Kjell Arne Johansson
- Phone+47 55 58 61 64
- Visitor AddressKalfarveien 31
- Postal AddressPostboks 78045020 Bergen
Priority setting in health care
Climate change and health
2005 – current: Responsible for courses in medical ethics and research ethics (Med1Etikk, MedKLS) for medical students at University of Bergen.
2007 – current: The ethics of global health and priority setting (part of general course in Global Health, 30 ECTS). Responsibility in establishment of this course.
2007 – current: Responsible for teaching in ethics of priority setting in global health in various courses for graduate students at masters level, Centre for International Health, University of Bergen
2005 – current: Several 1-2 hour lectures on medical ethics and priority setting at different courses arranged at the Faculty of Medicine and elsewhere (e.g. Human Rights, International Health, Refugees, Autonomy, Priority Setting, Reproductive Health, Social Determinant of Health, Specialist courses for Medical Doctors)
- Johansson KA, Strand KB, Fekadu A, Chisholm D, (2016) “Health Gains and Financial Protection Provided by the Ethiopian Mental Health Strategy: an Extended Cost-Effectiveness Analysis”, Health Policy and Planning (doi: 10.1093/heapol/czw134).
- Andersson AK, Lindemark F, Johansson KA, (2016) ”Priority Rules as Solutions to Conflicting Health Care Rights”, Medicine, Health Care and Philosophy, Published online 3 September 2016
- Taddesse MT, Jerene D, Norheim OF, Memirie S, Abdisa SG, Ababulgu A, Jerene D, Bertream M, Strand K, Verguet S, Johansson KA. (2016) ”Prevention and treatment of cardiovascular disease in Ethiopia: a cost-effectiveness analysis”. Cost Effectiveness and Resource Allocation; 14:10
- Black RE, Levin C, Walker N, Chou D, Liu L, Temmerman M, DCP3 Essential Surgery Author Group (including Johansson KA). (2016) ”Reproductive, maternal, newborn, and child health: key messages from Disease Control Priorities 3rd Edition”, Lancet, Published online 9 April 2016
- Memirie ST, Verguet S, Levin C, Norheim OF, Johansson KA. (2016) ”Inequalities in utilization of maternal and child health services in Ethiopia: the role of primary health care”. BMC Health Serv Res.; 16: 51.
- Johansson KA, Memirie ST, Pecenka C, Jamison D, Verguet S. (2015) ”Health gains and financial protection from pneumococcal vaccination and pneumonia treatment in Ethiopia: Results from an Extended Cost-Effectiveness Analysis”. PlosOne, published online 9 December 2015
- Pedersen KB, Chisholm D, Fekadu A, Johansson KA. (2015) ”Neuropsychiatric services in Ethiopia; cost-effectiveness analysis of implementing essential services”. Health Policy and Planning, published online 21 October 2015
- Shrime MG, Verguet S, Johansson KA, Desalegn D, Jamison DT, Kruk ME. (2015) ”Task-sharing or public finance for the expansion of surgical access in rural Ethiopia: an extended cost-effectiveness analysis.” Health Policy and Planning, published online 29 December 2015.
- Pecenka C, Johansson KA, Memirie S, Jamison D, Verguet S. (2015) ” Health gains and financial risk protection: an extended cost-effectiveness analysis of treatment and prevention of diarrhoea in Ethiopia”. BMJ Open May;5(4)
- Lindemark F, Haaland Ø, Kvåle R, Flåtten H, Johansson KA. (2015) ”Age, risk, and life expectancy in Norwegian intensive care: a registry-based population modelling study”. PlosOne. May;10(5)
- Verguet S, Olson ZD, Babigumira J, Desalegn D, Johansson KA, Kruk ME, Levin C, Nugent R, Pecenka C, Shrime M, Watkins D, Jamison D. (2015) ”Health gains and financial risk protection afforded by public financing of selected interventions in Ethiopia: an extended cost-effectiveness analysis.” Lancet Glob Health 3: e288-296.
- Mock CN, Donkor P, Gawande A, Jamison DT, Kruk ME, Debas HT, DCP3 Essential Surgery Author Group (including Johansson KA). (2015) ”Essential surgery: key messages from Disease Control Priorities, 3rd edition.” Lancet, Published online 5 February 2015.
