Tag: reform

Quebec government wants to extend session to adopt health-care reform – Montreal

With only two days to go before politicians at the National Assembly wrap up for the holidays, the Quebec government says it’s willing to extend work on its major health-care reform bill — but only by three days.

The government is proposing extending the legislative committee’s work for three days, and reconvening the National Assembly to vote on the bill on Dec. 14.

“I think we’re so close from the goal, from finishing all the articles,” Health Minister Christian Dubé told reporters Wednesday. “The Opposition have been so constructive in their questions, the way they have been debating.”

But in order to extend the legislative session, the government would need the approval of all opposition parties and it doesn’t have that so far.

Bill 15 is one of the largest pieces of proposed legislation in the province’s history. It would see a major overhaul of the health-care system, including the creation of a new agency called Santé Québec to oversee it.

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With more than 400 clauses left to review, the Parti-Québécois is denying the province’s request, saying three days isn’t a realistic timeline to get the remaining work done.

Instead, PQ Health Critic Jöel Arseneau is proposing that the government suspend work on the bill and resume it in January.

“Adopting Bill 15 before the holidays meets no other need than for the desire of the minister to turn the page as fast possible,” Arseneau said in a statement.

The health critic went on to say that by setting a deadline for the adoption of the bill, Dubé was only “postponing” invoking closure.

Government House Leader Simon Jolin-Barrette said Wednesday he was not willing to extend the session more than the three days proposed.

He accused Arseneau of not being present enough in the bill’s clause-by-clause

Quebec Health Minister resurrects boards of directors in his reform of the health-care network


Health Minister Christian Dubé tabled new amendments to his reform of the health-care network on Tuesday with a view to bringing back boards of directors within institutions.


He said he wanted to strike a balance to protect foundations and the hundreds of millions of dollars they receive.


At a news briefing in Quebec City, the minister explained that he had been working on this compromise for a long time, as he wanted to find a way to strike a balance between coordinating institutions and maintaining their autonomy.


Santé Québec’s mandate will be to ensure the coordination and deployment of best practices throughout the health-care network. For their part, the new institutional boards of directors will have a mandate to manage teaching, research and innovation activities in their facilities.


Philanthropic issues will be entrusted to the CEOs, with the support of a foundation linked to the institution.


“Specifically, when it comes to research, university training and innovation, it’s clear that these people have decision-making power,” he said. “They will still be accountable, but they have decision-making power, with the foundations, to choose the research they want to do.”


The minister also confirmed that he had been approached by several former Quebec premiers in recent months. He described the discussions as “constructive.”


They, like many other influential figures in the business world, would have warned the minister against the risk of losing major donations by not sitting on boards of directors.


Among the criticisms raised was the risk of a loss of identity for the institutions, which could weaken their ability to attract donors.


The minister said he had heard the message and was “not prepared to take that risk.”


Dubé nevertheless sought to defend his decision to limit the powers

Bill 15: Quebec’s health reform committee reconvenes


On Monday, parliamentarians resumed their work on the health-care reform bill tabled by Minister Christian Dubé. Opposition parties are calling for amendments to maintain checks and balances and ensure greater transparency within the future Santé Québec agency.


The voluminous draft ‘Loi visant à rendre le système de santé et de services sociaux plus efficace’ contains almost 1,200 articles to be studied. What’s more, the minister himself has announced his intention to table some 150 amendments, possibly on Tuesday morning.


Opposition parties promise to work together to improve the bill. However, there are serious doubts about the minister’s ability to analyze and adopt all the articles before the end of the fall.


At a press briefing prior to the start of discussions on Monday, Marc Tanguay, interim leader of the Quebec Liberal Party, described the future agency to take charge of network operations as “an opportunity for François Legault’s government to relinquish responsibility” for health care.


He also feared that the government would pass its legislation under a gag order, an option that Dubé has still not totally ruled out.


In response to a question from Québec Solidaire deputy Vincent Marissal, the minister simply stated that “it’s not on the cards” for the time being. He insists, however, that discussions will have to stop at some point before changes can be implemented on the ground.


Liberal health critic André Fortin outlined four key areas where he believes changes are needed. The Liberals want to maintain the checks and balances granted to doctors’ councils, as well as the protection of users’ committees, which also act as watchdogs.


He added that, in his view, the government had still not demonstrated the need to create a new government health corporation.


The Liberal party also wants

Robert Libman: Quebec’s health-care reform already showing cracks

The CAQ government’s move to shut private placement agencies risks backfiring if nurses’ salaries and working conditions aren’t improved.

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Consultations and public hearings to solicit input on Quebec’s sweeping health-care reform only got underway on Wednesday, but that didn’t stop the National Assembly this week from unanimously adopting Bill 10, which limits the use of private health-care agencies and aims to ban them by December 2024.

