About 350,000 people receive care at home each year, either from nurses or occupational therapists, or even from home help, specifically. Not to mention the waiting list, which is approaching 19,000 users.
However, according to the Commissioner of Health and Safety (CSBE), Joanne Castonguay, the response is that domestic care services and support needs continue to be limited.
In a report consulted by Radio-Canada, the team of Commissioners approved the initial evaluation of the mandate entrusted to them last year by the Minister of Health, Christian Dubé, with the aim of evaluating the performance of domestic programs.
Approximately 350,000 users receive home support services in Quebec.
Photo: iStock
The report notably indicates that the Canadian Institute for Health Information (CIHI), Quebec spends $259 per resident on home and community services, which ranks 11th in Canada.
In 2020, Quebec has allocated more than two billion dollars to domestic support (SAD), not to mention credits of $700 million for support and home care.
Castonguay, as Ms. indicates, there was a 30% increase between 2016 and 2020, and we did not allow ourselves to catch up with other provinces.
We have more
For Commissioner Castonguay, the future of home care no longer necessarily requires growth in economic and human resources.
“We must encourage innovation, with more tools that we have, not to squeeze lemons, but to work in a different way, which are more relevant to the work.” »
– A quote from Joanne Castonguay, Health and Safety Commissioner
According to Ms. Castonguay [se concentre] about things well arranged, to clean the house [à domicile]go and give the pill. Everything is different, since there are many things we could have done to make the results better […] and perhaps we could serve a few more people.
The commissioner sets the example of palliative care organized at CLSC de Verdun, where access to medical care allows more users to end their days at home. Exception in Quebec.
Physicians are generally not very involved in home support, notes the team of commissioners, which also shows the complexity of caregivers to get around the road.
Radio-Canada published on Monday the testimony of a patient in Montérégie-Est, where the absence of a designated doctor in some CLSCs complicates the organization of care.
The CSBE team is expected to publish a series of recommendations in a final report next December.
It marks the College of Medicine
In addition to the CSBE, the College of Physicians of Quebec (CMQ) has also been looking at home care training in recent months.
CLSCs seem to have limited resources at home, mainly because of turnover and lack of staff, the College writes after discussions with user commissions across Quebec.
In the elections, CMQ was also proposed for the creation of a new medical specialty house.
On Tuesday morning, the leader of the Parti Québécois called, Paul St-Pierre Plamondon estimates that additional funds of $3 billion will be spent to make treatment towards the home. Shifting care to the home is a major budgetary reorientation that the CAQ does not want to do, he says.
