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Mini-HTA is a tool designed to support evidence-based processes when introducing new health technologies at the hospital level. Mini-HTA consists of a form or a checklist that is used to assess efficacy, safety, costs and organisational consequences before a new health technology is introduced into clinical practice or an existing health technology is phased out. The purpose of this work was to investigate various mini-HTA systems internationally. We identified eight mini-HTA systems from Australia, Canada, Denmark, Spain, Sweden and the United States. The comparison of the eight systems shows that it is important to consider the following elements when introducing a system of mini-HTA: 1. The system should be anchored in the management. 2. Should the use of mini-HTA be mandatory? 3. Who should prepare mini-HTAs (clinicians or a local HTA-unit)? 4. What kind of support services should be established? 5. In what cases should one conduct mini-HTA? 6. How to make decisions about the introduction of new health technologies? 7. System for monitoring the performance of new health technologies. 8. How broad should the mini-HTAs and decisions be made public? Experiences from the identified mini-HTA systems and evaluations of their function are used to develop a Norwegian mini-HTA version and to pilot a project for mini-HTA in the Western Norway Regional Health Authority.

Technology assessment. --- Biomedical engineering. --- Hospitals --- Administration.