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Emergency DisasterTop 10 Best Ems Cad Software of 2026
Top 10 best ems cad software options ranked by features and tradeoffs, with side-by-side notes for EMS teams and dispatch leaders.
How we ranked these tools
Vendors set the topic, but our editors set the inclusion criteria and the evaluation framework before research starts.
Agents extract product evidence with provenance, then collect written reviews and transcribe video reviews and podcasts.
Framework: Features 40% · Ease 30% · Value 30%
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Traumasoft is the best fit for EMS organizations that need incident-linked dispatch plus automated handoff into ePCR-ready records across dispatch and field teams, whereas CentralSquare CAD works better for public safety centers that want configurable CAD workflows with consistent CAD-to-RMS syncing.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
Traumasoft
Incident-centered workflow links dispatch decisions to downstream documentation steps with controlled state transitions.
Best for: Fits when organizations need incident-linked dispatch plus automated records handoff across dispatch and field teams.
CentralSquare CAD
Editor pickBidirectional CAD-to-RMS incident syncing that keeps dispatch events aligned with records updates across operations.
Best for: Fits when dispatch centers need configurable incident workflows and consistent CAD-to-RMS incident syncing.
First Due
Editor pickIncident-centric workflow ties dispatch assignments to in-incident provider documentation without record handoff gaps.
Best for: Fits when dispatch and field documentation must stay tightly coupled on the same incident workflow.
Comparison Table
Traumasoft
vertical specialistAmbulance operations software that combines CAD, scheduling, billing, fleet, and ePCR in one platform.
Incident-centered workflow links dispatch decisions to downstream documentation steps with controlled state transitions.
Traumasoft is built around an incident timeline that links dispatch, unit status changes, and crew actions into one operational record. Dispatch operators can manage calls, triage priorities, and control unit assignment with status state transitions that reflect real-world readiness. Clinical and administrative steps can attach to the same incident context to reduce duplicate data entry across the response lifecycle.
A key tradeoff is that the incident-centric model requires disciplined configuration of unit states, workflow steps, and integration mappings to keep downstream documentation consistent. Traumasoft fits best in organizations that already run a consistent operational playbook and need CAD-to-records handoff with predictable throughput across dispatch, field tablets, and back-office processing.
Integration work can be deeper when connecting CAD-to-ancillary systems for destination routing, alerts, and records exchange. Teams that plan for governance around roles, permissions, and auditability typically avoid the most common automation gaps that show up after go-live.
- +Incident timeline ties dispatch, unit status, and field tasks to one record
- +Dispatch operator workflows align with real unit state transitions
- +API supports automation for bidirectional integrations with external systems
- +Configuration supports role-based access to operational and documentation steps
- –Workflow and unit-state configuration must be maintained as operations change
- –Some integrations depend on mapping design work for consistent data formats
- –Operator setup time can be higher when many workflows are enabled at once
- –Geospatial layers and alert tuning can require specialist configuration support
Dispatch center managers
Reduce handoff errors between dispatch and crews
Fewer mismatched case fields
EMS software integration teams
Automate CAD-to-records data exchange
Less manual data re-entry
Show 2 more scenarios
Operations directors
Standardize triage and assignment workflows
More consistent unit allocation
Apply configuration-driven assignment rules tied to operational status states and workflow steps.
Quality assurance leads
Audit dispatch-to-documentation consistency
Faster discrepancy detection
Review changes across the incident timeline to confirm documentation follows the recorded workflow.
Best for: Fits when organizations need incident-linked dispatch plus automated records handoff across dispatch and field teams.
CentralSquare CAD
enterprisePublic safety computer aided dispatch software for law, fire, and EMS with mapping and call handling tools.
Bidirectional CAD-to-RMS incident syncing that keeps dispatch events aligned with records updates across operations.
CentralSquare CAD fits dispatch centers that run multi-unit operations with structured incident workflows and frequent operational handoffs. CentralSquare’s configuration for call taking, unit status tracking, and dispatch events supports radio console operations and mobile updates for responding crews.
A tradeoff is that deeper integration and workflow tailoring depend on disciplined configuration work across dispatch, field, and adjacent systems. CentralSquare CAD is a strong fit when a team needs CAD-to-incident history lookup and consistent CAD-to-RMS bidirectional workflows tied to established agency procedures.
