Dynamic development and rapid deployment of health technologies, as well as the increasing speed of information flow are the main characteristic that shape the environment of HTA capacity building and institutionalization. The international survey on HTA was designed to gain information about the present status of HTA activities; to examine its institutional contexts and the kind of application of its principles, logic, methods and tools; and to design a theoretical framework for capacity building and institutionalization of HTA practices. The HTA organization is not an autonomous object; on the contrary, its establishment, existence, activity and final results are totally dependent on the external environment of the organization. The model we are presenting is not an algorithm for building an HTA organization but is a dynamic framework that integrates the three interrelated – macro, meso and micro levels. By applying iterative and recursive processes, it is possible to achieve balance, synergy and harmonization of activities and fitting the requirement of all three levels. For more informaton click here.