{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T09:02:00Z","timestamp":1790758920313,"version":"4.1.0"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"unspecified","delay-in-days":272,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100007776","name":"Deanship of Academic Research, University of Jordan","doi-asserted-by":"publisher","award":["293-2023\/2024"],"award-info":[{"award-number":["293-2023\/2024"]}],"id":[{"id":"10.13039\/100007776","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Technol Assess Health Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0266462326104231_sec1\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Health technology assessment (HTA) is a multidisciplinary approach that evaluates the clinical data and cost-effectiveness of health technologies within broader policy and societal contexts. This study aimed to identify barriers and facilitators to conducting HTA and implementing its findings in Jordan and to determine key technical and context-specific priorities to enhance HTA use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0266462326104231_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted using an online, self-administered questionnaire distributed between 1 June and 29 July 2024. Participants were purposively sampled and invited via email. The questionnaire\u2019s face and content validity were assessed by two local experts. Responses from researchers and decision-makers were analyzed descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0266462326104231_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of fifty-one participants were included. Both groups identified \u201clack of routinely collected local effectiveness data and national health statistics\u201d and \u201cabsence of health state preference values for estimating quality-adjusted life-years (QALYs)\u201d as major barriers to conducting HTA. The top-rated facilitator was \u201cthe development of a good-quality national real-world database.\u201d Researchers additionally highlighted \u201cfinancial incentives for particular interventions\u201d as an important barrier, whereas decision-makers emphasized \u201cthe lack of formal willingness-to-pay thresholds\u201d as the primary barrier to HTA implementation. Both groups identified \u201cprioritization of economic evaluations targeting high-burden conditions\u201d as the most important facilitator for implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0266462326104231_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Significant systemic and methodological barriers hinder HTA conduct and implementation in Jordan \u2013 including limited local data, a lack of health state preference values, and the absence of explicit willingness-to-pay thresholds. Strengthening national data infrastructure, establishing clear policy frameworks, and prioritizing economic evaluations are critical for enhancing HTA integration and supporting evidence-informed decision-making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0266462326104231","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T08:22:29Z","timestamp":1790756549000},"source":"Crossref","is-referenced-by-count":0,"title":["Barriers and facilitators for conducting and implementing health technology assessment in Jordan: researchers and decision-makers\u2019 perspectives"],"prefix":"10.1017","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1788-0281","authenticated-orcid":false,"given":"Rimal Hamdan","family":"Mousa","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05k89ew48","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Jordan"},{"id":[{"id":"https:\/\/ror.org\/05k89ew48","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samar","family":"Melhem","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05k89ew48","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiekha S.","family":"AlAujan","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02f81g417","id-type":"ROR","asserted-by":"publisher"}],"name":"King Saud University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saja","family":"Almazrou","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02f81g417","id-type":"ROR","asserted-by":"publisher"}],"name":"King Saud University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2636-2726","authenticated-orcid":false,"given":"Emad","family":"Almomani","sequence":"additional","affiliation":[{"name":"Jordanian Royal Medical Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abeer","family":"Al Rabayah","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0564xsr50","id-type":"ROR","asserted-by":"publisher"}],"name":"King Hussein Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eman A.","family":"Hammad","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05k89ew48","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Jordan"},{"id":[{"id":"https:\/\/ror.org\/05k89ew48","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasha M.","family":"Arabyat","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05k89ew48","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Alabbadi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05k89ew48","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdallah Y.","family":"Naser","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04d4bt482","id-type":"ROR","asserted-by":"publisher"}],"name":"Isra University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"S0266462326104231_r15","doi-asserted-by":"publisher","DOI":"10.1177\/00220345010800010301"},{"key":"S0266462326104231_r28","doi-asserted-by":"publisher","DOI":"10.1017\/S0266462321000246"},{"key":"S0266462326104231_r5","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19137862"},{"key":"S0266462326104231_r10","doi-asserted-by":"publisher","DOI":"10.1186\/s12961-021-00721-1"},{"key":"S0266462326104231_r2","volume-title":"Regional Office for the Eastern Mediterranean. 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