In recent decades, with globally changing political and social conditions, health systems have undergone extensive reforms to cope with complexities and new emerging situations and improve health, which represents a societal onus.
This is fundamental in order to improve healthcare performance to promote and enhance health at the community/population level. Healthcare systems need to prioritize health services, ensuring efficient and equitable access and allocation of health provisions. High inflation and bad economic situation poor transparency in decisions lack of support from insurance companies lack of sufficient data to conduct HTA research rapid change of managers in the health system and economic sanctions against Iran are threats to the developmental path of HTA in Iran.
Also, participants identified opportunities for HTA development in Iran: support from the political side for reducing national health expenditures commitment and planning to achieve universal health coverage (on behalf of the government and parliament) improved communication among all stakeholders engaged in the health system decentralization and regionalization of decisions and capacity building to use HTA in organizations outside the MOHME. On the other hand, sixteen weaknesses in developing HTA in Iran were identified: unavailability of a well-defined organizational position for using HTA graduates HTA advantages and its basic concept are unfamiliar to many managers and decision-makers weak inter-sectoral collaboration in HTA-related research and key stakeholders and, failure to use HTA in primary health care. Participants identified eleven strengths for HTA in Iran, namely the establishment of an administrative unit for HTA within the Ministry of Health and Medical Education (MOHME) university-level courses and degrees for HTA adapted approach of HTA models to the Iranian context HTA is mentioned as a priority on the agenda in upstream documents and government strategic plans.
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