The role of Iran&apos;s context for the development of health technology assessment: challenges and solutions

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Abstract

Health technology assessment (HTA) is a comprehensive and structured evaluation that aims to analyze the potential impacts of health technologies, including medical devices, diagnostic tools, pharmaceuticals, and public health interventions. Its purpose is to provide policymakers with evidence-based information to inform decisions related to the utilization and implementation of these technologies. HTA allows for the comparison of various scenarios related to a technology across a wide range of factors. This can aid in the creation of an essential drug list and health benefits package that is tailored to the actual needs of the community within a given healthcare system. In the present paper, we review the role of Iran's context for the development of HTA, in terms of challenges and solutions.

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Iran in transition

Goodarz Danaei, Farshad Farzadfar, Roya Kelishadi … (2019)

Being the second-largest country in the Middle East, Iran has a long history of civilisation during which several dynasties have been overthrown and established and health-related structures have been reorganised. Iran has had the replacement of traditional practices with modern medical treatments, emergence of multiple pioneer scientists and physicians with great contributions to the advancement of science, environmental and ecological changes in addition to large-scale natural disasters, epidemics of multiple communicable diseases, and the shift towards non-communicable diseases in recent decades. Given the lessons learnt from political instabilities in the past centuries and the approaches undertaken to overcome health challenges at the time, Iran has emerged as it is today. Iran is now a country with a population exceeding 80 million, mainly inhabiting urban regions, and has an increasing burden of non-communicable diseases, including cardiovascular diseases, hypertension, diabetes, malignancies, mental disorders, substance abuse, and road injuries.

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Status of Iran’s Primary Health Care System in Terms of Health Systems Control Knobs: A Review Article

Jafar Sadegh Tabrizi, Faramarz Pourasghar, Raana GHOLAMZADEH NIKJOO (2017)

Background: After the establishment of Primary Health Care (PHC) program in Iran, health indicators have improved every year. This progress was so rapid that a number of shortcomings and weaknesses of the PHC program remained silent behind its successes. This study aimed to assess the status of Iran’s PHC system (strengths, weaknesses, opportunities and threats) in terms of health system’s control knobs. Methods: The search was conducted through two English ‘databases of Web of Knowledge and PubMed, two English publications of Science Direct and Springer and two Persian databases of Magiran and SID. Keywords were selected from MeSH and included primary health care, PHC and Iran in both Persian and English. No time limit was considered. Results: Iran’s PHC system has numerous successes in dealing with health system’s control knobs; which largely part of that related to the health network implementation, the role of Behvarz, improvement of health indicators in rural areas and the elimination of urban-rural inequality, but there are some weaknesses, opportunities and threats in the Iranian PHC system as well. Conclusion: By considering socio-economic changes the current structure of PHC system needs to be reformed to coordinate with phenomenon of chronic diseases, accidents and aging. The current information system in PHC does not provide the required information for decision makers and policy makers so it needs to be transformed to the electronic system with unique electronic health file for individuals.

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Technology assessment and the sociopolitics of health technologies.

S Blume, P Lehoux (2000)

In a growing number of countries, health technology assessment (HTA) has come to be seen as a vital component in policy making. Even though the assessment of the social, political, and ethical aspects of health technology is listed as one of its main objectives, in practice, the integration of such dimensions into HTA remains limited. Recent social scientific research on the inherently political nature of technology strongly supports such a comprehensive approach. The growing claims by and on behalf of consumer groups also suggest that HTA should be informed by a broader set of perspectives. Using the example of the cochlear implant in children, this essay compares the professed objectives of HTA with typical practice and explores possible explanations for the discrepancies observed. A second example, home telemonitoring for elderly persons, demonstrates how the types of evidence considered by HTA and the process through which assessments are produced may be reconsidered. We argue for the formal integration of the sociopolitical dimensions of health care technologies into assessments. The ability of HTA to more fully address important issues from a public policy point of view will increase by making explicit the sociopolitical nature of health care technologies.

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Author and article information

Contributors

Meysam Behzadifar: m_behzadifar67@yahoo.com

Masoud Behzadifar:

ORCID: http://orcid.org/0000-0002-0271-4360

masoudbehzadifar@gmail.com

Maryam Saran: dr.sms64@yahoo.com

Saeed Shahabi: saeedshahabi1@gmail.com

Ahad Bakhtiari: ah.bakhtyari@gmail.com

Samad Azari: samadazari1010@gmail.com

Nicola Luigi Bragazzi: robertobragazzi@gmail.com

Journal

Journal ID (nlm-ta): Health Econ Rev

Journal ID (iso-abbrev): Health Econ Rev

Title: Health Economics Review

Publisher: Springer Berlin Heidelberg (Berlin/Heidelberg )

ISSN (Electronic): 2191-1991

Publication date (Electronic): 20 April 2023

Publication date PMC-release: 20 April 2023

Publication date Collection: 2023

Volume: 13

Electronic Location Identifier: 23

Affiliations

[1 ]GRID grid.508728.0, ISNI 0000 0004 0612 1516, Social Determinants of Health Research Center, , Lorestan University of Medical Sciences, ; Khorramabad, Iran

[2 ]GRID grid.412571.4, ISNI 0000 0000 8819 4698, Health Policy Research Center, , Institute of Health, Shiraz University of Medical Sciences, ; Shiraz, Iran

[3 ]GRID grid.411705.6, ISNI 0000 0001 0166 0922, Health Equity Research Center (HERC), , Tehran University of Medical Sciences (TUMS), ; Tehran, Iran

[4 ]Research Center for Emergency and Disaster Resilience, Red Crescent Society of the Islamic Republic of Iran, Tehran, Iran

[5 ]GRID grid.10383.39, ISNI 0000 0004 1758 0937, Human Nutrition Unit Department of Food and Drugs, , University of Parma Medical School, ; Building C, Via Volturno, 39, 43125 Parma, Italy

Author information

Masoud Behzadifar http://orcid.org/0000-0002-0271-4360

Article

Publisher ID: 438

DOI: 10.1186/s13561-023-00438-7

PMC ID: 10116738

PubMed ID: 37079131

SO-VID: 7bc3c972-88b6-4172-97da-2c9fdaf21afd

License:

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