{"id":5547,"date":"2025-04-09T02:19:20","date_gmt":"2025-04-09T02:19:20","guid":{"rendered":"https:\/\/obesity-matters.com\/news\/parlons-obesite-policy-roundtable\/"},"modified":"2025-04-09T17:33:02","modified_gmt":"2025-04-09T17:33:02","slug":"table-ronde-politique-sur-lobesite-au-quebec","status":"publish","type":"post","link":"https:\/\/obesity-matters.com\/fr\/news\/table-ronde-politique-sur-lobesite-au-quebec\/","title":{"rendered":"Table ronde politique sur l&rsquo;ob\u00e9sit\u00e9 au Qu\u00e9bec : Promouvoir des soins \u00e9quitables et la reconnaissance de la maladie"},"content":{"rendered":"<h4 data-start=\"383\" data-end=\"432\"><\/h4>\n<h3><b>L&rsquo;ob\u00e9sit\u00e9 au Qu\u00e9bec : Une maladie non reconnue<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Au Qu\u00e9bec, l&rsquo;ob\u00e9sit\u00e9 n&rsquo;est toujours pas officiellement reconnue comme une maladie.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pourtant, plus de 30 % de la population\u2014environ 3 millions de Qu\u00e9b\u00e9cois\u2014vivent avec cette condition chronique qui affecte profond\u00e9ment leur sant\u00e9 et leur qualit\u00e9 de vie.<\/span><\/p>\n<h3><b>Fardeau de la maladie<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">D\u00e9finition de l&rsquo;ob\u00e9sit\u00e9 <\/span><b>:<\/b> <span style=\"font-weight: 400;\">C&rsquo;est une maladie chronique caract\u00e9ris\u00e9e par l&rsquo;accumulation d&rsquo;un exc\u00e8s de graisse corporelle susceptible de nuire \u00e0 notre sant\u00e9 physique, mentale ou m\u00e9tabolique et \u00e0 notre qualit\u00e9 de vie globale.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Les complications incluent notamment le diab\u00e8te de type 2, les maladies cardiovasculaires, et certains cancers. En effet, l&rsquo;ob\u00e9sit\u00e9 est un facteur de risque pour plus de 200 pathologies. Cette r\u00e9alit\u00e9 p\u00e8se non seulement sur l&rsquo;esp\u00e9rance de vie, mais elle influence \u00e9galement la qualit\u00e9 de vie de ces personnes et le stigma social qu&rsquo;elles subissent.<\/span><\/p>\n<h4 data-start=\"383\" data-end=\"432\"><\/h4>\n<p><b>L&rsquo;impact \u00e9conomique est consid\u00e9rable:<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">Un fardeau fiscal total de 23 milliards $ en 2021 pour le gouvernement qu\u00e9b\u00e9cois.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Une r\u00e9duction de seulement 1% de la pr\u00e9valence de l&rsquo;ob\u00e9sit\u00e9 g\u00e9n\u00e9rerait des gains fiscaux nets estim\u00e9s \u00e0 230 millions $ annuellement &#8211; un retour sur investissement significatif pour toute politique de sant\u00e9 efficace.<\/span><\/p>\n<h4 data-start=\"383\" data-end=\"432\"><\/h4>\n<h3><b>Acc\u00e8s aux traitements: un d\u00e9calage avec les standards internationaux<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Le Qu\u00e9bec adopte une approche qui diverge significativement des lignes directrices internationales telle que l\u2019Organisation mondiale de la sant\u00e9 (OMS), l\u2019Association m\u00e9dicale am\u00e9ricaine (AMA) et l\u2019Association m\u00e9dicale canadienne (AMC) en mati\u00e8re de prise en charge de l&rsquo;ob\u00e9sit\u00e9:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Standard mondial en \u00e9volution : The Lancet Diab\u00e8tes &amp; Endocrinology a r\u00e9cemment propos\u00e9 une nouvelle d\u00e9finition de l&rsquo;ob\u00e9sit\u00e9, qui va au-del\u00e0 de la simple mesure de l&rsquo;indice de masse corporelle (IMC) et exigeant des traitements accessibles. De plus, l&rsquo;Alberta est devenue la premi\u00e8re province canadienne \u00e0 reconna\u00eetre officiellement l&rsquo;ob\u00e9sit\u00e9 comme une maladie.