Browsing Bergen Open Research Archive by Author "Miljeteig, Ingrid"
Now showing items 1-20 of 25
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Bedside rationing and moral distress in nephrologists in sub- Saharan Africa
Ashuntantang, Gloria; Miljeteig, Ingrid; Luyckx, Valerie A. (Journal article; Peer reviewed, 2022)Background Kidney diseases constitute an important proportion of the non-communicable disease (NCD) burden in Sub-Saharan Africa (SSA), though prevention, diagnosis and treatment of kidney diseases are less prioritized ... -
Bedside Rationing Under Resource Constraints—A National Survey of Ethiopian Physicians’ Use of Criteria for Priority Setting
Defaye, Frehiwot Berhane; Danis, Marion; Wakim, Paul; Berhane, Yemane; Norheim, Ole Frithjof; Miljeteig, Ingrid (Peer reviewed; Journal article, 2019)In low-income settings resource constraints force clinicians to make harsh choices. We examine the criteria Ethiopian physicians use in their bedside rationing decisions through a national survey at 49 public hospitals in ... -
Clinical ethics dilemmas in a low-income setting - a national survey among physicians in Ethiopia
Miljeteig, Ingrid; Defaye, Frehiwot Berhane; Desalegn, Dawit; Danis, Marion (Peer reviewed; Journal article, 2019-09-13)Background Ethical dilemmas are part of medicine, but the type of challenges, the frequency of their occurrence and the nuances in the difficulties have not been systematically studied in low-income settings. The objective ... -
Country contextualisation of cost-effectiveness studies: lessons from Ethiopia
Johansson, Kjell Arne; Tolla, Mieraf Taddesse; Memirie, Solomon Tessema; Miljeteig, Ingrid; Habtemariam, Mahlet; Woldemariam, Addis Tamire; Verguet, Stéphane; Norheim, Ole Frithjof (Peer reviewed; Journal article, 2019)Emerging demographic, epidemiological and health system changes in low-income countries require revisions of national essential health services packages in accordance with standard healthcare priority setting methods. ... -
“Death audit is a fight” – provider perspectives on the ethics of the Maternal and Perinatal Death Surveillance and Response (MPDSR) system in Ethiopia
Cetin, Kaya; Worku, Dawit; Demtse, Asrat; Melberg, Andrea; Miljeteig, Ingrid (Journal article; Peer reviewed, 2022)Background Maternal and neonatal health are regarded as important indicators of health in most countries. Death auditing through, for example, the Maternal and Perinatal Death Surveillance and Response (MPDSR) is viewed ... -
Den gylne regel for prioritering av rusbehandling og psykisk helsevern – en kvalitativ studie
Melberg, Andrea; Miljeteig, Ingrid (Journal article; Peer reviewed, 2023)BAKGRUNN Det har i mange år vært bred politisk enighet om å prioritere rusbehandling og psykisk helsevern i spesialisthelsetjenesten. Mellom 2014 og 2021 gjaldt «den gylne regel», som innebar at det skulle være en høyere ... -
Duty to treat and perceived risk of contagion during the COVID-19 pandemic: Norwegian physicians’ perspectives and experiences—a questionnaire survey
Isaksson Rø, Karin Elisabet; Magelssen, Morten; Bååthe, Fredrik; Miljeteig, Ingrid; Bringedal, Berit (Journal article; Peer reviewed, 2022)Background The COVID-19 pandemic actualised the dilemma of how to balance physicians´ obligation to treat patients and their own perceived risk of being infected. To discuss this in a constructive way we need empirical ... -
End-of-life priorities in complex settings - An ethical analysis of decisions in Indian neonatal units
Miljeteig, Ingrid (Doctoral thesis, 2010-06-07)Background: In India, 1.2 million of the 26 million infants born annually die during the neonatal period. The National Neonatal Forum in India estimated that the need for intensive care beds in India is 72,000, but only ... -
Etiske dilemmaer for sykehjemsleger under covid-19-pandemien
Mclean, Emily; Onarheim, Kristine Husøy; Schanche, Elisabeth; Schaufel, Margrethe Aase; Miljeteig, Ingrid (Journal article; Peer reviewed, 2022)Bakgrunn: Sykehjemsbeboere var ekstra sårbare for et alvorlig forløp av covid-19. Tidlig i pandemien ble det derfor bestemt at sykehjemmene måtte beskyttes gjennom tiltak som besøksforbud og testing- og isolasjonsregimer. ... -
Financial risk protection at the bedside: How Ethiopian physicians try to minimize out-of-pocket health expenditures
Miljeteig, Ingrid; Defaye, Frehiwot Berhane; Wakim, Paul; Desalegn, Dawit; Berhane, Yemane; Norheim, Ole Frithjof; Danis, Marion (Peer reviewed; Journal article, 2019-02-12)Background: Out-of-pocket health expenditures can pose major financial risks, create access-barriers and drive patients and families into poverty. Little is known about physicians’ role in financial protection of patients ... -
Guidelines and clinical priority setting during the COVID-19 pandemic – Norwegian doctors’ experiences
