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Health technology assessment in Denmark: strategy, implementation, and developments.

Helga Sigmund¹, Finn Børlum Kristensen

¹National Board of Health, DACEHTA, Copenhagen S, Denmark. hsi@sst.dk

International Journal of Technology Assessment in Health Care

|June 10, 2009

Summary

Denmark

Area of Science:

Health services research
Health policy analysis
Technology adoption in healthcare

Background:

Denmark's decentralized, tax-funded healthcare system operates on three policy and management levels.
Health Technology Assessment (HTA) was introduced in the early 1980s but saw significant implementation after a national strategy was established in 1996.

Purpose of the Study:

To describe the introduction and development of Health Technology Assessment (HTA) in Denmark.
To outline the evolution of HTA within the Danish healthcare system.

Main Methods:

Establishment of the Danish Institute for HTA in 1997 for coordination and production.
Addressing challenges to HTA coordination posed by a 2007 local government reform.

Main Results:

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An external evaluation in 2003 confirmed widespread dissemination of HTA.
HTA findings positively influenced decision-making across political, administrative, and clinical levels.

Conclusions:

Key contributions to international HTA include Denmark's first national HTA strategy.
The comprehensive HTA model (Technology, Patient, Organization, Economy) and 'mini-HTA' tools enhance HTA activities.