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Orientation actuelle au Qu\u00e9bec : Priorit\u00e9 aux changements d&rsquo;habitudes de vie, avec intervention limit\u00e9e et traitements th\u00e9rapeutiques inaccessibles dans le syst\u00e8me public.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exclusion syst\u00e9matique : Les traitements pharmaceutiques sont explicitement exclus du r\u00e9gime public d&rsquo;assurance m\u00e9dicaments (article 6.3, annexe 1, Liste de m\u00e9dicaments RAMQ)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Barri\u00e8re \u00e9valuative : Contrairement \u00e0 l&rsquo;Agence des m\u00e9dicaments du Canada (AMC), l&rsquo;INESSS consid\u00e8re ces traitements comme non \u00e9ligibles \u00e0 l&rsquo;\u00e9valuation pour recommandation d&rsquo;inclusion aux listes de m\u00e9dicaments rembours\u00e9s.<\/span><\/li>\n<\/ul>\n<h3><b>Table ronde politique au Qu\u00e9bec : Un appel \u00e0 l\u2019action pour des soins \u00e9quitables en mati\u00e8re d\u2019ob\u00e9sit\u00e9<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Face au manque persistant de reconnaissance de l\u2019ob\u00e9sit\u00e9 comme maladie et \u00e0 l\u2019acc\u00e8s limit\u00e9 aux traitements au Qu\u00e9bec, <\/span><b>Parlons Ob\u00e9sit\u00e9<\/b><span style=\"font-weight: 400;\">, la division francophone de <\/span><b>Obesity Matters<\/b><span style=\"font-weight: 400;\">, a organis\u00e9 une table ronde politique le <\/span><b>12 d\u00e9cembre 2024<\/b><span style=\"font-weight: 400;\">. L\u2019\u00e9v\u00e9nement a rassembl\u00e9 des professionnels de la sant\u00e9, des d\u00e9fenseurs des droits des patients, des \u00e9conomistes, des experts en affaires publiques, des repr\u00e9sentants de l\u2019industrie et des proches aidants afin d\u2019explorer des solutions concr\u00e8tes et d\u2019amorcer le changement.<\/span><\/p>\n<h3><b>Changer le discours sur l\u2019ob\u00e9sit\u00e9<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Les participants ont soulign\u00e9 l\u2019importance de modifier le r\u00e9cit dominant \u2014 en s\u2019\u00e9loignant des perceptions d\u00e9pass\u00e9es qui pr\u00e9sentent l\u2019ob\u00e9sit\u00e9 comme un simple choix personnel, pour la reconna\u00eetre plut\u00f4t comme une maladie chronique complexe. Le langage utilis\u00e9 dans les m\u00e9dias et le discours politique doit refl\u00e9ter cette r\u00e9alit\u00e9 afin de r\u00e9duire la stigmatisation et d\u2019encourager un changement significatif.<\/span><\/p>\n<h3><b>Am\u00e9liorer l\u2019acc\u00e8s \u00e0 des soins complets<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Les \u00e9changes ont mis en lumi\u00e8re l\u2019urgence de garantir un acc\u00e8s \u00e9quitable \u00e0 des soins complets, incluant la pharmacoth\u00e9rapie et les services de chirurgie bariatrique. Les solutions propos\u00e9es comprennent notamment :<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Des <\/span><b>projets pilotes cibl\u00e9s<\/b><span style=\"font-weight: 400;\"> dans les r\u00e9gions mal desservies ;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">La cr\u00e9ation d\u2019un <\/span><b>groupe de travail conjoint<\/b><span style=\"font-weight: 400;\"> (MSSS, INESSS, patients et cliniciens) pour optimiser le financement et l\u2019offre de soins.