Abstract

Background. The modern healthcare system requires effective mechanisms for health technology assessment (HTA) at the level of healthcare institutions (HCI) to ensure evidence-based implementation of innovations, optimize resources, and improve the quality of medical care. The absence of a systematic approach to hospitalbased HTA ,ay lead to inefficient resource utilization, unjustified managerial decisions, and increased risks for patients.
Aim: to summarize and scientifically substantiate approaches to implementing hospital-based HTA through the development of a structure HTA algorithm to support managerial regarding the adoption or withdrawal of medical technologies (MT) in healthcare institutions.
Materials and methods. The study employed analysis and synthesis to generalize international and experience in HTA implementation, content analysis of legislative and regulatory documents, and systematization of approaches to hospital-based HTA. The information base included publications from PubMed and Cochrane Library, recommendations from international organization (EUnetHTA, AdHopHTA, DACENTA), and materials from pilot projects on hospital-based HTA in Ukraine.
Results. A structured algorithm for hospital-based HTA was developed, comprising five key stages, defining the roles of a multidisciplinary team, and integration tools for assessing the clinical, economic, organizational, and strategic effectiveness of MT. The proposed approach ensures process transparency, supports evidence-based decision-making, optimizes resource allocation, and enables short- and long-term financial impact forecasting. Conclusions. The application of a comprehensive hospital-based HTA approach allows healthcare institutions to make informed managerial decisions regarding the adoption or withdraw of MT, reduced the risks of unjustified decisions, promotes innovation within HCIs, and increases stakeholder trust