Two Magogois doctors criticize the organization of health care

The process of centralization that took place with the creation of the integrated university health and social services center (CIUSSS) of the Eastern Townships – CHUS caused the Memphrémagog RCM to cringe. Two well-known doctors in this sector, Mario Wilhelmy and Yves Arcand, believe that the population of Memphremagog has lost the change and are not afraid to publicly decry the harmful effects they have observed.

Member of the “watchdog committee” interested in health care in Memphremagog, Mr. Wilhelmy considers that this region is living a situation similar to that which it had met in 1997. “There had been efforts of centralization, that year, and I think we’re back to that. We do not agree now more than at the time, “he said at the outset.

The former director of professional services at the Memphrémagog Health and Social Services Center is careful to note that he believes the CIUSSS de l’Estrie leaders in good faith, but notes that the rules applied and the decisions made by them sometimes serve the interests of the people in their area very badly.

“The model in place right now is poorly suited for a region like ours. A tertiary tertiary hospital like the CHUS is not made to run a peripheral institution similar to ours, I think, “he says.

According to Mario Wilhelmy, records often went faster when the Memphremagog Health Center was headed by a director general. He pointed out that it is now difficult for a doctor in the Magogois sector to find out who to contact when he has a request to make to the CIUSSS of Estrie – CHUS.

“We do not have an acknowledgment of receipt and people throw the ball back when we receive our requests. Before, it was easier. Things were regularly regulated by two phone calls. ”

He even compares the CIUSSS, which has a university component, to a “big ship that has difficulty getting around the icebergs that stand in front of him”. He suggests that the Magog Health Center is more like a sailing boat whose trajectory is easy to change.

Examples

Mario Wilhelmy notes that, earlier this year, emergency staff in Magog had planned to quickly open overflow beds, in the event customers escalated due to the flu. However, it would have taken three weeks before the CIUSSS leaders agreed to the plan.

Also responsible for the Lake Clinic, Mr. Wilhelmy also claims that the development of new specialized health services would be much easier in the Magog region, if the staff of the local health center had more free hand.

He also deplores the lack of listening that would have prevailed when an additional doctor wanted to start serving the area of ​​Mansonville, where local authorities have recently denounced an apparent decrease in health services provided on their territory.

“In order for the doctor in question to establish himself there, there were certain demands that had been made, but they did not correspond to the somewhat autocratic framework that existed. It’s unfortunate because this kind of opportunity does not come up every day, “he says.

And that’s not all, because Mario Wilhelmy believes that additional family doctors would be needed in Magog as well. He pointed out that many Magogois are enrolled in clinics located in Sherbrooke, which is not ideal in his eyes because we are talking about local services.

Carry myths

For his part President of the Council of Physicians, Dentists and Pharmacists (CMDP) of Memphremagog, anesthetist Yves Arcand says that “myths are conveyed by the CIUSSS” when it comes to the Magog Health Center.

Among other things, Mr. Arcand was uncomfortable with the comments made by the CIUSSS of Estrie – CHUS that the operating rooms of the Magog Health Center were idling before the merger that led to the creation of the CIUSSS. “They let us believe that we were taking the donut at that time,” he says.

The President of the CPDP recognizes that the number of surgeries has increased in recent months at the Memphrémagog Health Center. But he points out in broad terms that people who need a knee prosthesis are not being operated on the spot, a surgery that is longer to perform than many others.

He added that, for organizational reasons, the transition periods between surgeries are usually shorter in Magog than in Sherbrooke. This would mean that working days in the operating room would often end earlier in the Magog. These ends of “hasty” days would have nothing to do with a lack of efficiency, according to Yves Arcand.

No debate on the public square

Having responded to almost all the criticism coming from Magog in recent months, the CIUSSS de l’Estrie – CHUS has decided not to reply to doctors Mario Wilhelmy and Yves Arcand.

In a message sent to La Tribune , the CIUSSS de l’Estrie – CHUS said it was “well aware of the dissatisfactions of Dr. Wilhelmy and Dr. Arcand and their concerns about the many changes brought about by the reform of our community. network. The management is available to discuss with them, of course. This discussion will not be done through the media, however.

The CIUSSS de l’Estrie nevertheless added a series of statistics to its message and invited La Tribune to read some of them.

One of these statistics shows that the number of hours devoted to users in the Memphrémagog region in health care and services increased between 2015 and 2017. The increase in this area would be 0.8 per cent.

A second statistic also suggests that the operating theater of the Memphremagog Health and Social Services Center is used more today than before the creation of the CIUSSS.

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