Provincial election: the 15 solutions collective presents its requests to the political parties
A few months from the elections, on June 19, the Québec Medical Association (QMA), the Alliance des patients pour la santé (APS), Confédération des syndicats nationaux (CSN) and Association des cadres supérieurs de la santé et des services sociaux (ACSSSS) asked that the political parties make firm commitments to health care.
The collective asked the political parties to include its priority actions that make consensus in their election platform and, if they form the next government, to commit to implementing them in the first two years of their mandate.
This summer, the collective plans to meet with the leaders of the four main political entities in Québec to present its priority actions to them. It will also produce a “report card” for each party based on the actions that will have been included in the election platforms.
Naturally, the collective intends to support the elected government in implementing the priority actions. The government will thus be able to take action in health as soon as it is elected and by starting the work in collaboration with the main stakeholders in the system: patients, physicians, system stakeholders and managers. An unprecedented move!
1) Organization of front-line services
- Expand the scope of practice of the different health care professionals and better define the interrelations to reinforce interdisciplinary work.
- Maintain the CLSCs and reinforce their role, in particular for coordinating and delivering care and services at home for seniors and vulnerable clienteles, which entails granting the human and financial resources needed for their mission.
- Develop a real caregiver policy to recognize their vital contribution to delivering care and services.
2) Prevention: act on the health determinants
- Dedicate 5% of health and social services program spending to public health, in compliance with the recommendations of the World Health Organization and the Québec Association of Public Health.
- Create hubs in each CISSS / CIUSSS area, with a budget large enough to support local initiatives that are initiated, proposed and taken by the community and focused on health prevention and promotion.
3) Different methods of funding and compensation
- Improve the collection, circulation and sharing of anonymized data and identify the recognized indicators to enable assessment of the system’s performance, namely in terms of appropriateness, cost and efficiency.
- Include alternative methods in the physician compensation system to encourage interdisciplinary work, similar to other Canadian provinces and on the strength of the conclusions of research already done by the Health and Welfare Commissioner.
- Modernize the funding of the system’s institutions to base it not just on historical data but also according to the services rendered and the positive impacts on the health and well-being of the local population.
- Introduce legislative changes to give the authorities of institutions in the health and social services system real autonomy and thereby promote decentralization.
- Oblige institutions to hold consultations with the parties involved, which must include patients, users and stakeholders in the system, to ensure better alignment between the services offered and needs.
- Set up a national patient committee.
- Create a national board of patient and user associations to advise the Minister of Health and Social Services.
- Encourage the recognition of degrees and experience acquired abroad.
- Deploy pairing, co-development, coaching and peer mentoring activities to increase staff retention and facilitate integration.
- Improve work and practice organization and conditions to eliminate insecurity, avoid overloading and ensure a healthy work environment.
- Conduct public campaigns to acknowledge the contribution, role and work of the professionals and stakeholders in the health and social services system.
To learn more about the Collective, visit 15solutions.org.