- Lindemark F, Norheim OF, Johansson KA. (2014) ”Making use of equity sensitive QALYs: A case study on identifying the worse off across diseases”. Cost Eff Resourc Alloc. Jul 23;12:16
- Norheim OF, Johri M, Chisholm D, Nord E, Baltussen R, Brock DW, Carlsson P, Cookson R, Daniels N, Danis M, Fleurbaey M, Johansson KA, Kapiriri, L, Littlejohns P, Mbeeli T, Rao KD, Tan-Torres Edejer T, Wikler D. (2014) ”Guidance on priority setting in health care (GPS Health): fairness and equity criteria not adequately captured by cost-effectiveness analysis”. Cost Eff Resour Alloc 12: 18.
- Haaland Ø, Lindemark F, Flåtten H, Kvåle R, Johansson KA. (2014) ”Mortality predictions in the ICU: a calibration study of SAPS II with Norwegian intensive care registry data”. (2014). Acta Anaesthesiologica Scandinavica Jul;58(6):701-8
- Verguet S, Murphy S, Anderson B, Johansson KA, Glass R, et al. (2013) ”Public finance of rotavirus vaccination in India and Ethiopia: An extended cost-effectiveness analysis”. Vaccine 31: 4902-4910.
- Onarheim, K. H., S. Tessema, Johansson, K. A., Eide, K. T., Norheim, O. F., Miljeteig, I. (2012). "Prioritizing child health interventions in Ethiopia: modeling impact on child mortality, life expectancy and inequality in age at death." PLoS ONE 7(8): e41521.
- Johansson, K. A. and O. F. Norheim (2011). "Problems with prioritization: exploring ethical solutions to inequalities in HIV care." Am J Bioeth 11(12): 32-40.
- Baeroe K, Ottersen T, Eide K, Engjom H, Johansson KA, Miljeteig I, et al. Priorities in global health. Tidsskr Nor Laegeforen. 2011 Sep 6;131(17):1667-9.
- Johansson KA, Pedersen KB, Andersson AK. Hiv Testing of Pregnant Women: An Ethical Analysis. Dev World Bioeth. 2011 Jul 25.
- Johansson KA, Miljeteig I, Kigwangalla H, Norheim OF. HIV priority decisions and distributional implications in a rural region in Tanzania: A qualitative study. J Med Ethics 2011; 37 (4): 221-6
- Kolstad E., Johansson KA. Uncertainties associated with quantifying climate change impacts on human health: a case study of diarrhea. Environmental Health Perspectives 2011; 119(3):299-305.
- Johansson KA, Robberstad B, Norheim OF. Further benefits by early start of HIV treatment in low income countries: survival estimates of early versus deferred antiretroviral therapy. AIDS Research and Therapy 2010, 7:3.
- Miljeteig I, Johansson KA, Sayeed SA, Norheim OF. End-of-life decisions as bedside rationing. An ethical analysis of life support restrictions in an Indian neonatal unit. J Med Ethics 2010;36:473-478.
- Miljeteig I, Sayeed SA, Jesani A, Johansson KA, Norheim OF. "Impact of ethics and economics on end-of-life decisions in an Indian neonatal unit." Pediatrics 2009;124(2): e322-328.
- Johansson KA, Jerene D, Norheim OF. National HIV treatment guidelines in Tanzania and Ethiopia: Are they legitimate rationing tools? J Med Ethics 2008;34(6): 478-483.
- Elgen I, Johansson KA, Markestad T, Sommerfelt K. A non-handicapped cohort of low-birthweight children: growth and general health status at 11 years of age. Acta pædiatrica 2005;94(9):1203-1207.
- Johansson KA, Miljeteig I, Norheim OF. High-cost medicine: Are we short of transparent and legitimate priority setting procedures? Tidsskr Nor Lægeforen. 2009 Jan 1;129(1):17-20.
- Miljeteig I, Johansson KA, Norheim OF. Ethical choices in medical futile treatment. Tidsskr Nor Legeforen 2008;19(128):2185-9.
- Johansson KA, Ohldieck C, Aase M, Schei E. Destiny-zapping - medical education, students' world view and the ethical challenge. Tidsskr Nor Lægeforen 2001;13(121):1618-21.
