- E-mailingrid.miljeteig@uib.no
- Phone+47 55 58 61 58@IngridMiljeteig
- Visitor AddressOVERLEGE DANIELSSENS HUS (4th floor)Årstadveien 215009 Bergen
- Postal AddressPostboks 78045020 Bergen
Major research themes:
- Clinical ethics dilemma in low-income settings with a special focus on bedside dilemmas and treatment of newborns
- Teaching and capacity building in medical ethics and priority setting
- Priority setting, financial risk protection, universal health care coverage and policy recommendations
- Ethical concerns for migrant health
- Clinical ethics committees
- Ethical challenges related to the COVID-19 pandemic
Identifying, describing, analysing, and discussing the many ethical dilemmas in medicine has been my focus as a researcher and as a teacher of students in medical ethics, as well as in practical ethics work as a leader in a clinical ethics committee.
I´ve been fortunate to be part-time employed as an associate professor/professor at the University of Bergen since 2012, as an ethicist at Haukeland University Hospital, and in periods also as a practising clinician. I also lead the Organizing Committee for the 13th International Society for Priorities in Health Care PRIORITIES2022 which gave me a solid insight into priorities around the world and an engaging network of researchers, policymakers and clinicians.
This triangulation of experiences and tasks has made me who I am academically, and the synergy serves as a great motivation to continue my purpose of conducting useful research of high quality together with others, to facilitate the development of skills in handling real-life ethical challenges and to be an authentic adaptive leader and good colleague.
I´m part of the research groups BCEPS, Global Health Anthropology Research Group, TeLEd
Main teaching obligations:
- Medical ethics for medical students and denal students, University of Bergen. 2007 -
- Ethics, leadershop and priority setting. Various regular local and national courses for physicians, 2010-
- TOT ME Ethiopia: Medical ethics and priority setting for lectureres/senior clinicians in Ethiopia (2 weeks yearly) 2012-
International publications in peer-reviewed journals last five years:
Isaksson Rø K, Magelssen M, Bååthe F, Miljeteig I, Bringedal B. Duty to treat and perceived risk of contagion during the COVID-19 pandemic: Norwegian physicians' perspectives and experiences-a questionnaire survey. BMC Health Serv Res. 2022
Cetin K, Worku D, Demtse A, Melberg A, Miljeteig I. "Death audit is a fight" - provider perspectives on the ethics of the Maternal and Perinatal Death Surveillance and Response (MPDSR) system in Ethiopia. BMC Health Serv Res. 2022
Bringedal BH, Rø KI, Bååthe F, Miljeteig I, Magelssen M. Guidelines and clinical priority setting during the COVID-19 pandemic - Norwegian doctors' experiences. BMC Health Serv Res. 2022
McLean E, Onarheim KH, Schanche E, Schaufel MA, Miljeteig I. Ethical dilemmas for nursing home doctors during the COVID-19 pandemic. Tidsskr Nor Laegeforen. 2022
Ashuntantang G, Miljeteig I, Luyckx VA. Bedside rationing and moral distress in nephrologists in sub- Saharan Africa. BMC Nephrol. 2022
Miljeteig I, Forthun I, Hufthammer KO, et al. Priority-setting dilemmas, moral distress and support experienced by nurses and physicians in the early phase of the COVID-19 pandemic in Norway. Nursing Ethics. January 2021.