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Quebec health-care reform: Patients could lose access to their medication, experts warn


Patients with rare diseases or cancers could possibly lose access to their treatment because of certain provisions included in the health network reform proposed by Minister Christian Dubé.


Representatives of the Association of Councils of Physicians, Dentists and Pharmacists of Quebec (ACMDPQ) raised the concern Thursday during their appearance before a parliamentary commission.


Toward the end of his presentation, the president of the association, Dr. Martin Arata, stated that article 336 of Bill 15 “modifies access to medication” and that it would have the effect that a patient would no longer be able to access a treatment that “has not received a therapeutic value authorized by (the National Institute of Excellence in Health and Social Services).”


He added that if this provision were currently in effect, “many patients would not have access to chemotherapy treatments, treatments for orphan diseases in pediatrics,” he gave as an example. Dr. Arata estimated that in the last two years, at the CHU de Québec alone, more than 40 patients with cancer or pediatric diseases would not have had access to their medication.


When reacting to the presentation and questioning CAGPQ members, Dubé did not address the issue. Instead, the health minister questioned the speakers on the role of physicians, the organization of work, and interdisciplinarity.


Moments later, in an exchange with Québec solidaire MNA Vincent Marissal, Dr. Jean Beaubien revealed that he had just emailed colleagues — while the commission was running late — to approve medication for a lymphoma patient.


“There was a recommendation, a therapeutic refusal of the INESSS, in 2021, on this drug for this indication,” explained the anesthesiologist and vice-president of the ACMDPQ. Since then, there is new literature and there is an indication or a possibility to give it.


In the

What could wellness-treatment reform glimpse like on P.E.I.?

Attempts to reform Canada’s health-care procedure — specifically when it will come to principal care — are nothing new.

Ten decades back, Dr. Monica Aggarwal, a professor at the Dalla Lana University of Community Health and fitness at the University of Toronto, 1st detailed a series of options she believes must characterize significant-performing major wellbeing-care devices in Canada and identical international locations.

Some details Aggarwal outlined had been in the works for many years in advance of she looked into the topic. But she suggests precise implementation was spotty at most effective. By 2022, she instructed CBC News in a recent interview, that was even now the circumstance.

“Again in the 2000s, there [were] some federal investments that were being manufactured,” she explained. “But in phrases of progress, no jurisdiction definitely has finished a excellent position in utilizing main-care reform, which is why I consider we’re going through so numerous of the issues we are suitable now.”

British Columbia, Alberta, Ontario and Quebec have designed the most development towards reform, according to Aggarwal. And all of them have one thing in frequent: they have produced the required economic and logistical investments to make the attributes she pointed out far more prevalent.

“That is the rationale why a good deal of them have been in a position to move in the many different locations,” she reported. 

For case in point, she claimed, “in Ontario we have a extensive history of investing in interprofessional teams. Although only 25 for every cent of our population has entry, there has been a whole lot of effort and hard work and initiatives set in position to shift reform.”

Why teamwork works

Relocating towards group-centered well being treatment is essential when it will come to addressing shortages of medical professionals, Aggarwal stated. 

Basically, that usually means

Ottawa wants health data reform. How will this help solve Canada’s health crisis?  – National

Major gaps in the way health information is used in Canada means practitioners are often “flying blind” when caring for patients – a stark reality that can lead to poor health outcomes, avoidable deaths and inefficient use of already-strained resources, experts say.

That’s why many health information experts are applauding measures in Prime Minister Justin Trudeau’s multi-billion dollar health funding offer to the premiers this week that would compel provinces and territories to make significant changes to the way health data is collected, shared and reported.

Read more:

Ottawa lays out health plan worth $196B over next decade, with $46B in new spending 

Read next:

How rising food prices make eating healthy a big-time struggle for some Canadians

Improving the way medical information is gathered and shared within provinces and nationally is necessary to address systemic gaps in care and to understand the reforms that are needed in Canada’s ailing health system, says Laura Rosella, an epidemiologist and Canada research chair in population health analytics at the Dalla Lana School of Public Health in Toronto.

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“The stark reality is without this data, we have no sense of where we need to start to really invest in improving the system,” she said, pointing to the many challenges within health-care systems in Canada that require improvements, including long waits for care and health worker shortages.

“We need the data to be able to tell us exactly where to focus and how to make those changes… without that, we really are flying blind and we’re not able to actually make the impact that we all want to make.”

Why does Ottawa want provinces to agree to health data reform?

Calls to reform the way health information is gathered and shared are not new.

The urgency of the need for

Well being Reform

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