This presentation was made by Thomas Baardseng, Norway, at the 6th Meeting of the Joint OECD DELSA-GOV Network on Fiscal Sustainability of Health Systems, held at the OECD Conference Centre, Paris, on 18-19 September 2017

1. Norwegian Ministry of Health and Care Services
Norwegian Ministry
of Health and Care Services
Deputy Director General Thomas Baardseng
OECD, Paris, 19. September
Introducing new technologies – the Norwegian
approach

2. Norwegian Ministry of Health and Care Services
Norway – demographics and
organization
• Population of Norway
– 5 millions
• Ministry of Health and Care Services
– Norwegian Directorate of Health
– Norwegian Radiation Protection Authority
– Norwegian Institute for Public Health
– Norwegian Medicines Agency
– Another five agencies
• Health Care Services
– Primary health care in 400+ municipalities
– Specialist health care
• 4 Regional Health Authorities with ownership of hospitals and
other enterprises

3. Norwegian Ministry of Health and Care Services
An eternal challenge - The expectation gap
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5
10
15
20
25
1 2 3 4 5 6
New technologies
Expectations
Economic reality

4. Norwegian Ministry of Health and Care Services
The national system for managed
introduction
• Systematic use of health technology
assessments are important:
• To improve patient safety
• To ensure equal access to new effective and
cost-effective methods and drugs
• To ensure that ineffective and/or harmful
methods and drugs are not introduced
• To provide a decision-making platform for
priority setting based on such assessments
• To ensure rational use of public money

5. Norwegian Ministry of Health and Care Services
Three categories of HTAs
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Mini Health
Technology
Assessment (Mini-
HTA)
Single Technology
Assessment (STA)
Full Health
Technology
Assessment (Full
HTA)
• Limited assessment at hospital level. Published in national
database to share knowledge
• Used for medical devices, procedures, organization
• Performed by clinicians and supporting units
• Assessment at national level focused on a single health technology
• Medicines: Norwegian Medicines Agency
• Other technologies: Norwegian Knowledge Centre
• Broad assessments at national level
• Norwegian Knowledge Centre for the Health Services

6. Norwegian Ministry of Health and Care Services
The overall objective
• Managed introduction to meet health needs and sustainability
– To ensure that new technologies meet health needs and sustainability of the health care system, managed
introduction and prioritization offer important tools
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New health technologies
Managed introduction and
prioritization
Health needs and sustainable
health care

7. Norwegian Ministry of Health and Care Services
The main components

8. Norwegian Ministry of Health and Care Services
Process map
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9. Norwegian Ministry of Health and Care Services
Factors for success
• Coordination and cooperation
• Transparency
• Highly legitimate