Environmental issues such as water scarcity are typically multidimensional problems, and resolving them requires a systems-based approach and socio-technical innovations. This article applies the “Problem-oriented Innovation System (PIS)” as a new approach to resolve water scarcity problem. In Iran, this has not been the case as natural water scarcity along with decades of mismanagement has turned water scarcity into a national crisis and caused several interrelated socioeconomic problems. Using case study, in this article, Iran’s water scarcity is analyzed to see how the PIS is able to help resolve this problem. Results indicate that the inefficient management and monitoring the water scarcity and lack of appropriate standardization and tariffs are the most important system failures of the water scarcity PIS in Iran. Also, the most important policy implications are moving toward decentralization in water management based on a participatory approach and establishing a national drought monitoring system.
Background
The Health Technology Assessment (HTA) has encountered different issues and challenges over the last two decades. The main purpose of this research is to review the issues and challenges in high- and middle-income countries through reviewing studies related to the HTA.
Methods
The HTA area literature of different countries was collected from 2009 to 2020 and analyzed using scoping review, based on Scopus and WoS databases.
Results
Given the fact that the HTA is practically done in high- and middle-income countries, the results of reviewing the studies and articles of countries reveal that high-income countries seek to increase the participation of stakeholders and enhance the transparency of processes, policy-making, and regulation of the HTA, as well as the systematization of various participant institutions in this area. Middle-income countries, on the other hand, are mostly involved in raising awareness, training and skill development of HTA-related staff, institutionalizing the concept of HTA, and allocating appropriate resources for effective and safe decision-making in their health system.
Conclusion
The problem of incoordination between stakeholders (participant institutions) in the HTA, and thereby, problems in decision-making were found in many of the studied reports and articles. Thus, one of the useful efforts to be made by different countries to maintain the integrity of this system would be the process of involving all members of this system and the formation of a healthy ecosystem in the HTA.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.