{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T10:12:36Z","timestamp":1788516756121,"version":"build-2803163510"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"unspecified","delay-in-days":246,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Technol Assess Health Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Health technology assessment (HTA) has become an essential tool for supporting evidence-based decision making in health care systems worldwide. Comprehensive HTA reports, however, are resource-intensive and time-consuming, making them impractical for many decisions that need to be made at the local or institutional level. This gap has led to the development of more pragmatic approaches that aim to balance methodological rigor with feasibility. In Norway, this challenge was addressed through the introduction of mini-HTA, which is a structured, simplified, and context-specific decision-support tool to inform local or institutional decisions about introducing new technologies, procedures, or organizational innovations. Mini-HTA provides a standardized framework for evaluating clinical effectiveness, safety, organizational impact, ethical considerations, and economic consequences while remaining feasible for clinicians and managers to apply in practice. Several key insights emerge from our experience with developing and implementing mini-HTA in Norway. First, adapting HTA approaches to local decision-making contexts increases feasibility and uptake, particularly where time and resources are limited. Second, governance structures, including clear allocation of responsibilities and leadership engagement, are crucial for the consistent use of mini-HTA in practice. Third, the Norwegian experience illustrates how a shared but flexible tool can be applied across different levels of care, including both hospitals and municipalities, while still allowing for contextual adaptation. Finally, the use of mini-HTA as a platform for collaboration across sectors highlights its potential not only as a decision-support tool, but also as a mechanism for coordinating priorities and responsibilities across organizational boundaries.<\/jats:p>","DOI":"10.1017\/s0266462326103894","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T09:19:41Z","timestamp":1788513581000},"source":"Crossref","is-referenced-by-count":0,"title":["Developing mini-HTA to support evidence-based decision making in the Norwegian health services"],"prefix":"10.1017","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9893-578X","authenticated-orcid":false,"given":"Helene","family":"Arentz-Hansen","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/046nvst19","id-type":"ROR","asserted-by":"publisher"}],"name":"Norwegian Institute of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanne Marie","family":"Rostad","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05xg72x27","id-type":"ROR","asserted-by":"publisher"}],"name":"The Norwegian University of Science and Technology"},{"id":[{"id":"https:\/\/ror.org\/04wpcxa25","id-type":"ROR","asserted-by":"publisher"}],"name":"\u00d8stfold Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vidar Jusnes","family":"Vang","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/046nvst19","id-type":"ROR","asserted-by":"publisher"}],"name":"Norwegian Institute of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Stoinska-Schneider","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/017gjh659","id-type":"ROR","asserted-by":"publisher"}],"name":"Norwegian Medical Products Agency"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Bjerk","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/046nvst19","id-type":"ROR","asserted-by":"publisher"}],"name":"Norwegian Institute of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"S0266462326103894_r3","unstructured":"3. Ministry of Health and Care Services. Forskrift om prioritering av helsetjenester, rett til n\u00f8dvendig helsehjelp fra spesialisthelsetjenesten og rett til behandling i utlandet (prioriteringsforskriften) [Regulation on priority setting in health services, the right to necessary health care from the specialist health service and the right to treatment abroad]. Available from: https:\/\/lovdata.no\/dokument\/SF\/forskrift\/2000-12-01-1208 (accessed 15 Dec 2025)."},{"key":"S0266462326103894_r7","unstructured":"7. INAHTA. What is Health Technology Assessment (HTA)? Available from: https:\/\/www.inahta.org\/ (accessed 15 Dec 2025)."},{"key":"S0266462326103894_r4","unstructured":"4. Ministry of Health and Care Services. Nasjonal helseplan (2007\u20132010) S\u00e6rtrykk av St.prp. nr. 1 (2006\u20132007). [National health plan (2007\u20132010)]. Oslo; 2009."},{"key":"S0266462326103894_r8","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2015.08.011"},{"key":"S0266462326103894_r9","unstructured":"9. Ministry of Health and Care Services. Prop. 55 L (2018\u20132019): Endringer i spesialisthelsetjenesteloven og pasient- og brukerrettighetsloven (lovfesting av systemet for nye metoder m.m.) [Amendments to the Specialist Health Services Act and the Patients\u2019 and Users\u2019 Rights Act (statutory regulation of the system for the introduction of new methods, etc.)]. Oslo: Ministry of Health and Care Services; 2019."},{"key":"S0266462326103894_r10","unstructured":"10. Bjerk, M , F\u00f8rland, O , Lang\u00f8ien, L , Mold\u00f8en, H , Sevild, C. Mot et kunnskapsst\u00f8ttesystem for kommunene \u2013 Beskrivelse og erfaringer med modellutpr\u00f8vninger [Towards a knowledge support system for municipalities: Description and experiences from model testing]. Oslo: Norwegian Institute of Public Health; 2023."},{"key":"S0266462326103894_r12","unstructured":"12. Ministry of Health and Care Services. Nasjonal helse- og samhandlingsplan 2024\u20132027. V\u00e5r felles helsetjeneste [National health and coordination plan 2024\u20132027. Our public health service]. Meld. St. 9. (2023\u20132024)."},{"key":"S0266462326103894_r1","volume-title":"International profiles of health care systems: Norway","author":"Saunes","year":"2020"},{"key":"S0266462326103894_r2","unstructured":"2. Ministry of Health and Care Services. Helse for alle. Rettferdig prioritering i v\u00e5r felles helsetjeneste 2025 [Health for all. Fair priority setting in our public health service 2025]. Meld. St. 21 (2024\u20132025)."},{"key":"S0266462326103894_r5","volume-title":"Kartlegging og dr\u00f8fting av ulike mini-HTA-systemer internasjonalt [Survey and discussion of existing mini-HTA systems internationally","author":"Ormstad","year":"2010"},{"key":"S0266462326103894_r11","unstructured":"11. Ministry of Health and Care Services. Nytte, ressurs og alvorlighet. Prioritering i helse- og omsorgstjenesten [Benefit, resource use and severity: Priority setting in the health and care services]. Meld. St. 38. (2020\u20132021)."},{"key":"S0266462326103894_r6","volume-title":"Utpr\u00f8ving av mini-HTA i Helse Vest RHF [Pilot project on mini-HTA in the Western Norway Regional Health Authority","author":"Arentz-Hansen","year":"2011"}],"container-title":["International Journal of Technology Assessment in Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0266462326103894","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T09:19:44Z","timestamp":1788513584000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0266462326103894\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"alternative-id":["S0266462326103894"],"URL":"https:\/\/doi.org\/10.1017\/s0266462326103894","relation":{},"ISSN":["0266-4623","1471-6348"],"issn-type":[{"value":"0266-4623","type":"print"},{"value":"1471-6348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e72"}}