Bringedal, Berit; Isaksson Rø, Karin Elisabet; Bååthe, Fredrik; Miljeteig, Ingrid; Magelssen, Morten (Journal article; Peer reviewed, 2022)Background In the first phase of the COVID-19 pandemic, strong measures were taken to avoid anticipated pressure on health care, and this involved new priorities between patient groups and changing working conditions for ... -
Health workers’ experience of providing second-trimester abortion care in Ethiopia: a qualitative study
Mclean, Emily; Blystad, Astrid; Mirkuzie, Alemnesh Hailemariam; Miljeteig, Ingrid (Journal article; Peer reviewed, 2023)Background Second-trimester abortions are less common than abortions in the first trimester, yet they disproportionately account for a higher burden of abortion-related mortality and morbidity worldwide. Health workers ... -
‘I wanted to go, but they said wait’: Mothers’ bargaining power and strategies in careseeking for ill newborns in Ethiopia
Onarheim, Kristine Husøy; Moland, Karen Marie Ingeborg; Molla, Mitike; Miljeteig, Ingrid (Journal article; Peer reviewed, 2020)Introduction To prevent the 2.6 million newborn deaths occurring worldwide every year, health system improvements and changes in care-taker behaviour are necessary. Mothers are commonly assumed to be of particular importance ... -
Importance of systematic deliberation and stakeholder presence: A national study of clinical ethics committees
Magelssen, Morten; Pedersen, Reidar; Miljeteig, Ingrid; Ervik, Håvard; Førde, Reidun (Peer reviewed; Journal article, 2020)Background: Case consultation performed by clinical ethics committees (CECs) is a complex activity which should be evaluated. Several evaluation studies have reported stakeholder satisfaction in single institutions. The ... -
Newborn health benefits or financial risk protection? An ethical analysis of a real-life dilemma in a setting without universal health coverage
Onarheim, Kristine Husøy; Norheim, Ole Frithjof; Miljeteig, Ingrid (Peer reviewed; Journal article, 2018)Introduction: High healthcare costs make illness precarious for both patients and their families’ economic situation. Despite the recent focus on the interconnection between health and financial risk at the systemic level, ... -
Prioritizing Child Health Interventions in Ethiopia: Modeling Impact on Child Mortality, Life Expectancy and Inequality in Age at Death
Onarheim, Kristine Husøy; Tessema, Solomon; Johansson, Kjell Arne; Eide, Kristiane Tislevoll; Norheim, Ole Frithjof; Miljeteig, Ingrid (Peer reviewed; Journal article, 2012-08-07)Background: The fourth Millennium Development Goal calls for a two-thirds reduction in under-5 mortality between 1990 and 2015. Under-5 mortality rate is declining, but many countries are still far from achieving the goal. ... -
Priority-setting dilemmas, moral distress and support experienced by nurses and physicians in the early phase of the COVID-19 pandemic in Norway
Miljeteig, Ingrid; Forthun, Ingeborg; Hufthammer, Karl Ove; Engelund, Inger Elise; Schanche, Elisabeth; Schaufel, Margrethe Aase; Onarheim, Kristine Husøy (Journal article; Peer reviewed, 2021)Background: The global COVID-19 pandemic has imposed challenges on healthcare systems and professionals worldwide and introduced a ´maelstrom´ of ethical dilemmas. How ethically demanding situations are handled affects ... -
Protecting essential health services in low-income and middle-income countries and humanitarian settings while responding to the COVID-19 pandemic
Blanchet, Karl; Alwan, Ala; Antoine, Caroline; Cros, Marion Jane; Feroz, Ferozuddin; Amsalu Guracha, Tseguaneh; Haaland, Øystein Ariansen; Hailu, Alemayehu; Hangoma, Peter; Jamison, Dean T.; Memirie, Solomon Tessema; Miljeteig, Ingrid; Jan Naeem, Ahmad; Nam, Sara L.; Norheim, Ole Frithjof; Verguet, Stéphane; Watkins, David; Johansson, Kjell Arne (Journal article; Peer reviewed, 2020)In health outcomes terms, the poorest countries stand to lose the most from these disruptions. In this paper, we make the case for a rational approach to public sector health spending and decision making during and in the ... -
Roles and responsibilities of clinical ethics committees in priority setting
Magelssen, Morten; Miljeteig, Ingrid; Pedersen, Reidar; Førde, Reidun (Peer reviewed; Journal article, 2017-12-01)Background: Fair prioritization of healthcare resources has been on the agenda for decades, but resource allocation dilemmas in clinical practice remain challenging. Can clinical ethics committees (CECs) be of help? The ... -
Selling my sheep to pay for medicines – household priorities and coping strategies in a setting without universal health coverage
Onarheim, Kristine Husøy; Sisay, Mitike Molla; Gizaw, Muluken; Moland, Karen Marie; Norheim, Ole Frithjof; Miljeteig, Ingrid (Peer reviewed; Journal article, 2018-03-02)Background: The first month of life is the period with the highest risk of dying. Despite knowledge of effective interventions, newborn mortality is high and utilization of health care services remains low in Ethiopia. In ...