- +Configurable call-to-dispatch workflow with unit status state tracking
- +Radio console and field updates designed for real-time dispatch operations
- +CAD-to-records integration supports bidirectional incident syncing
- +Incident history lookup supports operator context during follow-on calls
- –Advanced routing behavior requires careful configuration governance
- –Workflow tailoring can increase admin effort during operational changes
- –Interface breadth varies by connected systems and agency setup
- –Users may need dedicated training for exception handling flows
Dispatch operations managers
Improve incident workflow consistency
Fewer dispatch process deviations
EMS communications supervisors
Support radio and mobile updates
Lower crew info gaps
Show 2 more scenarios
Records and compliance teams
Reduce manual incident rework
Faster records completion
Bidirectional CAD-to-RMS syncing keeps incident details aligned as dispatch updates occur.
Regional mutual aid coordinators
Handle follow-on incidents consistently
Better triage continuity
CAD-to-incident history lookup helps operators apply prior context during recurring calls.
Best for: Fits when dispatch centers need configurable incident workflows and consistent CAD-to-RMS incident syncing.
First Due
SMBCloud fire and EMS software that includes CAD, alerting, incident response, inspections, and preplans.
Incident-centric workflow ties dispatch assignments to in-incident provider documentation without record handoff gaps.
First Due is built around an incident-first workflow where dispatch actions, unit assignment, and downstream documentation stay linked to the same operational event. The system includes configurable rules for how units are recommended and deployed, along with assignment and status updates that keep dispatch and crew work aligned during fast-changing calls.
A key tradeoff is that configuration depth can require governance time to keep unit rules, assignment behavior, and notification patterns consistent across multiple staffing levels and service areas. First Due fits agencies that need both dispatch and in-incident documentation using shared operational context rather than sending field staff to a separate system.
- +Single incident record links dispatch decisions to documentation work
- +Configurable unit recommendation logic supports local deployment preferences
- +Operational status updates keep dispatch and crews synchronized
- +Integration surface supports incident and unit interoperability workflows
- –Advanced workflow configuration can require disciplined administration
- –Some agency-specific templates may add setup time for consistent reporting
Dispatch center supervisors
Reduce documentation disconnects mid-incident
Fewer missing updates
Operations managers
Standardize unit deployment decisions
More consistent staffing
Show 1 more scenario
IT integration teams
Connect dispatch to external systems
Reduced manual data entry
Integration engineers use the system’s API and exchange mechanisms to move incident and unit data reliably.
Best for: Fits when dispatch and field documentation must stay tightly coupled on the same incident workflow.
ESO EHR
enterpriseCloud EMS records software with dispatch, billing, analytics, and CAD integrations for ambulance services and fire departments.
Incident and patient data synchronization designed for CAD-to-ePCR and downstream records continuity within one operational workflow.
ESO EHR pairs emergency dispatch workflows with an incident and patient data layer designed for CAD-to-ePCR and CAD-to-RMS handoffs. It centers on configurable incident documentation, destination capture, and ePCR event history to support bidirectional exchange between EMS operations and receiving record systems.
- +Documented workflow flow between dispatch records and patient care documentation
- +Incident history retention supports audits across the call lifecycle
- +Integration options for CAD-to-ePCR and CAD-to-records exchanges
- +Configurable field documentation steps reduce manual reconciliation
- –Requires governance to keep incident data mapping consistent across systems
- –Limited CAD-to-vehicle gateway and AVL telemetry coverage without supporting integration
- –Radio console and voice console bridging depends on external integration patterns
- –Advanced automation often needs implementation support to maintain correctness
Best for: Fits when dispatch plus ePCR documentation must stay consistent through CAD-to-records handoffs.
ZOLL Dispatch
enterpriseEMS dispatch software within the ZOLL suite for ambulance call taking, unit assignment, and operational coordination.
Dispatch-to-record handoff workflow that coordinates incident lifecycle events for ZOLL-based electronic patient care record operations.
ZOLL Dispatch manages EMS call intake through dispatch workflows, then routes incidents to assigned units with status tracking. It is distinct for ZOLL-centric interoperability that supports CAD-to-field and CAD-to-electronic record handoff patterns common in ZOLL deployment environments.
- +Unit status state tracking supports live dispatch decisions and consistency.
