Tag Archives: health care

Caring for an Aging Population

This year marks the 10th anniversary of our influential book, Retooling for an Aging America: Building the Health Care Workforce. It called for bold initiatives to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who might receive little or no training in how to tend to their aging loved ones. Retooling for an Aging America and our other publications remain essential resources for the care of our aging population.

Retooling for an Aging America: Building the Health Care Workforce

As the first of the nation’s 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs.

Retooling for an Aging America calls for bold initiatives starting immediately to train …

[more]

Families Caring for an Aging America

Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation’s family caregivers provide the lion’s share of long-term care for our …

[more]

Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life

For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care …

[more]

The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands?

At least 5.6 million to 8 million–nearly one in five–older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by …

[more]

Strengthening the Workforce to Support Community Living and Participation for Older Adults and Individuals with Disabilities: Proceedings of a Workshop

As the demographics of the United States shift toward a population that is made up of an increasing percentage of older adults and people with disabilities, the workforce that supports and enables these individuals is also shifting to meet the demands of this population. For many older adults …

[more]

Financing Long-Term Services and Supports for Individuals with Disabilities and Older Adults: Workshop Summary

Financing Long-Term Services and Supports for Individuals with Disabilities and Older Adults is the summary of a workshop convened in June 2013 by the Forum on Aging, Disability, and Independence of the Institute of Medicine and the National Research Council to examine the financing of …

[more]

Policy and Research Needs to Maximize Independence and Support Community Living: Workshop Summary

Living independently and participating in one’s community are priorities for many people. In many regions across the United States, there are programs that support and enable people with disabilities and older adults to live where they choose and with whom they choose and to participate fully …

[more]

New Directions in the Sociology of Aging

The aging of the population of the United States is occurring at a time of major economic and social changes. These economic changes include consideration of increases in the age of eligibility for Social Security and Medicare and possible changes in benefit levels. Furthermore, changes in the …

[more]

The Future of Home Health Care: Workshop Summary

Individuals with disabilities, chronic conditions, and functional impairments need a range of services and supports to keep living independently. However, there often is not a strong link between medical care provided in the home and the necessary social services and supports for independent …

[more]

Health Care Comes Home: The Human Factors

In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival …

[more]

Elder Abuse and Its Prevention: Workshop Summary

Elder Abuse and Its Prevention is the summary of a workshop convened in April 2013 by the Institute of Medicine’s Forum on Global Violence Prevention. Using an ecological framework, this workshop explored the burden of elder abuse around the world, focusing on its impacts on individuals, …

[more]

Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America

Since the late 1970s when Congressman Claude Pepper held widely publicized hearings on the mistreatment of the elderly, policy makers and practitioners have sought ways to protect older Americans from physical, psychological, and financial abuse. Yet, during the last 20 years fewer than 50 articles …

[more]

Envisioning the Potential of IT to Enhance Health Care, Learning, and Crisis Communication

The National Research Council and the Institute of Medicine have produced a number of reports that address issues of the integration of information technology (IT) into health care, education, and emergency management products. These books explore the potential of IT to support delivery of high-quality health care, impact science education through games and simulations, and alert the public in emergency situations. All are free to download.

Health IT and Patient Safety

Download Free PDF

Health IT and Patient Safety: Building Safer Systems for Better Care211 pages | Paperback | Price: $43.20IOM’s 1999 landmark study To Err is Human estimated that between 44,000 and 98,000 lives are lost every year due to medical errors. This call to action has led to a number of efforts to reduce errors and provide safe and effective health care…. [more]

Learning Science Through Computer Games and Simulations

Download Free PDF

Learning Science Through Computer Games and Simulations174 pages | Paperback | Price: $35.10At a time when scientific and technological competence is vital to the nation’s future, the weak performance of U.S. students in science reflects the uneven quality of current science education.  Although young children come to school with innate… [more]

Public Response to Alerts and Warnings on Mobile Devices

Download Free PDF

Public Response to Alerts and Warnings on Mobile Devices: Summary of a Workshop on Current Knowledge and Research Gaps102 pages | Paperback | Price: $18.90This book presents a summary of the Workshop on Public Response to Alerts and Warnings on Mobile Devices: Current Knowledge and Research Gaps, held April 13 and 14, 2010, in Washington, D.C., under the auspices of the National Research Council’s Committee on… [more]

