Julius Grey to challenge PREM system
Julius Grey is going to challenge the PREM system that has the tendency to allocate doctors away from Montreal. He’s got an uphill battle with the pro-rest-of-Quebec CAQ in power.
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Kate
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Kevin 19:21 on 2019-07-05 Permalink
The PREM System is based on the idea that hospitals are reserved for the people who live in the immediate vicinity of the hospital.
That courts have ruled that actually doing that is forbidden, but the bureaucrats do not care.
Blueeyes 11:30 on 2019-07-06 Permalink
This has been a stop gap attempt since 2002 (guy with heart attack sent to a closed ER) to attempt to deliver physicians to unserviced areas (usually rural). unfortunately more regulation actually has not improved things except in a few spots. It actually leads to a drain of physicians out of the province. PREMs are required to work in a region and has little to do with hospitals however. PEMs are needed for hospital privileges. PREMs assume the urban centres are sufficiently staffed. Montreal has been suffering for years with inadequate family physician numbers. On another note access in the office would be improved if the AMPs were removed as a requirement- a promise the government said it would do with the famous deal with the FMOQ to allow the physicians 10-15 years in practice to decrease work in hospitals so they can work more in their offices…
Kevin 17:28 on 2019-07-07 Permalink
@Blueeyes
When I say hospitals penalize an area, it is because the bureaucrats who allot PREMs look at the total number of doctors working in their bizarrely contorted regions, including those who have PEMs for specific hospitals, and award accordingly.
Honestly, I don’t know how anyone came up with such a stupid system unless their goal was to drive doctors out of Medicare.