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Table 7 The ranking points for three organizations introduced by the participants

From: Exploring the landscape of health technology assessment in Iran: perspectives from stakeholders on needs, demand and supply

Organizations

Level (0–10)

Types of evidence required

Safety

Efficacy

Effectiveness

Economics (e.g. value for money, costs, budget impact)

Social/ethical concerns (e.g. equity, solidarity)

1. MOHME

9

8

9

7

6

Explanation

As a key governmental body responsible for healthcare policy- and decision-making, MOHME places a high level of importance on safety, efficacy and effectiveness evidence. They require robust evidence on the clinical aspects of healthcare technologies. Additionally, they have a moderate level of interest in economic evidence to ensure value for money. Social/ethical concerns are also considered at a moderate level, particularly regarding equity and correlation with healthcare interventions

2. MCLSW

7

7

6

6

7

Explanation

MCLSW, responsible for social welfare and targeted healthcare services, requires evidence on safety, efficacy and effectiveness at a moderate level. They consider the clinical aspects of healthcare technologies to ensure the wellbeing of specific populations. Additionally, they have a moderate interest in economic evidence, including value for money and budget impact. Social/ethical concerns are also considered at a moderate level, focusing on equity and correlation

3. Government and private insurance organizations

8

8

9

9

7

Explanation

These organizations, responsible for insurance coverage and reimbursement decisions, require a high level of evidence on safety, efficacy, effectiveness and economics. They emphasize comprehensive evidence to ensure the safety and effectiveness of technologies. Economic evidence, including value for money, costs and budget impact, is crucial for making coverage and reimbursement decisions. Social/ethical concerns are also considered, albeit at a moderate level, with a focus on equity considerations