Practice and Challenges of HB-HTA in China: Insights from Hospital Management and Clinical Perspectives

Objectives: This study aims to investigate the awareness, practices, needs, and challenges of hospital-based health technology assessment (HB-HTA) in China's tertiary public hospitals, drawing on perspectives from both hospital management and clinical practice.Methods: Semi-structured interviews were conducted with seventeen participants representing six major tertiary public hospitals in China.Respondents included vice presidents, clinical department directors, and heads of pharmacy.The questionnaire explored four dimensions consistent with China's national performance appraisal framework: medical quality, operational efficiency, sustainable development, and satisfaction.Data were analyzed using NVivo 14 for qualitative responses and Excel 2021 for quantitative metrics. Results:The findings revealed that 82.35 percent (14/17) of hospitals lacked dedicated HB-HTA teams, with decisions made primarily by coordination between https://doi.org/10.