- Johansson KA. ”Ethical challenges in global health priorities”. In: Arras J, Kukla R, Fenton E (Editors). Routledge Companion to Bioethics. 2015
- Johansson KA. How to distribute money – ethical priority setting in the health care system. In: Bruusgaard P, Frich J, Fugelli P, Wilmar B, editors. Money and values in health care. Oslo: Gyldendal forlag. 2009.
- Shrime M, Verguet S, Johansson KA, Desalegn D, Jamison D, Kruk M. ” Task-Sharing or Public Finance for Expanding Surgical Access in Rural Ethiopia: An Extended Cost-Effectiveness Analysis.” in ”Essential Surgery” volume of Disease Control Priorities in Developing Countries, 3rd edition. Editors: Jamison DT, Gelband H, Jha P, Horton S, Lazminarayan R, R N. 2015.
- Verguet S, Pecenka C, Johansson KA, Tessema Memirie S, Driessen JR, Olson ZD, et al. ”Health gains and financial risk protection afforded from treatment and prevention of diarrhea and pneumonia in Ethiopia.” in ” Reproductive, maternal, newborn, and child health” volume of Disease Control Priorities in Developing Countries, 3rd edition. Editors: Jamison DT, Gelband H, Jha P, Horton S, Lazminarayan R, R N. 2016
- Chisholm D, Johansson KA, Raykar N, Megiddo I, Nigam A, Strand KB, Colson A, Laxminarayan R, Verguet S. ” Moving towards universal health coverage for mental, neurological and substance use disorders: an extended cost-effectiveness analysis.” in ”Mental, Neurological, and Substance Use Disorders” volume of Disease Control Priorities in Developing Countries, 3rd edition. Editors: Vikram Patel, Dan Chisholm, Tarun Dua, Ramanan Laxminarayan and Maria Elena Medina-Mora. 2016
Norwegian popular science publications:
2016 (jan-aug)Leader of Bergen Addiction Research group, Haukeland University Hospital
2013-2015 Leader of Global Health Priorities (research group with seven senior researchers and more than 15 PhD students), Department of Global Public Health, University of Bergen
2013-2014 Leader of Profession Group in teaching of Public Health and Epidemiology (teaching consortium for around 30 academics with educational responsibilities), Department of Global Public Health, University of Bergen
2013-2015 Leader of research project Global Health Priorities 2020, research grant from Research Council of Norway
2007-2008 Member of Faculty Research Board, Faculty of Medicine and Dentistry, UiB
Priorities in Global Health 2020
The project Priorities in Global Health 2020 has assembled an international group of leading experts on priority setting. This group will meet regularly over a five-year period, discussing the principal theoretical challenges of priority setting and also give feedback on reports and papers written by scientists affiliated with the group.
These scientists will work in the two newly established research groups, one at the University of Bergen, Norway (Dep. of Gobal Public Health and Primary Health Care) and the other at the National Institute of Health & Department of Bioethics in USA. Cooperation with groups in Ethiopia and India is also central. Together, these groups will work continuously on papers and developing new ideas that the expert group then will discuss and advise on before publishing.
Aim of the project: To develop tools to incorporate equity concerns alongside cost-effectiveness information to aid priority setting across interventions and health service delivery platforms relevant for Global Health
• Disease Control Priorities Project (DCPN3) , University of Washington
• National Institute of Health , Department of Bioethics
• Harvard T.H. Chan School of Public Health
• Collaborating partners in Ethiopia (Addis Ababa, Arba Minch)
• Advisory group: International experts and policy makers
Prioritisation across clinical disciplines: framework, methodology development and analysis of management data
Rights assessment by referral to a specialist is one of the joints in the priority chain, where the criteria are based on the assessment of severity / prognosis, impact of planned care and cost benefit. It is also designed national priorities supervisors who are discipline specific. Despite this, one indication of significant variations in the priority practice. So far prioritization across different disciplines little studied. In this project the aim is to compare the prioritization practices in different areas by using registry data, and to analyse the factors affecting the outcome. Moreover, we will compare evidence for the benefits of treatment with the real priorities for a sample from different disciplines. Expected therapeutic effect for different states will also be quantified using a comparable outcome (QALYs ) . Models for comparing the prediction with and without intervention will also be formed.