<\/span><\/li>\n<\/ul>\n<h3><b>Sensibilisation et mobilisation politique<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Deux strat\u00e9gies cl\u00e9s ont \u00e9t\u00e9 identifi\u00e9es :<\/span><\/p>\n<p><b>\u00c9ducation :<\/b><span style=\"font-weight: 400;\"> Lancer des campagnes publiques qui mettent en lumi\u00e8re les cons\u00e9quences cliniques de l\u2019ob\u00e9sit\u00e9 non trait\u00e9e, tout en pla\u00e7ant les t\u00e9moignages de patients au c\u0153ur du message.<\/span><\/p>\n<p><b>Plaidoyer politique :<\/b><span style=\"font-weight: 400;\"> Miser sur des arguments \u00e9conomiques convaincants, demander le <\/span><b>retrait de l\u2019article 6.3<\/b><span style=\"font-weight: 400;\"> de la Liste des m\u00e9dicaments de la RAMQ et permettre \u00e0 <\/span><b>l\u2019INESSS d\u2019\u00e9valuer les traitements contre l\u2019ob\u00e9sit\u00e9<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3><b>Une voie \u00e0 suivre<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Les participants recommandent de maintenir un <\/span><b>engagement soutenu aupr\u00e8s des \u00e9lus<\/b><span style=\"font-weight: 400;\">, en l\u2019alignant avec les <\/span><b>moments strat\u00e9giques du calendrier politique<\/b><span style=\"font-weight: 400;\"> (ex. : d\u00e9p\u00f4ts budg\u00e9taires, sessions parlementaires, p\u00e9riodes pr\u00e9\u00e9lectorales).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ils proposent \u00e9galement :<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">L\u2019organisation d\u2019un <\/span><b>\u00e9v\u00e9nement de sensibilisation<\/b><span style=\"font-weight: 400;\"> \u00e0 l\u2019Assembl\u00e9e nationale ;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">La tenue d\u2019une <\/span><b>commission publique provinciale sur l\u2019ob\u00e9sit\u00e9<\/b><span style=\"font-weight: 400;\">, inspir\u00e9e des \u00c9tats g\u00e9n\u00e9raux sur la lutte contre le cancer au Qu\u00e9bec.<\/span><\/li>\n<\/ul>\n<h3><b>\u00c0 propos de Parlons Ob\u00e9sit\u00e9<\/b><\/h3>\n<p><i><span style=\"font-weight: 400;\">Parlons Ob\u00e9sit\u00e9<\/span><\/i><span style=\"font-weight: 400;\"> est la division francophone de <\/span><b>Obesity Matters<\/b><span style=\"font-weight: 400;\"> \u2014 la premi\u00e8re organisation centr\u00e9e sur les patients vivant avec l\u2019ob\u00e9sit\u00e9 au Qu\u00e9bec et \u00e0 travers le Canada.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Notre mission est de promouvoir la compassion, l\u2019autonomisation et l\u2019\u00e9quit\u00e9 en sant\u00e9 en :<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Reconnaissant l\u2019ob\u00e9sit\u00e9 comme une maladie chronique<\/b><span style=\"font-weight: 400;\">, et<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Assurant un acc\u00e8s \u00e0 des soins complets et multidisciplinaires<\/b><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Nous \u0153uvrons par le biais du plaidoyer, de l\u2019\u00e9ducation et de l\u2019engagement communautaire afin de b\u00e2tir un syst\u00e8me de sant\u00e9 plus inclusif et respectueux pour tous.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>L&rsquo;ob\u00e9sit\u00e9 au Qu\u00e9bec : Une maladie non reconnue Au Qu\u00e9bec, l&rsquo;ob\u00e9sit\u00e9 n&rsquo;est toujours pas officiellement reconnue comme une maladie.\u00a0 Pourtant, &hellip;<\/p>\n","protected":false},"author":4,"featured_media":5255,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"give_campaign_id":0,"footnotes":""},"categories":[7],"tags":[],"class_list":["post-5547","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.9 - 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