

Hospital-based expert model for health technology procurement planning in hospitals. The stakeholders participating in this study highlighted the significance of certain points that needed to be addressed before establishing HBHTA in Iran. Most of the hospitals' senior management team did not feel the need for HBHTA and believed that in Iran a systematic process like HTA faces many challenges. Another eighteen stakeholders from twelve HBHTA-related organizations took part in the focus group discussion. Twelve stakeholders from seven public hospitals participated in the interviews. The key individuals and organizations that could provide rich, relevant, and diverse data in response to the research question were purposively selected for the interviews and focus group discussion. This study aimed to identify the barriers faced by hospital-based HTA (HBHTA) in Iran by inductive content analysis of stakeholders' and decision-makers' points of view. Hospitals with health technology assessment (HTA) programs have reported its positive effects on the management of resources and costs. Mohtasham, Farideh Majdzadeh, Reza Jamshidi, Ensiyeh

HOSPITAL-BASED HEALTH TECHNOLOGY ASSESSMENT IN IRAN.

Finally, it proposes a set of emerging issues that could help inform decision-makers who consider implementing hospital-based HTA, or other stakeholders interested in the field. Then, it presents the different types of hospital-based HTA, providing examples of each of these models, as well as their strengths and limitations. First, this article provides an overview of current international experiences and knowledge of hospital-based HTA. There is growing interest in implementing HTA methods at the hospital level because it could facilitate decision-making regarding acquisition, implementation or discontinuation of technologies or interventions within the hospital. Health technology assessment (HTA) uses a multidisciplinary approach to answer relevant questions regarding the safety, efficacy, effectiveness and cost-effectiveness of health technologies. Hospital-based health technology assessment: developments to date.
