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Doctors across Canada are calling for a health-care system overhaul
Daniel J. Rowe
CTVNewsMontreal.ca Digital Reporter
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Published Jan. 11, 2024 5:38 p.m. EST
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Health Minister Christian Dube is urging people to avoid ERs(opens in a new tab) if possible, and to get vaccinated, which is bringing back unpleasant pandemic memories for many in the system.
"Right now, the big problem is the overcrowding in the emergercies," said Quebec Association of ER Physicians (AMUQ) vice-president Dr. Delphine Remillard Labrosse.
In Montreal, the average stretcher occupancy rate is over 150 per cent, and patients are waiting up to seven hours or longer in some hospitals to see a physician.
The AMUQ says the problem is not in the number of patients in the waiting room but rather the time it takes to admit patients to the wards.
"For us right now working in the emergency, the problem is really the overcrowding of the hospital, of the system," said Remillard Labrosse.
On average, patients spend close to 24 hours on an ER stretcher, while they wait for a bed to open up elsewhere in the system.
"That's what prevents us from doing our job," said Labrosse.
It's a similar story across the country.
"It's every emergency department, it's 24 hours a day," said Canadian Medical Association (CMA) president Kathleen Ross.
The CMA says Canada is in a primary care crisis.
"It is well past time to transform and rebuild the health care system," said Ross. "As a front-line provider, I can assure you that people are pushed to the brink. We are trying very hard to shore up the system that is crumbling around us and continues to strain us in ways that we can't really sustain."
In December, Quebec passed Bill 15, a massive health-care reform bill that overhauls the day-to-day management of the health-care system.
There are still questions about whether these changes will help reduce wait times and overcrowding.
Labrosse said doctors do feel like they are finally being heard, however.
"What gives hope to the team is that we see that there's a good understanding of what's going on," she said. "We don't just talk about the emergency that's the problem. We talk about the system as a problem."
加拿大各地的医生呼吁医疗体系改革
由于急诊室过于拥挤，难以跟上呼吸道病毒的治疗速度，全国各地的医生都在呼吁对医疗保健系统进行彻底改革。
卫生部长 Christian Dube 敦促人们避免去急诊室（在新标签页中打开）如果可能的话，请接种疫苗，这让许多系统中的人回想起不愉快的疫情记忆。
魁北克急诊室医师协会 (AMUQ) 副主席 Delphine Remillard Labrosse 博士说：“目前，最大的问题是急诊室过度拥挤。”
在蒙特利尔，担架平均占用率超过 150％，一些医院的患者需要等待七个小时甚至更长时间才能见到医生。
AMUQ 表示，问题不在于候诊室里的患者数量，而在于将患者送入病房所需的时间。
雷米拉德·拉布罗斯说：“对于我们目前在急诊室工作的人来说，真正的问题在于医院和系统过度拥挤。”
平均而言，患者要在急诊室担架上度过近 24 小时，等待医院系统其他地方有空出床位。
拉布罗斯说：“这就是阻碍我们开展工作的原因。”
全国各地都有类似的故事。
加拿大医学协会 (CMA) 主席凯瑟琳·罗斯 (Kathleen Ross) 说：“每个急诊室都有，全天 24 小时开放。”
CMA 表示加拿大正面临初级保健危机。
“早就该改革和重建医疗体系了，”罗斯说。“作为一名一线医护人员，我可以向你保证，人们已经被逼到了绝境。我们正在竭尽全力支撑这个正在崩溃的体系，它继续以我们无法承受的方式给我们带来压力。”
12月，魁北克省通过了第15号法案，这是一项大规模的医疗改革法案，旨在彻底改革医疗保健系统的日常管理。
关于这些变化是否有助于减少等待时间和缓解拥挤，仍存在疑问。
然而拉布罗斯表示，医生们确实感到他们的声音终于被听到了。
“让团队充满希望的是，我们看到大家对正在发生的事情有了很好的理解，”她说。“我们不仅仅谈论紧急情况，而是谈论整个系统的问题。”
华人群体里普及真实的系统崩溃问题. 圈儿也算是帮助医生们了.
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