When doctors benefited twice rather than once from the ministerial manna, they became, with a total remuneration that exceeds 7 billion dollars, among the best paid in Canada. According to the DD Isabelle Leblanc, president of the Regroupement des médecins québécois pour le régime public, many doctors were happy to earn a good living, but they would be happier if their raises could be used to improve the system.
At the 2008 Davos Economic Summit, just before the financial crisis that shook the temple of the global economy, Bill Gates introduced his concept of creative capitalism 1 and he concluded: “We must improve the economic system and give it two missions: to make profits and to allow others to benefit from them. “. Shortly after, his friend Warren Buffett added: “If, for example, you had 3% of corporate taxes that would be spent and administered by business people, they could invest in health, education and other activities where the government plays an important role. “There was no follow-up, but since it’s never too late to do well, the doctors could be the first to get involved and invest, and if everyone gets involved, the amounts will not will not be significant. Thus, this recovery plan would motivate companies to contribute to a fund dedicated and managed by the Caisse de depot et placement du Québec under the name of non-profit organization (OSBL).
Allow me to refer to the Cleveland Clinic where I did a fellowship. This world-renowned not-for-profit has been called by President Barack Obama the most productive and least-cost healthcare facility. Several projects could be launched or further developed.
The patient partner
This concept, already well underway, is based on the patient’s contribution to the management of his condition in close collaboration with the treating team. For example, the heart failure clinics already in place at the provincial level have demonstrated their exceptional efficiency: they improve the quality of life of patients, avoid visits to the emergency room and reduce hospitalizations.
The computerized patient file
To facilitate the integration of care, patients could have a summary of their file and present it when their doctor is not available, when they have to go to the emergency room, see a consultant, when they are traveling or playing snowbirds in Florida.
From CPE to CPA
Staying at home is increasingly favored. Since small children are not autonomous, they require that we take care of them, and the early childhood center (CPE) responds very well to this expectation, both for the children and for the parents. Elderly people with loss of autonomy could benefit from the equivalent in a center for the elderly (CPA), both for themselves and for caregivers.
Non-hospital free zones
The term was introduced by the Department to refer to operating room space in one hospital available for another hospital. This may very well apply to a specialized medical center (SMC) which has facilities for day surgery (ambulatory) while it overloads the operating theaters of hospitals struggling with huge waiting lists. . The experience of Sacré-Coeur patients operated on at the Rockland MD clinic is convincing and other CMS have been added, but the mode of financing has not been finalized and above all the relevant use of human resources must absolutely avoid cannibalization the public system.
Other initiatives such as the relevance of care, clinical reception, telemedicine, robotics and artificial intelligence will be added by addressing the operational level of the system and will make it possible to create a climate of exchange and collaboration between the Department and institutions and a more pleasant and efficient work environment for the greater good of patients.
1. creative capitalism. Michael Kinsley, NY, 2008