Onarheim KH, Wickramage K, Ingleby D, Subramani S, Miljeteig I. Adopting an ethical approach to migration health policy, practice and research BMJ Global Health 2021
Onarheim KH, Moland KM, Molla M, Miljeteig I. 'I wanted to go, but they said wait': Mothers' bargaining power and strategies in care-seeking for ill newborns in Ethiopia. PLoS One. 2020
Blanchet, Karl; Alwan, Ala; Antoine, Caroline; (…) Miljeteig, I et al. Protecting essential health services in low-income and middle-income countries and humanitarian settings while responding to the COVID-19 pandemic. BMJ Global Health 2020
Magelssen M, Pedersen R, Miljeteig I, Ervik H, Førde R. Importance of systematic deliberation and stakeholder presence: a national study of clinical ethics committees. J Med Ethics. 2020
Miljeteig I, Defaye F, Desalegn D, Danis M. Clinical ethics dilemmas in a low-income setting - a national survey among physicians in Ethiopia. BMC Med Ethics. 2019
Miljeteig I, Defaye FB, Wakim P, Desalegn DN, Berhane Y, Norheim OF, Danis M. Financial risk protection at the bedside: How Ethiopian physicians try to minimize out-of-pocket health expenditures. PLoS One. 2019
Johansson KA, Tolla MT, Memirie ST, Miljeteig I et al. Country contextualisation of cost-effectiveness studies: lessons from Ethiopia. BMJ Glob Health. 2019
McLean E, Desalegn DN, Blystad A, Miljeteig I. When the law makes doors slightly open: ethical dilemmas among abortion service providers in Addis Ababa, Ethiopia. BMC Med Ethics. 2019
Berhane Defaye F, Danis M, Wakim P, Berhane Y, Norheim OF, Miljeteig I. Bedside Rationing Under Resource Constraints-A National Survey of Ethiopian Physicians' Use of Criteria for Priority Setting. AJOB Empir Bioeth. 2019 (corresponding author)
Onarheim KH, Melberg A, Meier BM, Miljeteig I. Towards universal health coverage: Including undocumented migrants. BMJ Global Health 2018
Onarheim KH, Norheim OF, Miljeteig I. Newborn health benefits or financial risk protection? An ethical analysis of a real-life dilemma in a setting without universal health coverage. J Med Ethics 2018
Onarheim KH, Sisay MM, Gizaw M, Moland KM, Norheim OF, Miljeteig I. Selling my sheep to pay for medicines - household priorities and coping strategies in a setting without universal health coverage. BMC Health Serv Res. 2018
Onarheim KH, Sisay MM, Gizaw M, Moland KM, Miljeteig I. What if the baby doesn't survive? Health-care decision making for ill newborns in Ethiopia. Soc Sci Med 2017
Melberg A, Onarheim KH, Spjeldnæs AO, Miljeteig I. Towards universal health coverage for undocumented migrants? Tidsskr Nor Laegeforen. 2017
Miljeteig I, Berhane F, Desalegn D. A Call for Open Access and Empathy Is Not Enough: Hands on Are Needed! Am J Bioeth. 2017
Miljeteig I, Onarheim KH, Defaye FB, Desalegn D, Norheim OF, Hevrøy O, Johansson KA. Ethics capacity building in low-income countries: Ethiopia as a case study. Tidsskr Nor Laegeforen. 2017
Magelssen M, Miljeteig I, Pedersen R, Førde R. Roles and responsibilities of clinical ethics committees in priority setting. BMC Med Ethics 2017.
Luyckx VA, Miljeteig I, Ejigu AM, Moosa MR. Ethical Challenges in the Provision of Dialysis in Resource-Constrained Environments. Semin Nephrol. 2017
Book chapters:
- Miljeteig I, Desalegn D, Defaye FB, Melkie A, Onarheim KH. Chapter 3: “Priorities at the Bedside: Experiences of Catastrophic Health Expenditures in Ethiopia” in “Global Health Priority-Setting: Beyond Cost-Effectiveness”, Oxford University Press. 2020
- Miljeteig, Ingrid; Førde, Reidun. Helseetikk i et flerkulturelt samfunn. I: Etikk i helsetjenesten. Gyldendal Akademisk 2020
- Miljeteig, Ingrid; Tranvåg, Eirik Joakim. Prioriteringer av helseressurser. I: Etikk i helsetjenesten. Gyldendal Akademisk 2020
PhD thesis:
End-of-life priorities in complex settings: An ethical analysis of decisions in Indian neonatal units. : Universitetet i Bergen 2010. 200 s.
UiB Available at http://hdl.handle.net/1956/4189
Norwegian publications in peer reviewed journals:
Morken S, Halset S, Miljeteig I. ”Familyplanning in India" Tidsskr Nor Legeforen 2012 Apr 30;132(8):985-7
Bærøe K, Ottersen T, Eide K, Engjom H, Johansson KA, Miljeteig I, et al. Priority setting in global health. Tidsskr Nor Legeforen 2011; 131:1667-
Johansson KA, Miljeteig I. Ethical priority setting of health services. Utposten. 2010;4:22
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.
