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Universitetet i Bergen
Ingrid Miljeteigs bilde

Ingrid Miljeteig

Professor
Institutt for global helse og samfunnsmedisin
Bergen senter for etikk og prioritering (BCEPS)
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Viktige forskningstemaer:

  • Kartlegging av etikk dilemma i lavinntektskonteks med spesielt fokus på kliniske prioriteringsdilemma og reproduktiv helse
  • Undervisning og kapasitetsbygging innen medisinsk etikk og prioritering med særlig fokus på konteksttilpasset undervisning og opplæring i kontekst med lite ressurser
  • Moralsk stress og etisk resiliens
  • Prioritering, katastrofale helseutgifter, beskyttelse for finansiell risiko
  • Utvikling av etiske retningslinjer
  • Etiske utfordringer knyttet til migranthelse
  • Kliniske etiske komiteer
  • Strategier for rettferdige prioriteringsprosesser
  • Etiske utfordringer knyttet til COVID-19-pandemien

 

Merittert underviser ved Medisinsk fakultet, UiB i 2022. Medlem av Det pedagogiske akademi.

Undervisning:

  • Medisinsk etikk for medisin- og odontologistudenter ved UiB fra 2007 –
  • Fagansvarlig for undervisning i medisinsk etikk til medisin- og odontologistudenter. 2016-
  • Ansvarlig for kurset «Etikk og prioritering for ledere», Helse Bergen 2015 –
  • Etikk, prioritering og ledelse for LIS3 i  «Administrasjon og Ledelses kurset» i regi av REGUT 2016 -
  • Undervisning av helsepersonell i etikk og prioritering (ca. 2-3 økter/mnd) 2010-
  • Medisinsk etikk og prioritering, Masterstudenter i ulike kliniske sykepleiespesialiteter, Høgskolen i Bergen (4-6 halvdagsseminarer/år). 2013 -
  • Globalt helsekurs for 3. års medisinstudenter og masterstudenter i internasjonal helse 2008 -. Jeg var en av de tre som utviklet dette kurset, som senere fikk Ugle-prisen ved UiB
  • Medisinsk etikk og prioritering for undervisere i medisinsk etikk i Etiopia (2 uker årlig) 2012-2019
  • Medisinsk etikk og prioritering for spesialister i fostermedisin, Etiopia 2018
  • Medisinsk etikk og prioritering, undervisning ved Mnazi Mmoja Hospital, Zanzibar 2017-2018 og 2022
  • Medisinsk etikkkurs 4. års medisinstudenter, Zanzibar 2022 (kurs over seks uker)
  • Diverse kortere kurs/forelesninger for helsepersonell i Malawi, Tanzania, Etiopia 2011-2023

Utvalgte publikasjoner siste seks år

Schaufel MA, Schanche E, Onarheim KH, Forthun I, Hufthammer KO, Engelund IE, Miljeteig I. Stretching oneself too thin and facing ethical challenges: Healthcare professionals' experiences during the COVID-19 pandemic. Nurs Ethics. 2024 Feb 

McLean E, Blystad A, Mirkuzie AH, Miljeteig I. Health workers' experience of providing second-trimester abortion care in Ethiopia: a qualitative study. Reprod Health. 2023 Oct 17;20(1):154

Melberg A, Miljeteig I. Den gylne regel for prioritering av rusbehandling og psykisk helsevern – en kvalitativ studie. Tidsskr Nor Laegeforen. 2023 Nov 6;143(16). Norwegian.

