at 100%, the waiting list will continue to increase., Serge Legault,%, the waiting list will continue to increase “,” text “:” we need people available to treat the patient postoperatively, (but) as long as the surgical activity is not at 100%, the list of wait will continue to increase “}} ‘>