- +Event history and console workflow reduce handoff gaps during multi-operator dispatch.
- +API and automation hooks support incident lifecycle synchronization.
- +Interoperability patterns align with ZOLL ecosystem for CAD-to-ePCR handoff workflows.
- –Depth of configuration for advanced workflows can require governance discipline.
- –Geospatial and routing sophistication depends on integration scope and add-ons.
- –Mutual aid dispatching requires careful mapping of unit eligibility rules.
- –API coverage varies by incident object, which can add integration work.
Best for: Fits when dispatch teams need ZOLL-aligned interoperability plus incident lifecycle automation for records and field handoff.
Southern Software CAD
SMBPublic safety CAD and records platform used by police, fire, and EMS agencies for dispatch operations.
Role-based dispatch console permissions tied to incident workflow actions, which helps keep operational changes controlled during live call handling.
Southern Software CAD is positioned for public safety agencies that need dispatch workflows paired with incident and unit management in one operational console. It focuses on practical CAD control points like incident creation, status updates, and call-to-dispatch progression tied to agency operating rules.
- +Strong incident and unit state handling for dispatch operations
- +Configurable dispatch workflow logic reduces manual call handling
- +Operational permission controls support dispatch center role separation
- +Audit visibility for operational changes supports internal review
- –Integration coverage depends on connecting the right external modules
- –Some automation requires careful configuration rather than simple toggles
- –Advanced cross-system workflows can require add-on engineering
- –Data exchange consistency depends on disciplined interface mapping
Best for: Fits when a dispatch center needs configurable CAD workflows and tight incident-to-unit tracking without heavy custom development.
Priority Dispatch
vertical specialistComputer-aided dispatch system built around protocol-based calltaking for emergency medical, fire, and police dispatch.
Priority triage workflow configuration that drives dispatch decisioning before unit assignment is finalized.
Priority Dispatch focuses on configurable dispatch workflows built around EMS triage steps and radio-ready operations, not just incident logging. The system supports CAD incident creation, dispatch priority triage, and unit tracking tied to status changes that staff can validate in real time. Integrations are oriented around communications and downstream handoffs, including CAD-to-ePCR handoff and CAD-to-field mobile MDT push.
- +Configurable priority triage workflow rules for dispatching
- +Unit status changes are easy for operators to track
- +Supports CAD-to-ePCR handoff workflows
- +Supports CAD-to-field mobile MDT push for ongoing documentation
- –Workflow configuration requires disciplined governance across roles
- –Fewer third-party integration touchpoints than major CAD suites
- –Geospatial tooling is limited compared with map-heavy CADs
- –Audit granularity for exception workflows is less detailed than some peers
Best for: Fits when mid-size EMS organizations need configurable triage-driven dispatch and reliable unit state tracking.
Caliber Public Safety
enterpriseIntegrated CAD, RMS, and mobile field reporting software for public safety agencies.
Crew qualification filtering that gates assignments using dispatch-ready crew eligibility rules.
Caliber Public Safety offers EMS CAD workflow support with incident, unit, and call-taking functions designed for public safety dispatch operations. The system focuses on configuration-driven dispatch workflows, including crew qualification filtering and unit recommendation logic for assignment.
- +Configuration-first dispatch workflows reduce custom code for common EMS cases
- +Crew qualification filters support rule-based assignment without manual checking
- +Role-based access controls limit dispatch console actions by job function
- +Exception logging provides traceability for assignment and status changes
- –Integration depth varies by external system and can require vendor-assisted onboarding
- –Advanced interagency workflows need careful mutual aid data setup to avoid misassignment
- –Limited visibility into cross-system incident changes without consistent API feeds
- –Some automation triggers depend on consistent status state configuration
Best for: Fits when agencies need rule-driven EMS dispatch workflows with qualification checks and audit trails across console and field handoffs.
Tyler Technologies New World
enterpriseEnterprise CAD and RMS suite for public safety agencies under Tyler Technologies.
Dispatch workflow configuration that maintains consistent incident and unit state handling across call takers and dispatch operators.
Tyler Technologies New World performs EMS CAD dispatch workflows with incident, unit, and call-taking coordination that centers operational procedures rather than generic tasking. It is tied to Tyler’s broader public safety ecosystem, which supports bidirectional operational flows between CAD, records, and other department systems.
