General information

Ce champ d’expertise réfère aux travaux menant à des recommandations quant à la pertinence de maintenir ou d’ajouter des analyses de laboratoire au Répertoire québécois et système de mesure des procédures de biologie médicale. S’y trouvent également les travaux qui en soutiennent un usage judicieux.

Medical Biology Procedures Répertoire

CONTEXT

The Ministry of Health and Social Services (MSSS) publishes the Répertoire québécois et système de mesure des procédures de biologie médicale annually. This Répertoire includes different information concerning the management of biomedical analyses.

The introduction of a medical biology procedure in the Répertoire means it must become available to the whole population of Québec if a doctor or a person authorised to do so prescribes such a procedure.

Addition of a procedure in the Répertoire

The medical biology is a sector in constant evolution. Laboratory medicine must constantly adapt to new needs and technological changes. Consequently, frequent modifications to the Répertoire are necessary.

At the request of the MSSS in 2012, INESSS has developed an evaluation process of the medical biology analyses. The mechanism put in place is destined to support the ministerial authorities for clear decision-making relating to the addition of a new analysis in the Répertoire according to its relevance. The mechanism’s final result is the transmission of a Notice to the Minister of Health and Social Services.

In 2014, INESSS’s mandate was extended so the Institut also evaluates the relevance to register or keep in the ministerial Répertoire:

  • New medical biology analyses;
  • Tests taken outside Québec (analyses outside Québec);
  • Analyses already registered in the Répertoire.

Évaluation des tests compagnons

La mise en place d’un Processus synchronisé d’évaluation des tests compagnons a pour objectif de favoriser l’arrimage entre l’inscription éventuelle d’un médicament comportant un test compagnon et l’introduction de ce dernier au Répertoire. Pour ce faire, advenant la transmission d’un avis à la ministre recommandant l’inscription d’un médicament associé à un test compagnon, les autorités responsables d’adapter les services de laboratoire pourront prendre les mesures nécessaires pour assurer la disponibilité de la dite analyse au moment où le médicament sera inscrit aux listes.

Tools to help decision-making

INESSS also produces tools to help decision-making regarding certain medical biology analyses. These tools are essentially recommendations on the use of analyses prescribed regularly in clinical practice, with their relevance being questioned in the scientific community.  

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