Access to Family Doctors: The Story of Nancy Picard and Louisette Gignac

2024-03-24 04:00:00

Nancy Picard is not angry. Her mother, Louisette Gignac, died last year of late-diagnosed breast cancer. The lady who was on the cusp of her 79th birthday had not had a family doctor since 2019.

Nancy Picard and Louisette Gignac ▪ 55 years old and 78 years old
Sainte-Catherine-de-la-Jacques-Cartier
Without a doctor for four years

“My mother was completely abandoned,” said the 55-year-old woman, “no one wanted to take her.” In addition to cancer, his mother had heart problems and bronchial problems.

  • Listen to the interview with Dr. Marc-André Amyot, president of the Federation of General Practitioners of Quebec, via OLD :

To renew her medications, Nancy Picard turned to a specialized nurse practitioner clinic in the Saint-Roch district of Quebec.

Nancy Picard carefully keeps this photo in her phone. She believes that her mother was abandoned by not finding her a family doctor for more than four years. DIDIER DEBUSSCHERE/JOURNAL DE QUEBEC

Despite everything, Mrs. Gignac was independent and her daughter was not overly worried. That’s why she didn’t think to ask her mother if she had continued to have her mammograms to detect possible cancer, even though she no longer had a family doctor.

However, everything changed when she complained of bleeding from the end of one breast. Nancy Picard herself took steps to have her seen by a doctor. She quickly had one of her breasts removed to try to contain the disease.

Too late

However, it was too late. She died on February 9, 2023. Without ever having obtained a new family doctor.

“Before her cancer, she needed care. He needed a doctor,” underlines Nancy Picard.

Since then, she has taken care of her father-in-law who also has several health problems which notably required psychiatric hospitalization.

However, he too does not have a family doctor at the age of 77.

“I’m the one who has to be the doctor,” she confides, adding that without the follow-ups she does, he would probably be on the street.

Nancy Picard with her mother before the latter's death from breast cancer in February 2023.

Nancy Picard with her father-in-law, for whom she takes care of medical follow-ups. He also has not had a family doctor since 2019. Courtesy Nancy Picard

Nancy Picard managed to find a family doctor after several steps. However, she does not understand why people with health problems as acute as those of her mother and stepfather are left without any medical follow-up from a general practitioner.

And at your home?

Number of people waiting for a family doctor by region. Ranking from worst to best RLS*

