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For the survey, reliability and validity checks were conducted, including a pilot test before distribution: an initial version of the questionnaire was reviewed by a panel of experts, composed of academic researchers with experience in HTA that evaluated the clarity of the questions, their relevance to the study objectives, and the comprehensiveness of the domains covered, the questionnaire was tested on a preliminary sample of developers, representative of the target population. Focus groups and interviews were intended to validate the results of the literature review and survey, regarding the past and present, while also imagining the future of the DHT market in the EU and how the EDiHTA framework could provide a decision-making tool for all relevant stakeholders, including developers. Conclusions The literature review and perspectives from 31 unique DHT companies (20 companies in the survey, 29 companies in the qualitative phase, and 16 companies only participating in the interview phase), spanning startups, and well-established international firms across 10 European markets shed light on the needs of developers and the perceived added value of the EDiHTA framework in response to market access and reimbursement challenges, operational barriers, and decision-making processes when developing DHTs. The funders had no role in the design of the study, in the collection, analyses, or interpretation of data, in the writing of the manuscript, or in the decision to publish the results.