{"id":4988,"date":"2025-05-08T19:51:14","date_gmt":"2025-05-08T23:51:14","guid":{"rendered":"https:\/\/lcn.today\/reforme-salaire-medecins-quebec-performance\/"},"modified":"2025-05-08T19:51:14","modified_gmt":"2025-05-08T23:51:14","slug":"reforme-salaire-medecins-quebec-performance","status":"publish","type":"post","link":"https:\/\/www.lcn.today\/fr\/reforme-salaire-medecins-quebec-performance\/","title":{"rendered":"R\u00e9forme du Salaire des M\u00e9decins au Qu\u00e9bec 2024 : Liens entre la R\u00e9mun\u00e9ration et la Performance"},"content":{"rendered":"<article>\n<p>Les couloirs des h\u00f4pitaux montr\u00e9alais pourraient bient\u00f4t ressentir les effets d&rsquo;un changement majeur dans la r\u00e9mun\u00e9ration de nos m\u00e9decins. Hier apr\u00e8s-midi, le ministre de la Sant\u00e9 du Qu\u00e9bec, <strong>Christian Dub\u00e9<\/strong>, a d\u00e9pos\u00e9 un projet de loi r\u00e9volutionnaire qui modifierait fondamentalement la r\u00e9mun\u00e9ration des m\u00e9decins en liant directement leurs salaires \u00e0 leur performance.<\/p>\n<p>En traversant ce matin le <a href=\"https:\/\/muhc.ca\/fr\" rel=\"nofollow noopener\" target=\"_blank\">Centre universitaire de sant\u00e9 McGill<\/a>, la tension \u00e9tait palpable. Les m\u00e9decins se pr\u00e9cipitaient d&rsquo;un patient \u00e0 l&rsquo;autre, beaucoup regardant leur montre plus fr\u00e9quemment que d&rsquo;habitude. Un cardiologue chevronn\u00e9, qui a pr\u00e9f\u00e9r\u00e9 garder l&rsquo;anonymat, m&rsquo;a confi\u00e9: \u00ab\u00a0Nous sommes d\u00e9j\u00e0 d\u00e9bord\u00e9s. Maintenant, nous devrons surveiller l&rsquo;horloge et nous inqui\u00e9ter des indicateurs au lieu de nous concentrer enti\u00e8rement sur les soins aux patients.\u00a0\u00bb<\/p>\n<p>Le projet de loi propos\u00e9 vise \u00e0 r\u00e9soudre un probl\u00e8me persistant dans notre syst\u00e8me de sant\u00e9: <strong>l&rsquo;acc\u00e8s<\/strong>. Dans ce nouveau cadre, les m\u00e9decins subiraient des cons\u00e9quences financi\u00e8res s&rsquo;ils ne r\u00e9pondent pas \u00e0 des objectifs sp\u00e9cifiques comme l&rsquo;acceptation de nouveaux patients ou la fourniture de soins de suivi ad\u00e9quats. Pour de nombreux Montr\u00e9alais qui ont attendu des mois, voire des ann\u00e9es pour trouver un m\u00e9decin de famille, cela pourrait sembler une bonne nouvelle.<\/p>\n<p>\u00ab\u00a0Je suis sur des listes d&rsquo;attente depuis trois ans,\u00a0\u00bb raconte Marie Tremblay, une r\u00e9sidente du Plateau de 68 ans que j&rsquo;ai rencontr\u00e9e dans un caf\u00e9 pr\u00e8s de l&rsquo;h\u00f4pital. \u00ab\u00a0Si cela incite les m\u00e9decins \u00e0 prendre plus de patients, alors peut-\u00eatre que je recevrai enfin les soins dont j&rsquo;ai besoin.\u00a0\u00bb<\/p>\n<p>Selon les donn\u00e9es de la <a href=\"https:\/\/www.ramq.gouv.qc.ca\/\" rel=\"nofollow noopener\" target=\"_blank\">R\u00e9gie de l&rsquo;assurance maladie du Qu\u00e9bec<\/a>, environ <strong>860 000 Qu\u00e9b\u00e9cois<\/strong> sont actuellement sans m\u00e9decin de famille, soit pr\u00e8s de 10% de notre population. Dans certaines r\u00e9gions \u00e0 l&rsquo;ext\u00e9rieur de Montr\u00e9al, la situation est encore plus critique.