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

 

 

  • Vis forfatter(e) (2024). Stretching oneself too thin and facing ethical challenges: Healthcare professionals’ experiences during the COVID-19 pandemic. Nursing Ethics.
  • Vis forfatter(e) (2023). Health workers’ experience of providing second-trimester abortion care in Ethiopia: a qualitative study. Reproductive Health. 8 sider.
  • Vis forfatter(e) (2023). Den gylne regel for prioritering av rusbehandling og psykisk helsevern – en kvalitativ studie. Tidsskrift for Den norske legeforening. 1-7.
  • Vis forfatter(e) (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 sider.
  • Vis forfatter(e) (2022). Guidelines and clinical priority setting during the COVID-19 pandemic – Norwegian doctors’ experiences. BMC Health Services Research. 1-9.
  • Vis forfatter(e) (2022). Etiske dilemmaer for sykehjemsleger under covid-19-pandemien. Tidsskrift for Den norske legeforening. 1-9.
  • Vis forfatter(e) (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.
  • Vis forfatter(e) (2022). Bedside rationing and moral distress in nephrologists in sub- Saharan Africa. BMC Nephrology.
  • Vis forfatter(e) (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.
  • Vis forfatter(e) (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.
  • Vis forfatter(e) (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.
  • Vis forfatter(e) (2020). Prioriteringer av helseressurser. 169-178. I:
    • Vis forfatter(e) (2020). Etikk i helsetjenesten. Gyldendal Akademisk.
  • Vis forfatter(e) (2020). Helseetikk i et flerkulturelt samfunn. 180-188. I:
    • Vis forfatter(e) (2020). Etikk i helsetjenesten. Gyldendal Akademisk.
  • Vis forfatter(e) (2019). When the law makes doors slightly open: ethical dilemmas among abortion service providers in Addis Ababa, Ethiopia. BMC Medical Ethics. 10 sider.
  • Vis forfatter(e) (2019). Priorities at the bedside: experiences of catastrophic health expenditure in Ethiopia.
  • Vis forfatter(e) (2019). Importance of systematic deliberation and stakeholder presence: A national study of clinical ethics committees. Journal of Medical Ethics. 66-70.
  • Vis forfatter(e) (2019). Financial risk protection at the bedside: How Ethiopian physicians try to minimize out-of-pocket health expenditures. PLOS ONE. 1-16.
  • Vis forfatter(e) (2019). Country contextualisation of cost-effectiveness studies: lessons from Ethiopia. BMJ Global Health. 1-9.
  • Vis forfatter(e) (2019). Clinical ethics dilemmas in a low-income setting - a national survey among physicians in Ethiopia. BMC Medical Ethics. 1-13.
  • Vis forfatter(e) (2019). Bedside Rationing Under Resource Constraints—A National Survey of Ethiopian Physicians’ Use of Criteria for Priority Setting. AJOB Empirical Bioethics. 125-135.
  • Vis forfatter(e) (2018). Towards universal health coverage: including undocumented migrants. BMJ Global Health.
  • Vis forfatter(e) (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.
  • Vis forfatter(e) (2018). Priority to the newborn? Real-life priority setting and intra-household resource allocation for newborn health in Ethiopia .
  • Vis forfatter(e) (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.
  • Vis forfatter(e) (2017). What if the baby doesn't survive? Health-care decision making for ill newborns in Ethiopia. Social Science and Medicine. 123-130.
  • Vis forfatter(e) (2017). Roles and responsibilities of clinical ethics committees in priority setting. BMC Medical Ethics.
  • Vis forfatter(e) (2017). Etikkarbeid i lavinntektsland: Etiopia som eksempel (Ethics capacity building in low income countries: Ethiopia as a case). Tidsskrift for Den norske legeforening.
  • Vis forfatter(e) (2017). Ethics capacity building in low-income countries: Ethiopia as a case study. Tidsskrift for Den norske legeforening.
  • Vis forfatter(e) (2017). Ethical Challenges in the Provision of Dialysis in Resource-Constrained Environments. Seminars in Nephrology. 273-286.
  • Vis forfatter(e) (2017). A Call for Open Access and Empathy Is Not Enough: Hands on Are Needed! American Journal of Bioethics.
  • Vis forfatter(e) (2015). Towards universal health coverage for reproductive health services in Ethiopia: Two policy recommendations. International Journal for Equity in Health.
  • Vis forfatter(e) (2015). A survey of Ethiopian physicians’ experiences of bedside rationing: extensive resource scarcity, tough decisions and adverse consequences. BMC Health Services Research. 1-8.
  • Vis forfatter(e) (2013). Skal rusmiddelavhengige pasienter tilbys hjerteklaffkirurgi for andre gang? Tidsskrift for Den norske legeforening. 977-980.
  • Vis forfatter(e) (2012). Prioritizing child health interventions in Ethiopia: modeling impact on child mortality, life expectancy and inequality in age at death. PLOS ONE. 9 sider.
  • Vis forfatter(e) (2011). HIV priorities and health distributions in a rural region in Tanzania: a qualitative study. Journal of Medical Ethics. 221-226.
  • Vis forfatter(e) (2010). End-of-life priorities in complex settings: An ethical analysis of decisions in Indian neonatal units.
  • Vis forfatter(e) (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.
  • Vis forfatter(e) (2009). Impact of Ethics and Economics on End-of-Life Decisions in an Indian Neonatal Unit. Pediatrics. E322-E328.
  • Vis forfatter(e) (2009). Høykostnadsmedisin - mangler vi åpne og legitime prosedyrer for prioritering? Tidsskrift for Den norske legeforening. 17-20.
  • Vis forfatter(e) (2008). Etiske valg ved medisinsk nytteløs behandling. Tidsskrift for Den norske legeforening. 2185-2189.
  • Vis forfatter(e) (2007). Physicians' use of guidelines and attitudes to withholding and withdrawing treatment for extremely premature neonates in Norway. Acta Paediatrica. 825-829.
  • Vis forfatter(e) (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.

