Access to Specialized Care and Services The FMSQ Reveals Its Action Plan Which Includes 14 Measures

Montreal, August 9, 2018 – At the dawn of the electoral campaign, the Fédération des médecins spécialistes du Québec (FMSQ) reveals its action plan to increase access to specialized care and services for patients in Quebec, an action plan that will pilot the implementation of a series of concrete measures and actions over the next few years.

Resulting from the work and careful consideration undertaken to prepare its white paper on the basket of services and from the FMSQ's recent commitments, this plan of action aims to bring concrete solutions to directly address those current problems that act as a brake on access. "This plan of action, which includes 14 measures, aims among other things to offer new services, to improve the management and processes associated with medical activities, to render the patient-physician relationship more fluid with the help of modern tools, to concentrate the practice of medicine increasingly on the pertinence of care and on interdisciplinarity, to increase access to surgeries and to act concretely on what determines health with the perspective of improving the population's global health," indicated Dr Diane Francœur, President of the FMSQ, at the start.

Specifically, this action plan includes the following measures :

  • Launch phase II of the priority access to specialized services (accès prioritaire aux services spécialisés or APSS) initiative starting in September;
  • Continue the deployment of the APSS by December 2020;
  • Extend the operating hours of medical imaging departments (CT scans and MRIs) in hospital centres;
  • In cooperation with the INESSS and by using the online learning platform MÉDUSE, implement tools to measure the pertinence of care and systematically promote the use of pertinence criteria to request diagnostic exams or to choose treatments in line with recognized scientific proof;
  • Facilitate the use of teleconsultations between medical specialists and patients as well as the use of eConsultation in order to simplify communications between physicians and accelerate access to opinions;
  • Multiply interdisciplinary teams in order to improve care dispensed to patients with chronic illnesses requiring specialized follow-up, teams to include the greatest possible number of nurses, physiotherapists, occupational therapists, respiratory therapists, psychologists, social workers and pharmacists;
  • On the model of the plan implemented in anesthesiology to prevent lack of coverage in regional departments, launch a similar plan for general surgery;
  • Ensure the continuity and quality of surgical services in all regions through adequate financing, while making sure competent support staff is available in sufficient numbers;
  • Ensure a sufficient number of positions in residence to respond to an aging population, in particular in anesthesiology and in surgical specialties;
  • Firmly oppose the opening of other private surgical clinics, like Rockland MD or DIX30, and promote the use of existing operating suites in the network;
  • Promote any clinical or technological innovation having a positive effect on the quality of care offered to the population;
  • Actively participate in organizing a network to promote maintenance at home, by concretely developing interdisciplinarity and by promoting the adoption of any innovation that facilitates home care;
  • Through its Foundation, which has been offering financial support for more than 6 years to organisations providing respite to caregivers, implement new support measures;
  • Collaborate closely with the government in order to implement concrete preventative measures to combat the obesity epidemic in young people which will increase the number of persons who will develop and live with major health problems.

"Medical specialists, who mainly work in hospital centres, are on the front lines every day, in all regions in Quebec, and they face various problems that impede access to care. Through our work, our practical experience, the difficulties we must overcome to organize and dispense care, and the close relationship we maintain with our patients, we have a deep understanding of the stakes for our public healthcare system. The action plan we are revealing today has been inspired by these professional experiences and is a testimonial of our firm intent to do things differently. We sincerely believe that the implementation of these measures will rekindle the public's confidence, not only in specialized medicine, but also in our public healthcare system," concluded Dr Francœur.

The Fédération des médecins spécialistes du Québec represents more than 10,000 medical specialists certified in one of 59 recognized medical specialties. Its mission is to defend and support medical specialists from its affiliated associations who work in the public healthcare system while contributing to the advancement of quality care and services for the people of Quebec.


Consulter le Plan d'action pour accroître l'accessibilité (in French only)