Evidence map›Paper›PMID 41992247›Full record

ArticleHealth research policy and systems2026

Exploring the challenges of developing hospital-based health technology assessment in Iran: a qualitative study.

Meysam Behzadifar, Bardia Talebzadeh, Afshin Aalipour, Ahad Bakhtiari, Samad Azari, Mohammad Yarahmadi, Maryam Nematkhah, Aidin Aryankhesal, Banafsheh Darvishi Teli, Masoud Behzadifar and 1 more

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Article in Health research policy and systems, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Meysam BehzadifarSocial Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
Bardia TalebzadehFaculty of Pharmacy, Semmelweis University, Budapest, Hungary.
Afshin AalipourSocial Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
Ahad BakhtiariHealth Equity Research Center (HERC), Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Samad AzariHospital Management Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Mohammad YarahmadiDepartment of Medical Parasitology and Mycology, Lorestan University of Medical Sciences, Khorramabad, Iran.
Maryam NematkhahSocial Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
Aidin AryankhesalSchool of Health Sciences, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Banafsheh Darvishi TeliHealth Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Masoud BehzadifarSocial Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran. masoudbehzadifar@gmail.com.
Rok HrenSyreon Research Institute, 1142, Budapest, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital-based Health Technology Assessment (HB-HTA) is increasingly recognized as a strategy to support evidence-informed decision-making at the hospital level, particularly in resource-constrained settings. This study explored the challenges of developing HB-HTA in Iran from the perspectives of health system experts.

methodsThis qualitative descriptive study was conducted from July 2023 to February 2024. Data were collected through in-depth, semi-structured interviews with 26 health system experts selected via purposive sampling and supplemented with snowball sampling. Data were analysed using thematic analysis following Braun and Clarke's six-phase framework, supported by MAXQDA version 10 software. Credibility was enhanced through member checking with five participants outside the research team, investigator triangulation involving four researchers with expertise in health policy and HTA and consensus-based resolution of coding disagreements.

resultsAnalysis identified five main themes and 12 subthemes describing barriers to HB-HTA development in Iran. The themes included structural and organizational challenges, resource limitations, cultural and attitudinal barriers, knowledge and capacity gaps and external systemic constraints. Findings highlighted the lack of institutionalization of HB-HTA, inadequate policy support, limited trained personnel, resistance among clinicians, weak research culture, centralized governance and poor stakeholder collaboration.

conclusionsThe study provides critical insights into the multifaceted challenges hindering HB-HTA in Iran. The findings are valuable for policymakers, hospital managers and healthcare professionals by offering practical guidance to strengthen institutional capacity, improve evidence-informed decision-making and advance HTA integration into hospital systems. Addressing these barriers through targeted reforms and inclusive strategies could enhance efficiency, equity and quality of care.

Indexed as

Decision MakingHealth PolicyHospitalsTechnology Assessment, BiomedicalAttitude of Health PersonnelHumansIranPolicy MakingQualitative ResearchResource-Limited SettingsHealth policyHealth technology assessmentHospital-based HTAIranQualitative studyThematic analysis

Identifiers

PMID41992247
PMCPMC13224581

What Socratic holds

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LicenceCC BY-NC-ND
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