Se fullstendig oversikt over publikasjoner i CRIStin.

 

 

Mentor for og medforfatter i postdocprosjektet til Andrea Melberg "Prioriteringer i praksis: En studie av prioriteringer på mesonivå i et norsk helseforetak". Dette er en langsiktig etnografisk studie som følger et budsjettår og undersøker prioriteringer og prioriteringsprosesser som skjer i sykehusledelsen i et helseforetak .

Prosjekter sammen med PhD-studenter og andre studenter: 

Pågående prosjekter: 

  • 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 i medisinsk etikk, Bergen Senter for etikk og prioritering (BCEPS), Institutt for global helse og samfunnsmedisin, Universitetet i Bergen (UiB) (70 % stilling) 2012 –
  • Leder i klinisk etisk komité, Helse Bergen (50 % stilling) 2010 -
  • Nestleder ved Bergen Senter for etikk og prioritering (BCEPS) UiB, 2019- august 2023
  • Spesialrådgiver ved Addis Center for Ethics and Priority Setting (ACEPS), Addis Ababa University, 2017 -
  • Leder gruppen MEDI (Medical Ethics and Decision Making), ved BCEPS, Universitetet i Bergen 2023 -
  • Medlem av Nasjonal forskningsetisk komité for medisinsk og helsefaglig forskningsetikk 2021-
  • Leder av ekspertgruppen Åpenhet med mandat om å utrede konsekvenser av økt åpenhet, foreslå tiltak for økt åpenhet og etterprøvbarhet i prioriteringer på systemnivå og kliniske beslutninger på individnivå, samt utrede tiltak for økt forståelse, kunnskap og kompetanse om prioritering i systemet, blant befolkningen og helsepersonell.  Overrekkelse av rapport i februar 2023
  • Medlem av WHOs arbeidsgruppe for klinisk etikk. 2023
  • Leder av organisasjonskomiteen for den 13. International Society for Priorities in Health Care Conference PRIORITIES2022 med 1000 deltakere og 8 LMIC-huber
  • Medlem av den nasjonale ekspertgruppen «Bioreferansegruppen» som rådgir Nasjonalt bioteknologiutvalg i Norge ved Helsedirektoratet, 2016 –2022
  • Allmennlege, Kalfaret legesenter, deltid 2012-2015

 

Kompetansefelt 
Globale helseprioriteringer

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