Other publications:
Miljeteig I, Onarheim KH, Strømme EM, Johansson KA: Fair Prioritysetting in global child health. Morgenbladet June 2012
Johansson K.A, Miljeteig I. Fair use of cost data. Tidsskr Nor Legeforen. 2010;130:144
Miljeteig I, Johansson KA. The unsolved dilemmas. The priority setting debate needs clarifications of concepts. Chronicle in the newspaper Bergens Tidene 09.07.2010
Miljeteig I, Johansson KA. Ethics on the timetable - a traveling letter from India.Tidsskr Nor Lægeforen 2002;19(122):1916-7.
Narvestad J, Miljeteig I. ”Medisinstudenter sprer kunnskap om omskjæring av kvinner”. Tidsskr Nor Lægeforen 2002; 122: 866
- (2022). “Death audit is a fight” – provider perspectives on the ethics of the Maternal and Perinatal Death Surveillance and Response (MPDSR) system in Ethiopia. BMC Health Services Research. 11 pages.
- (2022). Guidelines and clinical priority setting during the COVID-19 pandemic – Norwegian doctors’ experiences. BMC Health Services Research. 1-9.
- (2022). Etiske dilemmaer for sykehjemsleger under covid-19-pandemien. Tidsskrift for Den norske legeforening. 1-9.
- (2022). Duty to treat and perceived risk of contagion during the COVID-19 pandemic: Norwegian physicians’ perspectives and experiences—a questionnaire survey. BMC Health Services Research. 1-9.
- (2022). Bedside rationing and moral distress in nephrologists in sub- Saharan Africa. BMC Nephrology.
- (2021). Priority-setting dilemmas, moral distress and support experienced by nurses and physicians in the early phase of the COVID-19 pandemic in Norway. Nursing Ethics. 66-81.
- (2020). ‘I wanted to go, but they said wait’: Mothers’ bargaining power and strategies in careseeking for ill newborns in Ethiopia. PLOS ONE. 1-15.
- (2020). Protecting essential health services in low-income and middle-income countries and humanitarian settings while responding to the COVID-19 pandemic. BMJ Global Health. 1-9.
- (2020). Prioriteringer av helseressurser. 169-178. In:
- (2020). Etikk i helsetjenesten. Gyldendal Akademisk.
- (2020). Helseetikk i et flerkulturelt samfunn. 180-188. In:
- (2020). Etikk i helsetjenesten. Gyldendal Akademisk.
- (2019). When the law makes doors slightly open: ethical dilemmas among abortion service providers in Addis Ababa, Ethiopia. BMC Medical Ethics. 10 pages.
- (2019). Priorities at the bedside: experiences of catastrophic health expenditure in Ethiopia.
- (2019). Importance of systematic deliberation and stakeholder presence: A national study of clinical ethics committees. Journal of Medical Ethics. 66-70.
- (2019). Financial risk protection at the bedside: How Ethiopian physicians try to minimize out-of-pocket health expenditures. PLOS ONE. 1-16.
- (2019). Country contextualisation of cost-effectiveness studies: lessons from Ethiopia. BMJ Global Health. 1-9.
- (2019). Clinical ethics dilemmas in a low-income setting - a national survey among physicians in Ethiopia. BMC Medical Ethics. 1-13.
- (2019). Bedside Rationing Under Resource Constraints—A National Survey of Ethiopian Physicians’ Use of Criteria for Priority Setting. AJOB Empirical Bioethics. 125-135.
- (2018). Towards universal health coverage: including undocumented migrants. BMJ Global Health.
- (2018). Selling my sheep to pay for medicines - Household priorities and coping strategies in a setting without universal health coverage. BMC Health Services Research. 1-12.
- (2018). Priority to the newborn? Real-life priority setting and intra-household resource allocation for newborn health in Ethiopia .
- (2018). Newborn health benefits or financial risk protection? An ethical analysis of a real-life dilemma in a setting without universal health coverage. Journal of Medical Ethics. 524-530.
- (2017). What if the baby doesn't survive? Health-care decision making for ill newborns in Ethiopia. Social Science and Medicine. 123-130.
- (2017). Roles and responsibilities of clinical ethics committees in priority setting. BMC Medical Ethics.
- (2017). Etikkarbeid i lavinntektsland: Etiopia som eksempel (Ethics capacity building in low income countries: Ethiopia as a case). Tidsskrift for Den norske legeforening.
- (2017). Ethics capacity building in low-income countries: Ethiopia as a case study. Tidsskrift for Den norske legeforening.
- (2017). Ethical Challenges in the Provision of Dialysis in Resource-Constrained Environments. Seminars in Nephrology. 273-286.