Digital Infrastructure for the Learning Health System

Download Free PDF

Digital Infrastructure for the Learning Health System: The Foundation for Continuous Improvement in Health and Health Care: Workshop Series Summary320 pages | Paperback | Price: $60.97Like many other industries, health care is increasingly turning to digital information and the use of electronic resources. The Institute of Medicine’s Roundtable on Value & Science-Driven Health Care hosted three workshops to explore current efforts and… [more]

Toward Precision Medicine

Download Free PDF

Toward Precision Medicine: Building a Knowledge Network for Biomedical Research and a New Taxonomy of Disease142 pages | Paperback | Price: $41.40Motivated by the explosion of molecular data on humans-particularly data associated with individual patients-and the sense that there are large, as-yet-untapped opportunities to use this data to improve health outcomes, Toward Precision Medicine[more]

Communicating Science and Engineering Data in the Information Age

Download Free PDF

Communicating Science and Engineering Data in the Information Age122 pages | Paperback | Price: $34.20The National Center for Science and Engineering Statistics (NCSES) of the National Science Foundation (NSF) communicates its science and engineering (S&E) information to data users in a very fluid environment that is undergoing modernization at a pace at… [more]

Wireless Technology Prospects and Policy Options

Download Free PDF

Wireless Technology Prospects and Policy Options112 pages | Paperback | Price: $24.07The use of radio-frequency communication–commonly referred to as wireless communication–is becoming more pervasive as well as more economically and socially important. Technological progress over many decades has enabled the deployment of several successive… [more]

Computational Technology for Effective Health Care

Download Free PDF

Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions120 pages | Paperback | Price: $31.50Despite a strong commitment to delivering quality health care, persistent problems involving medical errors and ineffective treatment continue to plague the industry. Many of these problems are the consequence of poor information and technology (IT)… [more]

Take 5: Top Books on Health and Medicine

Got health professionals on your holiday shopping list? Take five and check out our top gift ideas. NAP books and merchandise make thoughtful gifts for thinking people.

Relieving Pain in America
Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and ResearchChronic pain affects at least 116 million American adults–more than the total affected by heart disease, cancer, and diabetes combined. It costs the nation up to $635 billion each year in medical treatment and lost productivity. Pain is a uniquely individual…

Details

The Health of Lesbian, Gay, Bisexual, and Transgender People
The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better UnderstandingAt a time when lesbian, gay, bisexual, and transgender individuals–often referred to under the umbrella acronym LGBT–are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about..

Details

The Future of Nursing
The Future of Nursing: Leading Change, Advancing HealthThe Future of Nursing explores how nurses’ roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America’s increasingly…

Details

For the Public's Health
For the Public’s Health: The Role of Measurement in Action and AccountabilityDespite having the costliest medical care delivery system in the world, Americans are not particularly healthy. Recent international comparisons show that life expectancy in the U.S. ranks 49th among all nations, and infant mortality rates are higher in the…

Details

Accounting for Health and Health Care
Accounting for Health and Health Care: Approaches to Measuring the Sources and Costs of Their ImprovementIt has become trite to observe that increases in health care costs have become unsustainable. How best for policy to address these increases, however, depends in part on the degree to which they represent increases in the real quantity of medical services as..

Details

Focusing on Human Factors Can Improve Home Health Care

“There are only four kinds of people in the world: those who have been caregivers; those who are currently caregivers; those who will be caregivers; and those who will need caregivers.” –Former First Lady Rosalynn Carter

People with temporary or chronic conditions monitor themselves or others with daily use of medical devices such as blood pressure cuffs, blood sugar test strips, or heart monitors. Others use medical devices such as nebulizers or physical therapy aids to maintain or improve their own or someone else’s health. These procedures and many others may or may not be done with a health care professional on-site. A wide range of procedures and therapies are now performed far from any medical facility. Although each situation is unique, all are dependent on the people involved—the human factors.

The study of human factors focuses on the interactions between people and the other elements of a system, generally with the goal of optimizing safety and performance. Elements of the system may include tasks, technologies, and environments, as well as other people. The success of these interactions is dependent on the degree to which the physical, sensory, cognitive, and emotional capabilities of the people match the corresponding demands imposed by elements of the system.