- +Strong fit for agencies already using Tyler Records and adjacent systems
- +Configurable dispatch workflows help reduce per-operator variance
- +Incident and unit state tracking supports consistent dispatch decisions
- +Integration paths align with CAD to records bidirectional exchange
- –Higher onboarding effort when workflows must match local dispatch rules
- –Less convenient for lightweight, non-Tyler integrations than CAD-first vendors
- –Operational configuration changes require governance to avoid unintended behavior
- –Extensibility options can depend on Tyler integration tooling and services
Best for: Fits when agencies run Tyler-centric operations and need CAD-to-records synchronization with tight workflow control.
HxGN OnCall Dispatch
enterpriseCloud-enabled computer-aided dispatch software for emergency communications centers and public safety agencies.
Dispatch workflow automation inside a Hexagon-centered operational environment that reduces cross-tool re-keying.
HxGN OnCall Dispatch is an EMS CAD that centers on dispatch workflows and operational coordination for call-taking through unit assignment and field handoff. Its distinct angle comes from tighter integration into Hexagon operational environments, including interoperability with other Hexagon tools used around dispatch, reporting, and response operations.
- +Incident lifecycle supports clear operational state transitions for dispatch crews
- +Operational workflow is designed for predictable triage and unit assignment execution
- +Integration with Hexagon-centered environments helps reduce bridge work across tools
- +Configurable automation reduces manual steps during high-volume dispatch
- –Requires deliberate configuration to keep incident workflow rules consistent across stations
- –Advanced edge-case dispatch logic may require partner support rather than only UI configuration
- –Some external integrations depend on upstream standards readiness from each connected system
- –Reporting depth can lag organizations that require highly custom analytics views
Best for: Fits when agencies already standardize around Hexagon operational tooling and need consistent dispatch workflow control.
Conclusion
After evaluating 10 ems cad software, Traumasoft stands out as our overall top pick — it scored highest across our combined criteria of features, ease of use, and value, which is why it sits at #1 in the rankings above.
Use the comparison table and detailed reviews above to validate the fit against your own requirements before committing to a tool.
How to Choose the Right Ems Cad Software
EMS CAD software is the dispatch control layer that links incident capture, unit status transitions, operator workflows, and downstream records steps so decisions stay consistent from call intake through field documentation. This buyer guide covers Traumasoft, CentralSquare CAD, First Due, ESO EHR, ZOLL Dispatch, Southern Software CAD, Priority Dispatch, Caliber Public Safety, Tyler Technologies New World, and HxGN OnCall Dispatch.
The selection criteria focus on integration depth between dispatch and records systems, the automation and configuration surface that governs incident lifecycles, and the governance controls that reduce misassignment during live operations. Traumasoft leads the set for incident-centered workflow links that maintain controlled state transitions across dispatch and documentation.
EMS CAD Software that coordinates incident lifecycle workflows, unit state, and records handoff
EMS CAD software manages the dispatch workflow engine that operators use to create and progress incidents, drive unit recommendation logic, and coordinate incident lifecycle events across console and field teams. In Traumasoft, incident-linked dispatch decisions connect to downstream documentation steps with controlled state transitions that keep incident timeline, unit status, and field tasks on the same record.
For agencies building around bidirectional records workflows, CentralSquare CAD supports configurable incident workflows and bidirectional CAD-to-RMS incident syncing that keeps dispatch events aligned with records updates. For documentation-heavy environments, ESO EHR centers its workflow around incident and patient data synchronization designed for CAD-to-ePCR and downstream records continuity within a single operational workflow.
Incident-state automation, bidirectional records sync, and governance for assignment safety
EMS CAD software creates incident lifecycle records and drives unit state changes that dispatch operators depend on during active calls. When incident workflows and unit-state transitions are linked to downstream documentation, fewer handoff gaps appear between dispatch and field work.
Incident-linked workflow steps tied to controlled state transitions
Traumasoft keeps dispatch decisions connected to downstream documentation steps through controlled state transitions on the same incident timeline. First Due ties incident workflow links to in-incident provider documentation so assignment records and documentation work stay on one incident record.
Bidirectional CAD-to-RMS and records alignment across dispatch events
CentralSquare CAD supports bidirectional CAD-to-RMS incident syncing so records updates and dispatch events remain aligned across operations. ZOLL Dispatch coordinates incident lifecycle events for ZOLL-based electronic patient care record operations through a dispatch-to-record handoff workflow.
