Postural-support devices

Close to 500 products were identified in commercial catalogues and organized in spreadsheets. The cross-tabulation capabilities of spreadsheet programs (in particular by product class, cost, selection and eligibility criteria) nevertheless remain limited. Evidence on the efficacy and safety of these products is practically non-existent, although much is being generated in various research projects. Different classification models, four selection models and major evaluation criteria can nevertheless be retained as the starting point for designing an updatable selection grid.

In light of these observations, AETMIS recommends that the RAMQ establish a minimal selec- tion grid and consider forming a consensus group composed of prescribers, users, suppliers and experts to integrate evidence into the grid as it is generated. The RAMQ should also consider implementing relational databases to cross-tabulate all the information relevant to administering its program, particularly current and emerging standards. As to the question of costs, AETMIS recommends that the RAMQ uses the information compiled henceforth to implement billing pro- cedures in association with the institutions and suppliers.