Ethical soundness of health technology assessment reports in Islamic Republic of Iran.

IF 1.7 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Eastern Mediterranean Health Journal Pub Date : 2023-07-31 DOI:10.26719/emhj.23.039

Vahid Yazdi-Feyzabadi, Salman Bashzar

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Abstract

Background: Health technology assessment (HTA) is a conventional method for evaluating reasonable use of health technologies in many countries.

Aims: To investigate the ethical soundness of HTA studies in Islamic Republic of Iran.

Methods: All HTA reports published by the HTA office until 2020 were reviewed using the HTA Core Model and the Q-SEA questionnaires.

Results: We evaluated 91 reports for ethical soundness. The research question, literature search and inclusion/exclusion criteria were included in 91.2%, 83.5% and 82.4% of the HTA reports, respectively. Only 13.2% of the reports explicitly stated the objective of the analysis and 6.6% stated the ethics framework. Only 2.2%, 4.4%, 9.9%, 9.9%, 14.3%, and 2.2%, respectively, of the reports, complied with the completeness, bias, policy implications, other implications, conceptual clarification, and conflicting values.

Conclusions: HTA reports in the Islamic Republic of Iran require coordinated and integrated framework acceptable to all stakeholders to ensure their compliance with sound ethical requirements.

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伊朗伊斯兰共和国卫生技术评估报告的伦理健全性。

背景:卫生技术评价(HTA)是许多国家评价卫生技术合理使用的常规方法。目的:探讨伊朗伊斯兰共和国HTA研究的伦理合理性。方法:使用HTA核心模型和Q-SEA问卷对HTA办公室截至2020年发布的所有HTA报告进行审查。结果:我们评估了91份报告的伦理合理性。研究问题、文献检索和纳入/排除标准分别被91.2%、83.5%和82.4%的HTA报告纳入。只有13.2%的报告明确说明了分析的目标，6.6%的报告明确说明了道德框架。分别只有2.2%、4.4%、9.9%、9.9%、14.3%和2.2%的报告符合完整性、偏见、政策影响、其他影响、概念澄清和价值观冲突。结论:伊朗伊斯兰共和国的HTA报告需要所有利益攸关方都能接受的协调和综合框架，以确保其遵守健全的道德要求。

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来源期刊

Eastern Mediterranean Health Journal HEALTH CARE SCIENCES & SERVICESPUBLIC, ENV-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

3.30

自引率

4.80%

发文量

112

期刊介绍： The Eastern Mediterranean Health Journal, established in 1995, is the flagship health periodical of the World Health Organization Regional Office for the Eastern Mediterranean. The mission of the Journal is to contribute to improving health in the Eastern Mediterranean Region by publishing and publicising quality health research and information with emphasis on public health and the strategic health priorities of the Region. It aims to: further public health knowledge, policy, practice and education; support health policy-makers, researchers and practitioners; and enable health professionals to remain informed of developments in public health. The EMHJ: -publishes original peer-reviewed research and reviews in all areas of public health of relevance to the Eastern Mediterranean Region -encourages, in particular, research related to the regional health priorities, namely: health systems strengthening; emergency preparedness and response; communicable diseases; noncommunicable diseases and mental health; reproductive, maternal, child health and nutrition -provides up-to-date information on public health developments with special reference to the Region. The Journal addresses all members of the health profession, health educational institutes, as well as governmental and nongovernmental organizations in the area of public health within and outside the Region.