CAD-to-ePCR continuity when patient documentation must stay consistent
ESO EHR centers incident and patient data synchronization around CAD-to-ePCR and downstream records continuity inside one operational workflow. ESO EHR also retains incident history to support audits across the call lifecycle.
Unit status state handling inside the dispatch console workflow
Southern Software CAD tracks unit state for dispatch operations with configurable incident workflow logic that reduces manual handling. ZOLL Dispatch includes unit status state tracking that supports live dispatch decisions and consistency during multi-operator handoffs.
Workflow governance with role-based console permissions and eligibility filters
Southern Software CAD ties role-based dispatch console permissions to incident workflow actions so operational changes remain controlled during live call handling. Caliber Public Safety adds crew qualification filtering that gates assignments using dispatch-ready crew eligibility rules with audit trails across console and field handoffs.
Triage-driven dispatch configuration that governs priority before assignment finalizes
Priority Dispatch configures priority triage workflow rules that drive dispatch decisioning before unit assignment is finalized. The platform also keeps unit status changes easy for operators to track during triage execution.
Choose by workflow ownership, integration directionality, and admin control requirements
The key split is whether dispatch teams need incident-centric state transitions that remain consistent through downstream documentation, or whether records synchronization is the primary control loop that dispatch follows. Traumasoft and First Due place incident workflow links at the center of state transitions and documentation coupling, while CentralSquare CAD and ZOLL Dispatch emphasize dispatch-to-record alignment for ongoing lifecycle events.
Map the control loop: incident-driven documentation vs records-driven incident syncing
If incident timeline and field tasks must remain on the same record, compare Traumasoft and First Due since both link incident workflow steps to documentation work with controlled state transitions. If dispatch events must stay aligned with records updates across operations, compare CentralSquare CAD and ZOLL Dispatch since both emphasize bidirectional CAD-to-RMS or dispatch-to-record handoff workflows.
Select the dispatch logic boundary: triage before assignment vs workflow linking to documentation
If decisioning must be configurable priority triage before assignment finalizes, test Priority Dispatch with real triage rules that drive dispatch outcomes. If documentation linkage must stay tightly coupled to assignments on one incident workflow, test First Due and Traumasoft with the exact documentation steps dispatch operators expect.
Assess governance workload: disciplined workflow configuration vs permissions and eligibility gating
If workflow and unit-state configuration must be maintained as operations change, treat Traumasoft and CentralSquare CAD as governance-sensitive platforms during rollout and change cycles. If operational change control must rely on console permissions or eligibility gating, test Southern Software CAD for role-based dispatch console permissions and test Caliber Public Safety for crew qualification filters.
Verify integration scope for your operational tooling, not only your records vendor
If CAD-to-vehicle gateway and AVL telemetry coverage matters for routing and geospatial needs, validate ESO EHR’s integration coverage since it has limited CAD-to-vehicle gateway and AVL telemetry coverage without supporting integration. If the agency standardizes around Hexagon operational tooling, evaluate HxGN OnCall Dispatch because it is built for dispatch workflow automation inside a Hexagon-centered environment that reduces re-keying.
Check dispatch-to-document handoff continuity for your patient documentation path
If CAD-to-ePCR continuity is the main requirement, validate ESO EHR workflows using real CAD incidents that trigger patient documentation handoff. If interoperability with ZOLL-based electronic patient care record operations is required, validate ZOLL Dispatch incident lifecycle events and console workflow to ensure handoff gaps do not appear for multi-operator scenarios.
Agencies that need controlled incident lifecycles, not just a dispatch UI
EMS organizations run into risk when incident workflows and unit state drift from downstream documentation workflows. The tools below fit teams that need consistent state transitions, controlled configuration, and explicit handoff behavior between dispatch and field work.
EMS dispatch centers that require incident-linked documentation continuity
Traumasoft and First Due keep dispatch assignments tied to incident workflows that connect to downstream documentation steps so operators do not create handoff gaps between console work and field documentation.
Organizations running bidirectional workflows between dispatch and records systems
CentralSquare CAD and ZOLL Dispatch both focus on keeping CAD events aligned with records updates across operations, which supports consistent incident lifecycle management when dispatch changes must reflect in records.
