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Quebec family doctors have struck a tentative agreement with the province, only weeks before the implementation of controversial reforms that had threatened clinic closures and the departure of GPs to other provinces.
The Fédération des médecins omnipraticiens du Québec (FMOQ) and the Quebec government announced the tentative deal Thursday morning. The two sides have been at odds for months over Bill 2, legislation that ties a portion of doctors’ pay to collective performance targets.
Hundreds of doctors have applied for a licence in Ontario and other provinces in recent months, while many family medicine clinics across Quebec said the reforms would make their operating model financially unworkable and force them to close.
In a statement, the FMOQ thanked Premier François Legault for stepping in to spark a negotiating blitz, in order “to halt the disengagement and departure of Quebec family doctors, and to increase Quebecers’ access to family medicine.”
The FMOQ said it would present the deal to its members starting Friday and hold a vote in the days that follow.
“We are aware that the morale of family doctors — like that of many of their patients — has been severely tested,” the federation said.
“The commitment and motivation of family doctors remain essential for the future of the front line and for the health of the Quebec population, and the FMOQ believes that this agreement in principle constitutes a concrete step in this direction.”
Implementation of bill pushed back
France-Élaine Duranceau, Quebec’s Treasury Board president, wouldn’t go into details about what the deal included. But she reiterated that Bill 2 was intended to change the remuneration mode of the doctors and to increase the number of Quebecers that have access to a GP.
“I won’t comment any further on the agreement because we want to let the FMOQ share the details with its members,” she said.
Bill 2 was set to go into effect on Jan. 1, but Health Minister Christian Dubé said the reforms would be pushed back to Feb. 28 to give doctors time to assess the agreement in principle. If approved, the legislation would be amended to reflect the deal.
“If there is a winner in all this, it’s Quebecers,” said Dubé.
It wasn’t immediately clear whether the agreement would lead family medicine clinics, known as GMFs, to stay open after all.
Doctors reviewing agreement
The head of several GMFs declined to comment, saying the FMOQ had asked doctors not to do interviews until they had presented the deal.
Dr. Robert Pilarski, a family doctor at La Licorne, a clinic in downtown Montreal, said in an interview he was “relieved” by the deal. He said his clinic would have been forced to close if the reforms had gone through as planned on Jan. 1.
Pilarski said he would attend a webinar on Friday to find out more.
“Hopefully, it’s going to be modified in a way that we all will be able to accept,” he said.
Despite the tentative agreement, Ruba Ghazal, co-spokesperson for the opposition party Québec Solidaire, called the entire process a failure. She said it had resulted in chaos within the health-care system.
“For patients, it’s very, very problematic,” Ghazal said.
The Quebec government has still not reached a deal with the province’s medical specialists, who are also affected by Bill 2. Duranceau said negotiations are ongoing with the Fédération des médecins spécialistes du Québec (FMSQ).
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One family medicine group in the city’s Ahuntsic neighbourhood says it’s lost nine physicians because of Bill 2, Quebec’s controversial law that ties a part of doctors’ pay to performance indicators. As remaining staff try to absorb the patients of those doctors, they say the new law will make care more difficult.