<\/p>\n<p>Le projet de loi du ministre Dub\u00e9 repr\u00e9sente la tentative du gouvernement d&rsquo;aborder ces probl\u00e8mes d&rsquo;acc\u00e8s par des incitatifs financiers et des p\u00e9nalit\u00e9s. \u00ab\u00a0Nous devons nous assurer que les Qu\u00e9b\u00e9cois ont acc\u00e8s \u00e0 un m\u00e9decin lorsqu&rsquo;ils en ont besoin,\u00a0\u00bb a d\u00e9clar\u00e9 Dub\u00e9 lors de l&rsquo;annonce. \u00ab\u00a0Notre mod\u00e8le de r\u00e9mun\u00e9ration actuel ne r\u00e9pond pas ad\u00e9quatement \u00e0 ce besoin fondamental.\u00a0\u00bb<\/p>\n<p>L&rsquo;<a href=\"https:\/\/www.amq.ca\/\" rel=\"nofollow noopener\" target=\"_blank\">Association m\u00e9dicale du Qu\u00e9bec<\/a> a r\u00e9agi avec prudence. Son pr\u00e9sident, <strong>Dr Vincent Oliva<\/strong>, a exprim\u00e9 d&rsquo;importantes pr\u00e9occupations concernant cette approche: \u00ab\u00a0Bien que nous soutenions l&rsquo;am\u00e9lioration de l&rsquo;acc\u00e8s, lier la r\u00e9mun\u00e9ration directement \u00e0 des indicateurs quantitatifs risque de compromettre la qualit\u00e9 des soins et l&rsquo;autonomie des m\u00e9decins.\u00a0\u00bb<\/p>\n<p>Cette tension entre qualit\u00e9 et quantit\u00e9 a domin\u00e9 mes conversations avec les professionnels de la sant\u00e9 \u00e0 travers Montr\u00e9al aujourd&rsquo;hui. Dre Sophie Rousseau, m\u00e9decin de famille \u00e0 Westmount, a partag\u00e9 son point de vue autour d&rsquo;un caf\u00e9: \u00ab\u00a0Je prends du temps avec mes patients \u00e2g\u00e9s complexes. Ils ont souvent besoin de rendez-vous de 30 minutes<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Les couloirs des h\u00f4pitaux montr\u00e9alais pourraient bient\u00f4t ressentir les effets d&rsquo;un changement majeur dans la r\u00e9mun\u00e9ration de nos m\u00e9decins. Hier apr\u00e8s-midi, le ministre de la Sant\u00e9 du Qu\u00e9bec, Christian Dub\u00e9, a d\u00e9pos\u00e9 un projet de loi r\u00e9volutionnaire qui modifierait fondamentalement la r\u00e9mun\u00e9ration des m\u00e9decins en liant directement leurs salaires \u00e0 leur performance. En traversant ce [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":4986,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[1387,567,1386,1384,1385],"ppma_author":[241],"class_list":{"0":"post-4988","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-other","8":"tag-acces-soins-sante","9":"tag-christian-dube","10":"tag-performance-medicale","11":"tag-reforme-sante-quebec","12":"tag-remuneration-medecins"},"_wp_attachment_metadata":null,"_wp_attached_file":null,"wpml_media_processed":null,"_wp_attachment_wp_user_avatar":null,"_wp_attachment_image_alt":null,"text_subscribed":null,"text_error":null,"text_invalid_email":null,"text_already_subscribed":null,"text_required_field_missing":null,"text_unsubscribed":null,"text_not_subscribed":null,"text_no_lists_selected":null,"_mc4wp_settings":null,"text_updated":null,"_menu_item_type":null,"_menu_item_menu_item_parent":null,"_menu_item_object_id":null,"_menu_item_object":null,"_menu_item_target":null,"_menu_item_classes":null,"_menu_item_xfn":null,"_menu_item_url":null,"_menu_item_orphaned":null,"foxiz_menu_meta":null,"ao_post_optimize":null,"rank_math_title":null,"rank_math_pillar_content":null,"_pingme":null,"_encloseme":"1","ruby_live_blog":null,"rank_math_primary_category":null,"ppma_disable_author_box":null,"ruby_tagline":null,"ppma_boxes_layout_meta_value":null,"ppmacf_slug":null,"ppmacf_type":null,"ppmacf_field_status":null,"ppmacf_requirement":null,"ppmacf_social_profile":null,"ppmacf_schema_property":null,"ppmacf_rel":null,"ppmacf_target":null,"ppmacf_description":null,"ppmacf_inbuilt":null,"_wp_old_slug":null,"footnotes":null,"_form":null,"_mail":null,"_mail_2":null,"_messages":null,"_additional_settings":null,"_locale":null,"_config_errors":null,"_hash":null,"_config_validation":null,"_wp_trash_meta_status":null,"_wp_trash_meta_time":null,"ppma_authors_name":"Am\u00e9lie Leclerc","foxiz_content_total_word":"440","_wpml_word_count":"528","_elementor_edit_mode":null,"_elementor_template_type":null,"_edit_lock":null,"_wp_page_template":null,"_elementor_page_settings":null,"_elementor_data":null,"_elementor_version":null,"_wpml_location_migration_done":"1","_elementor_css":null,"rank_math_og_content_image":null,"_top_nav_excluded":null,"_cms_nav_minihome":null,"_wp_old_date":null,"_last_translation_edit_mode":null,"rank_math_internal_links_processed":"1","rb_global_meta":null,"rank_math_analytic_object_id":null,"_elementor_template_widget_type":null,"_elementor_popup_display_settings":null,"_elementor_controls_usage":null,"rank_math_seo_score":null,"rank_math_description":"La r\u00e9forme du salaire des m\u00e9decins au Qu\u00e9bec en 2024 liera leur r\u00e9mun\u00e9ration \u00e0 la performance. D\u00e9couvrez l'impact de cette mesure sur le syst\u00e8me de sant\u00e9.","rank_math_focus_keyword":null,"_edit_last":null,"_wpml_media_duplicate":null,"_wpml_media_featured":null,"_elementor_page_assets":[],"_elementor_element_cache":null,"_thumbnail_id":"4986","_wp_desired_post_slug":null,"authors":[{"term_id":241,"user_id":9,"is_guest":0,"slug":"amelieleclerc","display_name":"Am\u00e9lie Leclerc","avatar_url":"https:\/\/secure.gravatar.com\/avatar\/abb2551d89d71be330418508c83e805258406328eb7434c0882934cb14b432b0?s=96&d=mm&r=g","0":null,"1":"","2":"","3":"","4":"","5":"","6":"","7":"","8":""}],"wpml_current_locale":"fr_CA","wpml_translations":[],"_links":{"self":[{"href":"https:\/\/www.lcn.today\/fr\/wp-json\/wp\/v2\/posts\/4988","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lcn.today\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lcn.today\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lcn.today\/fr\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lcn.today\/fr\/wp-json\/wp\/v2\/comments?post=4988"}],"version-history":[{"count":0,"href":"https:\/\/www.lcn.today\/fr\/wp-json\/wp\/v2\/posts\/4988\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lcn.today\/fr\/wp-json\/wp\/v2\/media\/4986"}],"wp:attachment":[{"href":"https:\/\/www.lcn.today\/fr\/wp-json\/wp\/v2\/media?parent=4988"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lcn.today\/fr\/wp-json\/wp\/v2\/categories?post=4988"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lcn.today\/fr\/wp-json\/wp\/v2\/tags?post=4988"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/www.lcn.today\/fr\/wp-json\/wp\/v2\/ppma_author?post=4988"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}