Agencies that need governance built into console roles and assignment eligibility
Southern Software CAD ties role-based permissions to incident workflow actions to control live operational changes, and Caliber Public Safety gates assignments with crew qualification filters that preserve audit trails across handoffs.
Mid-size EMS teams that rely on configurable triage to drive dispatch decisions
Priority Dispatch is designed around configurable priority triage workflow rules that drive dispatch decisioning before assignment finalizes, which fits teams that need consistent triage logic.
Hexagon-standard organizations that want less cross-tool re-keying
HxGN OnCall Dispatch automates dispatch workflow inside a Hexagon-centered operational environment so incident lifecycle control stays predictable across triage and unit assignment execution without repeated manual entry.
Common failure modes during CAD governance, workflow edits, and integration setup
CAD implementations fail when workflow configuration changes outpace how operators use unit status states, or when integration mapping stays inconsistent across systems. The following pitfalls target the failure patterns most often seen during incident lifecycle automation rollouts.
Treating incident-to-document workflow links as static once configured
Traumasoft requires workflow and unit-state configuration to be maintained as operations change, so teams should run a change process that tests state transitions and documentation steps after policy updates.
Overlooking that bidirectional routing behavior demands configuration governance
CentralSquare CAD warns that advanced routing behavior requires careful configuration governance, so governance controls should cover routing rule changes and incident workflow edits together.
Assuming AVL telemetry and vehicle gateway coverage exists without supporting integration
ESO EHR has limited CAD-to-vehicle gateway and AVL telemetry coverage without supporting integration, so operational telemetry requirements should be validated against the needed integration scope before deployment.
Skipping disciplined admin review for advanced workflow configuration
ZOLL Dispatch and First Due both note that advanced workflow depth can require governance discipline, so rollout plans should include admin review checkpoints for workflow tailoring and incident lifecycle configuration.
Configuring crew eligibility logic without a test plan for mutual aid edge cases
Caliber Public Safety can require careful mutual aid data setup to avoid misassignment in advanced interagency workflows, so eligibility rules should be tested with multi-agency scenarios.
How We Selected and Ranked These Tools
We evaluated Traumasoft, CentralSquare CAD, First Due, ESO EHR, ZOLL Dispatch, Southern Software CAD, Priority Dispatch, Caliber Public Safety, Tyler Technologies New World, and HxGN OnCall Dispatch using feature depth, ease of operator workflow use, and value for EMS dispatch operations. Features carried 40% weight, while ease and value each carried 30% weight.
Traumasoft led the set because incident-centered workflow links connect dispatch decisions to downstream documentation steps with controlled state transitions that keep incident timeline, unit status, and field tasks on the same record. Other tools received strong scores when they matched that same alignment goal through bidirectional records syncing, ZOLL-aligned interoperability workflows, or triage-driven dispatch decisioning, but they rated lower when workflow governance or integration scope increased operational dependency.
Frequently Asked Questions About Ems Cad Software
How do Traumasoft and CentralSquare CAD handle bidirectional CAD-to-RMS incident syncing during live updates?
Which platforms expose an API surface for CAD-to-field and CAD-to-records automation without manual re-keying?
How does First Due keep dispatch assignments and field documentation on the same incident record?
When should an organization choose ESO EHR over a CAD-only workflow if CAD-to-ePCR and patient data continuity is the priority?
What breaks if a dispatch center cannot enforce role-based permissions over incident workflow actions?
How do Caliber Public Safety and Priority Dispatch differ in how triage configuration affects unit recommendation logic?
Which tools are better suited for CAD-to-radio console operations and radio-ready dispatch views?
How does Tyler Technologies New World maintain consistent incident and unit state handling across call takers and dispatch operators?
Where does ZOLL Dispatch fall short for organizations that need non-ZOLL workflow patterns for electronic record handoff coordination?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
Funding and competing interests
This study was co-funded by several of the vendors assessed in it. No single vendor funded it. Funders could propose the market studied.
They had no role in selecting vendors, setting or weighting criteria, analysing data or drawing conclusions, and they received the same factual-accuracy check as every other vendor assessed.
Market definition, inclusion rules and criteria weights were fixed by an editor before research began and did not change afterwards. Editorial process →
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