Aalborg University, Aarhus, Denmark.
Int J Technol Assess Health Care. 2012 Jul;28(3):271-7. doi: 10.1017/S0266462312000268.
In 2008 the Danish National Board of Health launched an information campaign aimed at introducing mini-HTA as a management and decision support tool for the municipalities. Today (January 2012), mini-HTA is still not used regularly in the municipalities.
The aim of this study was to evaluate the latent attitudes toward mini-HTA among ninety-three participants in five voluntary workshops on mini-HTA held in the period of May 2008 to February 2009.
In a questionnaire including three open questions respondents were asked to state their perception of what mini-HTA could be used for in the municipality, the main barriers for using mini-HTA, and what could make it easier to implement mini-HTA. Answers were analyzed qualitatively and quantitatively using binary coding and statistical examination of patterns in form of R-factor analysis.
The four significant latent attitudes were a general acceptance of HTA-principles, a derived need for a political/managerial decision to use mini-HTA in the municipality, worries about barriers in the medium run, and worries about barriers in the short run.
A national information campaign to support the uptake of mini-HTA in local health-care institutions was insufficient in the Danish municipalities and should have been supplemented with a strategy to secure local political/managerial willingness to use mini-HTA and the removal of short- and medium-term barriers. The implementation of local HTA should not just be seen as a question of how to increase the use of evidence in decision-making, but as a matter of reforming local decision processes.
2008 年，丹麦国家卫生局发起了一场信息宣传活动，旨在引入迷你-HTA，作为市政当局的管理和决策支持工具。时至今日（2012 年 1 月），迷你-HTA 仍未在市政当局中得到常规应用。
本研究旨在评估 93 名参与者在五个迷你-HTA 自愿研讨会上的潜在态度，这些研讨会于 2008 年 5 月至 2009 年 2 月期间举行。
在一份包括三个开放性问题的问卷中，要求受访者说明他们对迷你-HTA 在市政当局中可用于哪些方面的看法、使用迷你-HTA 的主要障碍是什么，以及哪些因素可以使其更容易实施迷你-HTA。答案通过二进制编码进行定性和定量分析，并使用 R 因子分析形式的模式进行统计检验。
四个显著的潜在态度是对 HTA 原则的普遍接受、衍生出在市政当局中使用迷你-HTA 的政治/管理决策的需求、对中短期障碍的担忧，以及对短期障碍的担忧。
在丹麦市政当局中，支持在地方卫生保健机构中采用迷你-HTA 的全国性信息宣传活动是不够的，应该辅之以一项战略，以确保地方政治/管理部门愿意使用迷你-HTA，并消除短期和中期障碍。地方 HTA 的实施不应仅仅被视为如何增加证据在决策中的应用问题，而是应将其视为改革地方决策过程的问题。
