Establishment of Health Technology Assessment in Iran (original) (raw)
Related papers
Health technology assessment in Iran: challenges and views
Medical journal of the Islamic Republic of Iran, 2014
Various decisions have been made on technology application at all levels of the health system in different countries around the world. Health technology assessment is considered as one of the best scientific tools at the service of policy- makers. This study attempts to investigate the current challenges of Iran's health technology assessment and provide appropriate strategies to establish and institutionalize this program. This study was carried out in two independent phases. In the first, electronic databases such as Medline (via Pub Med) and Scientific Information Database (SID) were searched to provide a list of challenges of Iran's health technology assessment. The views and opinions of the experts and practitioners on HTA challenges were studied through a questionnaire in the second phase which was then analyzed by SPSS Software version 16. This has been an observational and analytical study with a thematic analysis. In the first phase, seven papers were retrieved; fro...
Health technology assessment in Iran: Barriers and solutions
Medical Journal of the Islamic Republic of Iran, 2016
Background: Health technology assessment (HTA) is a tool utilized for efficient dissemination of technology. For the purpose of encouraging decision-makers to utilize this tool, at first, we need to identify the obstacles in the processes of preparation, utilization, and implementation of HTAs. This study aims to define these barriers and offer solutions for effective utilization of HTA reports produced in Iran. Methods: This qualitative content analysis determines the various beneficiaries of HTA, and utilizes a semi-structured interview with the participants who are all involved in the HTA. Results: Nine out of ten people invited for the interviews accepted the researchers’ invitation. An analysis of barriers and solutions for improving the utilization of HTA reports was conducted in three levels of policy makers (policy level), specialists in healthcare (professional level), and ordinary people (public level). The barriers in the policy level include unsuitability of reports for ...
One of the visualizations of health reforms is to encourage the selection and use of appropriate health technologies. Iran has done marvelous in ensuring the use of generic drugs, but given the demographic and epidemiologic transition, new technologies both medicinal and equipment arriving and the rising expectations of people the health cost has been skyrocketing. To study a review of the existing system of selection and use of health technology an design a new model of technology/medical equipment selection and use this study is conducted. Specifically the APW holder have done these steps : 1. work with the international consultant in designing the study; 2. design detailed protocols for the study, documenting every step; 3. present study design to the stakeholder, seeking their comments; 4. collect data and using appropriate software/method analyze the data; 5. maintain a trail of events/evidence for subsequent validation of the study process and findings; and 6. report the study in a most professional manner; Drawing up details and designing the system for the selection and use of appropriate health technologies The Principle investigator and HTA & M team have studied current situation of medical equipment management system to draw details and design the system for the selection and use of appropriate technologies. In this process, this national investigator was assisted by an international consultant who reviewed the study findings and outline the possible modifications in the existing system that it favors selection and use of appropriate technologies.
Impact assessment of Iran’s health technology assessment programme
Health Research Policy and Systems, 2018
Background: Following approximately 10 years from the beginning of Iran's national Health Technology Assessment (HTA) programme, the present study aims to evaluate its success by examining the impact of HTA and identifying the determinant factors leading to the implementation of HTA report results. Methods: The triangulation method was employed herein. HTA reports were initially identified and their impact and determinant factors were then examined from the perspectives of both researchers (by preparing a questionnaire according to the Payback model and sending it to HTA principle investigators) and stakeholders (semi-structured interviews held with each HTA stakeholder). Simultaneously, the quality of the HTA reports was examined with relevant critical appraisal checklists. Results: The impact of 19 equipment technologies and four pharmaceutical technologies were assessed in this study. Twenty researchers replied (response rate, 86.96%) to the questionnaire on the impact of HTA reports from the researcher's perspective. To assess the impact of HTA reports from the stakeholder's perspective, seven policy-makers were chosen and interviewed as the main target audience. The most common step taken to disseminate the results of the HTA projects was publication. Conducting the HTA had taught researchers and their colleagues' new skills and had facilitated the securing of research grants from other organisations. Most reports had used the systematic review method but the relevant details had been scarcely presented regarding outcomes, costs and analysis. The greatest impact of HTA reports on decision-making had been on policy-makers providing and allocating finances. Barriers in stewardship, identification and prioritisation of topics, performance and dissemination of HTA results were the main barriers of implementing HTAs. Conclusions: In most aspects, the status of HTA impact reports need improvement. Thus far, the barriers and facilitators of the HTA programme in Iran have been investigated in other studies. These findings should be pooled to reach a solution that can be actively applied to the health system to improve the status quo of HTA in Iran.
