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History of Health Technology Assessment in Iran

Published online by Cambridge University Press:  13 January 2020

Morteza Arab-Zozani Open the ORCID record for Morteza Arab-Zozani [Opens in a new window] ,
Mobin Sokhanvar ,
Edris Kakemam ,
Tahereh Didehban  and
Soheil Hassanipour
Morteza Arab-Zozani*
Affiliation:
Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
Mobin Sokhanvar
Affiliation:
Department of Health Services Management, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
Edris Kakemam
Affiliation:
Department of Health Services Management, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
Tahereh Didehban
Affiliation:
Research Expert, National Institute for Health research, Tehran university of Medical Sciences, Tehran, Iran
Soheil Hassanipour
Affiliation:
Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
*
Author for Corespondence Morteza Arab-zozani E-mail: [email protected]
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Abstract

This article describes the characteristics of the health system and reviews the history of health technology assessment (HTA) in Iran, including its inception, processes, challenges, and lessons learned. This study was conducted by analyzing existing documents, reports, and guidelines related to HTA and published articles in the field. HTA in Iran has been established since the late 2000s and was first introduced as a secretariat by the Deputy of Health at the Ministry of Health and Medical Education. The mission of the HTA office is to systematically assess technologies to improve evidence-informed decision making. Despite its 10 years of existence, HTA in Iran still faces some challenges. The most pressing problems currently facing HTA in Iran include conflicts of interest among researchers performing the HTAs, the absence of a systematic structure for identifying and introducing new technologies, the lack of interest in HTA results among high-level policy makers, and the lack of external oversight for HTA projects.

Keywords

Health technology assessmentHealthcare systemPolicy makingIran
Type
Article Commentary
Information
International Journal of Technology Assessment in Health Care , Volume 36 , Issue 1 , 2020 , pp. 34 - 39
Copyright
Copyright © Cambridge University Press 2020

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References

World Bank Data (2016) Iran, Islamic Rep. Available at: http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS/countries/IR?display=graph. Accessed 6 May 2016.Google Scholar
Yazdani, Sh, Jadidfard, M (2017) Developing a decision support system to link health technology assessment (HTA) reports to the health system policies in Iran. Health Policy Plan 32, 504–515.Google ScholarPubMed
Lankarani, K, Alavian, M, Peymani, P (2013) Health in the Islamic Republic of Iran, challenges and progresses. Med J Islam Repub Iran 27, 42–49.Google ScholarPubMed
Mehrdad, R (2009) Health system in Iran. JAMA 52, 69–73.Google Scholar
Davari, M, Haycox, A, Walley, T (2012) The Iranian health insurance system; past experiences, present challenges and future strategies. Iran J Public Health 41, 1–9.Google ScholarPubMed
Davari, M, Haycox, A, Walley, T (2012) Health care financing in Iran; is privatization a good solution? Iran J Public Health 41, 14–23.Google ScholarPubMed
World Health Organization (2014) Global status report on alcohol and health. Switzerland: World Health Organization. Available at: https://www.who.int/substance_abuse/publications/alcohol_2014/en/.Google Scholar
Jadidfard, MP, Yazdani, S, Khoshnevisan, MH (2013) Developing a policy guidance for financing dental care in Iran using the RAND Appropriateness Method. Community Dent Health 30, 227–233.Google ScholarPubMed
Doshmangir, L, Rashidian, A, Jafari, M et al. (2016) Fail to prepare and you can prepare to fail: The experience of financing path changes in teaching hospitals in Iran. BMC Health Serv Res 16, 138–151.CrossRefGoogle ScholarPubMed
Takian, A, Doshmangir, L, Rashidian, A (2013) Implementing family physician programme in rural Iran: Exploring the role of an existing primary health care network. Fam Pract 30, 551–559.CrossRefGoogle ScholarPubMed
Arab-Zozani, M, Bagheri Faradonbeh, S, Jaafari Pooyan, E (2015) The role of health technology assessment in improving healthcare quality. J Payavard Salamat 9, 400–414.Google Scholar
Raftery, J, Young, A, Stanton, L et al. . (2015) Clinical trial metadata: Defining and extracting metadata on the design, conduct, results and costs of 125 randomised clinical trials funded by the National Institute for Health Research Health Technology Assessment programme. Health Technol Assess 19, 1–166.CrossRefGoogle ScholarPubMed
Arab Zozani, M, Amery, H, Jafari, A (2014) The role of health technology assessment in evidence-based decision making and health policy: A review study. J Health Administration 17, 99–112.Google Scholar
Ciani, O, Wilcher, B, Blankart, CR et al. . (2015) Health technology assessment of medical devices: A survey of non-European union agencies. Int J Technol Assess Health Care 31, 154–165.CrossRefGoogle ScholarPubMed
Chalkidou, K, Li, R, Culyer, AJ et al. (2017) Health technology assessment: Global advocacy and local realities: Comment on “priority setting for universal health coverage: We need evidence-informed deliberative processes, not just more evidence on cost-effectiveness”. Int J Health Policy Manag 6, 233–236.CrossRefGoogle Scholar
Carlsson, P (2004) Health technology assessment and priority setting for health policy in Sweden. Int J Technol Assess Health Care 20, 44–54.CrossRefGoogle ScholarPubMed
Doaee, S, Oliyaeemanesh, A, Nejati, M et al. . (2012) Establishment of health technology assessment in Iran. J Fam Reprod Health 6, 73–78.Google Scholar
Doaee, S, Olyaeemanesh, A, Emami, S et al. . (2013) Development and implementation of health technology assessment: A policy study. Iran J Public Health 42, 50–54.Google ScholarPubMed
Arab-Zozani, M, Jalilian, H, Oskouei, MM et al. . (2017) Implementing health technology assessment in Iran: A stakeholder analysis. BMJ Open 7(Suppl 1), A29–A30.Google Scholar
Olyaeemanesh, A, Doaee, S, Mohammadreza, M (2013) Health technology assessment in Islamic Republic of Iran. RaheSoraya 48, 21.Google Scholar
Arab-Zozani, M, Majdzadeh, R, Sarbakhsh, P et al. (2017) The attitude of health technology assessment students to their field of study and future career in Iran. IJER 4, 227–231.Google Scholar
Mohtasham, F, Yazdizadeh, B, Zali, Z et al. . (2016) Health technology assessment in Iran: Barriers and solutions. Med J Islam Repub Iran 30, 321.Google ScholarPubMed
Olyaeemanesh, A, Doaee, S, Mobinizadeh, M et al. . (2014) Health technology assessment in Iran: Challenges and views. Med J Islam Repub Iran 28, 157.Google ScholarPubMed
Yazdizadeh, B, Shahmoradi, S, Majdzadeh, R et al. . (2016) Stakeholder involvement in health technology assessment at national level: A study from Iran. Int J Technol Assess Health Care 32, 181–189.CrossRefGoogle ScholarPubMed
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