rankregionname2024VAR. 1 YEAR1RLS PIERRE-BOUCHERMontérégie41 345-3%2RLS ALPHONSE-DESJARDINSChaudière-Appalaches39 734-11%3RLS DE LA RIVIÈRE-DU-NORD–MIRABEL-NORDLaurentides30 201-6%4RLS DE SHERBROOKEEstrie29 80810%5RLS DE LANAUDIÈRE-NORDLanaudière26 872-3%6RLS DES FAUBOURGS–PLATEAU-MONT-ROYAL–ST-LOUIS-DU-PARCMontréal24 28224 %7RLS DE THÉRÈSE-DE BLAINVILLELaurentides22 11819 %8RLS DE DEUX-MONTAGNES–MIRABEL-SUDLaurentides20 11515 %9RLS DE PIERREFONDS–LAC SAINT-LOUISMontréal17 9783 %1 0RLS OF GARDENS -ROUSSILLONMontérégie17 376-5%11RLS DE LA HAUTE-YAMASKAEstrie16 55911%12RLS DU HAUT-RICHELIEU–ROUVILLEMontérégie16 510-19%13RLS DE RIVIÈRE-DES-PRAIRIES–ANJOU–MONTREAL-ESTMontréal16 466-23%14RLS DE LANAUDIÈRE-SUDL anaudière16 334-30 %) RLS DE TROIS-RIVIÈRESMauricie and Centre-du-Québec13 163-2 %20RLS DE VERDUN–CÔTE ST-PAUL–ST-HENRI–POINTE-ST-CHARLESMontréal12 00332 %21RLS DU CENTER-DE-LA-MAURICIEMauricie and Centre-du-Québec11 39912 %22RLS DE BEAUCEChaudière -Appalaches11 19629 %23RLS OF CÔTE-DES-NEIGES–MÉTRO–PARC-EXTENSIONMontréal10 456-46 %24RLS OF CHICOUTIMISaguenay–Lac-Saint-Jean9 50119 %25RLS OF ARTHABASKA-ET-DE-L’ÉRABLEMauricie and Centre-du-Québec8 87625 %26RLS DE MEMPHRÉMAGOGEstrie7 6856 %27RLS DE LA VALLÉE-DE-L’ORAbitibi-Témiscamingue7 38822 %28RLS DE CHAMPLAINMontérégie7 221-75%29RLS DE LA POMMERAIEEstrie7 0789 %30RLS DE PORTNEUFCapitale-Nationale7 075-1 %31RLS DE GRANDE-RIVIÈRE–HULL –GATINEAUOutaouais6 316-55%32RLS DES PAYS-D’EN-HAUTLaurentides6 299-9%33RLS DE QUÉBEC-SUDCapitale-Nationale5 808-71%34RLS DES LAURENTIDESLaurentides5 63520%35RLS PIERRE-DE SAURELMontérégie5 464-50%36RLS D’ARGENTEUILLaurent ides5 02565% 37RLS DE RIMOUSKIBas-Saint-Laurent4 72846%38RLS DE JONQUIÈRESaguenay–Lac-Saint-Jean4 15119%39RLS DE COATICOOKEstrie4 001-4%40RLS DE ANTOINE-LABELLELaurentides3 580-6%41RLS DE VAL SAINT-FRANÇOISEstrie3 5136%42RLS DE LA REG ION OF Thetfordchaudière-Appalaches3 506-17 %43rls of Lavallaval3 155-65 %44rls of Ahuntsic-Montréal-Nordmontréal3 092-40 %45rls of Baiesaguenay-Lac-Saint-Jean3 08049 %46rls northern of the island- -75%47RLS DES COLLINES-DE-L’OUTAOUAISOutaouais2 855127%48RLS DE LA HAUTE-CÔTE-NORD –MANICOUAGANCôte-Nord2 823-35%49RLS DE MATANEBas-Saint-Laurent2 795-6%50RLS DE LA BAIE-DES-CHALEURSGaspésie– Îles-de-la-Madeleine2 615-20%51RLS DE VAUDREUIL-SOULANGESMontérégie2 524-57%52RLS DE SAINT-LÉONARD–SAINT-MICHELMontréal2 516-66%53RLS DE LAC-SAINT-JEAN-ESTSaguenay–Lac-Saint-Jean2 494191% 54RLS DU GRANITEstrie2 415-9%55RLS DE CHARLEVOIXCapitale-Nationale2 398-36%56RLS DE LA VALLÉE-DE-LA-BATISCANMauricie and Centre-du-Québec2 316-38%57RLS DU HAUT-SAINT-FRANÇOISEstrie2 29458%58RLS DES ETCHEMINSChaudière-Appalaches 2 248193 %59RLS DE DORVAL–LACHINE–LASALLEMontréal2 113-54 %60RLS DE SEPT-ÎLESCôte-Nord2 01524 %61RLS DE LA HAUTE-GASPÉSIEGaspésie–Îles-de-la-Madeleine1 987-8 %62RLS DE MARIA-CHAPDELAINESaguenay–Lac-Saint- Jean1 957-6%63RLS OF ASBESTOSEstrie1 929-1%64RLS OF ABITIBI-OUESTAbitibi-Témiscamingue1 738102%65RLS OF MINGANIECôte-Nord1 735-6%66RLS OF ROUYN-NORANDAAbitibi-Témiscamingue1 577-17%67RLS OF MONTMAG NY-L ‘ISLETChaudière-Appalaches1 551-2 %68RLS DE BÉCANCOUR–NICOLET-YAMASKAMauricie and Centre-du-Québec1 461116 %69RLS DE L’ABITIBIAbitibi-Témiscamingue1 440975 %70RLS DE KAMOURASKABas-Saint-Laurent1 4011097 %71RLS DE RIVIÈRE-DU -LOUPBas-Saint -Laurent1 27030 %72RLS DE LA MITISBas-Saint-Laurent1 21535 %73RLS DU TÉMISCAMINGAbitibi-Témiscamingue1 04414 %74RLS DE LA VALLÉE-DE-LA-LIÈVRE ET DE LA PETITE-NATIONOutaouais1 006124 %75NORD-DU-QUÉBECNord-du-Québec9985% 76RLS OF HAUT-SAINT-MAURICEMauricie and Centre-du-Québec872126%77RLS OF LA MATAPÉDIABas-Saint-Laurent795397%78RLS OF CÔTE-SAINT-LUC–NDG–MONTRÉAL-OUESTMontréal781-87%79RLS OF LA PETITE PATRIE–VILLERAYMontréal739-60%80RLS OF HAUT-SAINT-LAURENTMontérégie611-13%81RLS DU ROCHER-PERCÉGaspésie–Îles-de-la-Madeleine49414%82RLS DE PORT-CARTIERCôte-Nord465-49%83RLS DU SUROÎTMontérégie453-76%84RLS DES ÎLES-DE-LA-MADELEINEGaspésie–Îles – de-la-Madeleine395-60%85RLS DE LA VALLÉE-DE-LA-GATINEAUOutaouais2861%86RLS DE TÉMISCOUATABas-Saint-Laurent27817%87RLS DE MASKINONGÉMauricie and Centre-du-Québec27485%88RLS DE LA CÔTE-DE-GASPÉGaspésie–Îles-de- la-Madeleine20330%89RLS DES BASQUESBas-Saint-Laurent17870%90RLS DU DOMAINE-DU-ROYSaguenay–Lac-Saint-Jean169-57%91RLS DE CANIAPISCAUCote-Nord139-28%92RLS DU PONTIACOutaouais108-77%

SOURCE: RAMQ. DATA AS OF JANUARY 1, 2024

*RLS: Local Service Network

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