Objective To provide suggestions for promoting the development of hospital based health technology assessment(HB-HTA)in China by analyzing the application characteristics of HB-HTA in Italy.Methods Using typical cases and literature review methods,the study analyzed the organizational mode and operational mechanism of HB-HTA in Italy by consulting the official website of the Italian HB-HTA institution,as well as searching the interna-tional HTA Network,the official website of the EU AdHop HTA,and the PubMed database.Results The Italian HB-HTA has developed well.Its organizational mode includes institutional setting,functional positioning,personnel allo-cation and financing mode,and its operational mechanism includes evaluation obiects,evaluation process,transformation and application of evaluation results.Conclusion To promote the development of HB-HTA in China,it is suggested to clarify the establishment mode of HB-HTA institutions,establish a reasonable HB-HTA talent team,establish a standardized process of HB-HTA,and promote the application and transformation of HB-HTA results.