- (2017). A Call for Open Access and Empathy Is Not Enough: Hands on Are Needed! American Journal of Bioethics.
- (2015). Towards universal health coverage for reproductive health services in Ethiopia: Two policy recommendations. International Journal for Equity in Health.
- (2015). A survey of Ethiopian physicians’ experiences of bedside rationing: extensive resource scarcity, tough decisions and adverse consequences. BMC Health Services Research. 1-8.
- (2013). Skal rusmiddelavhengige pasienter tilbys hjerteklaffkirurgi for andre gang? Tidsskrift for Den norske legeforening. 977-980.
- (2012). Prioritizing child health interventions in Ethiopia: modeling impact on child mortality, life expectancy and inequality in age at death. PLOS ONE. 9 pages.
- (2011). HIV priorities and health distributions in a rural region in Tanzania: a qualitative study. Journal of Medical Ethics. 221-226.
- (2010). End-of-life priorities in complex settings: An ethical analysis of decisions in Indian neonatal units.
- (2010). End-of-life decisions as bedside rationing. An ethical analysis of life support restrictions in an Indian neonatal unit. Journal of Medical Ethics. 473-478.
- (2009). Impact of Ethics and Economics on End-of-Life Decisions in an Indian Neonatal Unit. Pediatrics. E322-E328.
- (2009). Høykostnadsmedisin - mangler vi åpne og legitime prosedyrer for prioritering? Tidsskrift for Den norske legeforening. 17-20.
- (2008). Etiske valg ved medisinsk nytteløs behandling. Tidsskrift for Den norske legeforening. 2185-2189.
- (2007). Physicians' use of guidelines and attitudes to withholding and withdrawing treatment for extremely premature neonates in Norway. Acta Paediatrica. 825-829.
- (2006). My job is to keep him alive, but what about his brother and sister? How Indian doctors experience ethical dilemmas in neonatal medicine. Developing World Bioethics. 23-32.
More information in national current research information system (CRIStin)
Supervision:
Ongoing
Emily McLean (MD) on the project. “Ethical dilemma and abortion in Ethiopia”. Main supervisor. 2015-
Nina Kleven-Madsen PhD-candidate on the project “Ethical challenges and priority decisions experienced by leaders and health care professionals treating trauma patients in Malawi: a qualitative study. Main supervisor. 2021-
Mulu Beyene Kidanemariam, PhD-candidate at the Faculty of Law, University of Bergen. Co-supervisor. 2020-
Gabrielle Leonie Schwartz (MD) PhD-candidate on the project “Very elderly patients ́ preferences and participation in shared decision making in the event of acute life-teratening illness. Co-supervisor. 20121-
Kaya Celin, medical student on PhD track. Main supervisor. 2019 –
Dawit Nema Desalegn (MD) PhD-candidate on the project “An implementation study on how to increase awareness, skills and knowledge in medical ethics among Ethiopian health workers” Main supervisor. 2015 –
Two medical student who write their thesis. 2020 -
Finished:
Kristine Husøy Onarheim (MD, PhD) on the project “Priority to the ill newborn? Real-life priority setting and intra household resource allocation for newborn health in Ethiopia”. UiB. Defended in April 2018. Main supervisor.
Valerie Luyckx (MD) PhD-candidate at Univers. of Zurich. “Dialysis-treatment in Africa”. Co-supervisor. 2016 -2019
Medical students at their PhD-track at UiB: Kristine Husøy Onarheim. Main supervisor. (2011-2014)
Emily McLean. Main supervisor. (2015-2019)
Wakuma Chala. Master in Emergency Medicine, Addis Ababa University. Co-supervisor. 2016
Eighteen medical students who wrote their thesis. 2010 -2022
Read more about my projects at https://www.uib.no/en/bceps
- Professor in Medical Ethics and Philosophy of Science (50%) at the Department of Global Public Health and Primary Care, University of Bergen (since 2012, August).
- Head of Clinical Ethics Committee (Special Advisor, 50%) at the Department of Research and Development, Helse Bergen Health Trust (employed since 2010)
- Deputy Director (20%), at BCEPS at (Department of Global Public Health and Primary Care, University of Bergen since 2019, July).
- Member of the Norwegian National Research Ethics Committee
- Leader of the Organizing Committee for the 13th International Society for Priorities in Health Care Conference PRIORITIES2022 http://www.isph2020addis.org