Pour une allocation équitable des ressources en GMF
Objective: To evaluate the “burden” involved in the clinical management of people living with HIV/AIDS, in order to adjust the allocation of resources in terms of family medicine groups (FMG).  Methodology: A comparative analysis of FMG Clinique médicale l’Actuel, FMGs in Montréal and throughout Québec, identifying differences in care consumption profiles for the years 2006 to 2008 and the costs of use of services for 2005.  Results: In 2008, seventy eight percent (78%) of the clientele registered with the FMG at Clinique médicale l’Actuel was considered vulnerable, in comparison to twenty eight percent (28%) at other Montréal FMGs, a trend observed throughout Québec. The average number of visits per registered individuals was 7.57 at the Actuel FMG, while the average in Montréal was 3.37 and in Québec overall, 3.47. In 2005, the average cost of a visit at the Actuel FMG was $203.93 compared to costs that varied from $132.14 to $149.53 for comparative units.  Conclusion: The intensity of use of FMG resources at the Clinique médicale l’Actuel (number of vulnerable individuals, number of visits and costs) suggests that the clinical management of people living with HIV/AIDS is a much heavier burden than that of an average citizen, or even from the majority of other categories of vulnerability. In order to ensure that all FMGs are treated fairly and equitably, registration should be adjusted to take into account the “burden” of this clientele and to place more value on the case management of people with complex clinical presentations.
Funding of FMG Allocation of resources Equity Use of services PLHIV