Eastern Mediterranean Health Journal, 2022
Background: There is no single method for health technology assessment (HTA) which can be used in all countries to meet all the needs of the health care system policy- and decision-makers. Still, some minimum criteria for performing HTA should be in place in all the HTA structures worldwide, and many HTA agencies have reached a consensus in this regard. Aim: This study aimed to assess the quality of Iranian HTA reports. Method: Were examined all the HTA research reports published by the Iranian HTA office up to 2020. The International Network of Agencies for Health Technology Assessment checklist was employed for quality assessment. Results: A total of 97 reports were examined: only 10.0% had presented complete and appropriate contact details for obtaining further information, and 5.6% clearly stated a conflict of interests. In 87.78% of the reports, the scope of assessment was clearly determined. The quality of the reports was relatively appropriate as well as the details of the so...
2019
Evidence-based health policies are indispensable for the health systems to achieve their objectives and sustainability. In particular, the importance and necessity of developing evidence-based health policies have increased due to reasons such as aging population, the increase in the innovation of medical technologies and rapidly increasing costs. There are different tools used to generate evidence-based health policies, one of the most powerful of which is the health technology assessment (HTA). The method is gaining importance and its usage becomes widespread in the world. Turkey has also launched some initiatives to institutionalize HTA in 2012. The first important step has taken with the establishment of the Department of Health Technology Assessment under the General Directorate of Health Research (GDHR) of Ministry of Health. However, expectations regarding the institutionalization of the HTA in Turkey have not fully met. In this study, we aim (1) to share our experience on th...
Socio-Historical Prerequisites for the Development of Health Technology Assessment
Modern medicine, pharmacy and psychological health
With the development of scientific, technical and production capacity, improvement of international standards of medical care and standards of pharmaceutical products, expansion of medical services, there is a need to apply innovative technologies in health care. The application of the latest effective health technologies has an impact both on the healthcare system as a whole and on the health policy. Specialists are faced with the task of using the most effective health technologies at an affordable price with the subsequent prognosis of improving patients' quality of life [4]. Taking into account the economic, social, legal and ethical aspects of implementing health technologies, there is a need for their assessment from the standpoint of evidencebased medicine. Therefore, health technology assessment (HTA) has to be conducted with regard to all aspects that affect both the patient's condition from an ethical, socio-economic, legal perspective, and the policy in the healthcare system as a whole. Hence, the study of socio-historical prerequisites of the development of HTA in the world and in Ukraine is key to understanding social and economic processes taking place in medicine and pharmacy today. The aim of the research is to determine socio-historical prerequisites for the emergence of HTA, get acquainted with the practice of introducing HTA, systemize historical facts that prompted the introduction of HTA at the world level and in Ukraine, study and summarize the stages of HTA development in the world and in Ukraine. Methods. A review of domestic and foreign resources was conducted using information retrieval databases, scientometric databases Scopus, Web of Science, etc.; the collection and systematization of information in the form of tables, analysis of legal documents, which regulate HTA in Ukraine, was carried out. The following research methods were used: information retrieval by keywords using search systems, databases and websites; content analysis of documents adopted at the world level and within the Ukrainian legislation; systematization of information. Results. The analysis of international legal documents, a review of foreign scientific papers and websites found that HTA emerged due to international integration processes that took place in clinical epidemiology, pharmacy, health care management and economics, which led to the development of pharmacoeconomics, medical insurance, price-setting, etc. In Ukraine, the implementation of HTA began in 2010 with the opening of ISPOR pharmacoeconomic research offices.
Implementation of Health Technology Assessment Work in a Hospital in Kazakhstan
International Journal of Technology Assessment in Health Care, 2016
Objectives:The aim of this study was to implement health technology assessment (HA) in the First General City Hospital in Astana, Kazakhstan.Methods:We organized trainings to familiarize hospital staff with the purpose and details of HTA. An HTA committee was established, with representation from hospital physicians and managers, and criteria for prioritization of health technologies determined. Clinical departments of the hospital were asked to prepare applications for new technologies for their services.Results:The HTA committee reviewed five applications and selected a technology from one of these, on single incision laparoscopic surgery (SILS), for assessment. A short HTA report on SILS was prepared, covering its safety, clinical effectiveness, and cost effectiveness. The report was used to support a request to the Department of Health for additional funding to implement this technology within the hospital. This funding was approved and SILS was established in several hospital d...