Decision makers in Quebec believe that the best doctors to care for the seriously ill at home are not those of CLSCs, but those of hospitals!
Posted at 12:00 p.m.
After the systematic blocking for four years of home intensive care teams (SIAD) in CLSCs, those who had the mandate to care for ALL seriously ill people EVERYWHERE in Quebec, we have just announced the creation of units “of hospitalization at home” attached to certain hospitals.
However, SIAD physicians treat emergencies at home efficiently and economically, thanks to their work with nurses in place in CLSCs: on call 24 hours, they prevent 65% of hospitalizations by providing medical follow-up and treatment of emergencies. of the seriously ill in their territory.
Why make it simple when you can make it complicated ?
Rather, doctors from “home hospitals” will be brought to certain “lucky ones” residing near these hospitals. They will be treated for a few days, until the end of their acute deterioration, as in a hospital.
Too bad for all the other seriously ill people at home – the majority, those who have been waiting for the SIAD for four years. Too bad for the patients who will not be “cured” after an acute medical crisis – the majority, since intensive medical care at home is aimed at the sick in their last year of life, those suffering from severe incurable conditions.
So they will go to the emergency room, as usual.
They will die in our hospitals, as usual.
While elsewhere, in Canada and Europe, doctors are working alongside community teams similar to those of our CLSCs, caring for all those who need it at home, our seriously ill patients and their loved ones will continue to worry about their postal code: the one that will give them the right, or not, to 24-hour medical care at home in the last year of life.
This year, our health network is hitting the aging wall hard. But some decision-makers, in the Ministry among others, suffer from a serious and costly illness: hospital-centrism. This disease is killing our healthcare system.