Health Care Comes Home: The Human Factors is a wide-ranging investigation of the role of human factors in home health care. This book examines a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Health Care Comes Home lays the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices.

The Role of Human Factors in Home Health Care: Workshop Summary provides information on human factors aspects of home health care. This book promotes awareness of the challenges of home health care and provides practical information that can be used by providers of home health care.

In addition, the authoring committee of Health Care Comes Home oversaw preparation of a designers’ guide for the use of health information technologies in home-based health care. Consumer Health Information Technology in the Home: A Guide for Human Factors Design Considerations introduces designers and developers to the practical realities and complexities of managing health care at home. This booklet provides guidance and human factors considerations that will help designers and developers create consumer health information technology applications that are useful resources to achieve better health.

Together, these books and materials are a useful tool for organizations and people concerned with health care in the home. These publications bring attention to both the serious challenges of providing quality home health care, and to the efforts to address those challenges.

Health Care Comes Home
Health Care Comes Home: The Human Factors

In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions…
Details

The Role of Human Factors in Home Health Care
The Role of Human Factors in Home Health Care: Workshop Summary

The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be…
Details

Consumer Health Information Technology in the Home
Consumer Health Information Technology in the Home: A Guide for Human Factors Design Considerations

Every day, in households across the country, people engage in behavior to improve their current health, recover from disease and injury, or cope with chronic, debilitating conditions. Innovative computer and information systems may help these people manage…
Details

New Report States Smoking and Obesity Shrink U.S. Lifespans

A new report released Tuesday says that the nation’s history of heavy smoking is a major reason why lifespans in the U.S. fall short of those in many other high-income nations, and evidence suggests that current obesity levels also play a substantial part. According to Explaining Divergent Levels of Longevity in High-Income Countries, three to five decades ago smoking was much more widespread in the U.S. than in Europe or Japan, and the health consequences are still playing out in today’s mortality rates. Smoking appears to be responsible for a good deal of the differences in life expectancy, especially for women. Obesity’s contribution to lagging life expectancies in the U.S. also appears to be significant. It may account for a fifth to a third of the shortfall in longevity in the U.S. compared to other nations. And if the obesity trend in the U.S. continues, it may offset the longevity improvements expected from reductions in smoking.

The Institute of Medicine has published a number of books that address the problem of smoking in our nation. The most recent, Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence addresses health effects of secondhand smoke. This book assesses the relationship between secondhand smoke exposure and acute coronary events. It also surveys critical epidemiological studies on the effects of smoking bans and evidence of links between secondhand smoke exposure and cardiovascular events.

The health and well-being of children in the United States are threatened by the ever-increasing number and percentage who are overweight and obese—now at one in four children. Childhood and adolescent obesity has increased dramatically in just three decades. Obese children and adolescents are more likely to have hypertension, high cholesterol, and type 2 diabetes when they are young, and they also are more likely to be obese when they are adults. Local Government Actions to Prevent Childhood Obesity serves as a tool for local government officials and those who work in partnership with them to help in tackling the prevention of childhood obesity in their jurisdictions.

These books and others from the Institute of Medicine provide information, recommendations, and analysis to assist decision-makers.

Explaining Divergent Levels of Longevity in High-Income Countries Explaining Divergent Levels of Longevity in High-Income Countries

Over the last 25 years, life expectancy at age 50 in the U.S. has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the U.S. spends more on health care…
Details

Secondhand Smoke Exposure and Cardiovascular Effects Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence

Data suggest that exposure to secondhand smoke can result in heart disease in nonsmoking adults. Recently, progress has been made in reducing involuntary exposure to secondhand smoke through legislation banning smoking in workplaces, restaurants, and other…
Details

Local Government Actions to Prevent Childhood Obesity Local Government Actions to Prevent Childhood Obesity

The prevalence of childhood obesity is so high in the United States that it may reduce the life expectancy of today’s generation of children. While parents and other adult caregivers play a fundamental role in teaching children about healthy behaviors, even…
Details

Combating Tobacco Use in Military and Veteran Populations Combating Tobacco Use in Military and Veteran Populations

The health and economic costs of tobacco use in military and veteran populations are high. In 2007, the Department of Veterans Affairs (VA) and the Department of Defense (DoD) requested that the Institute of Medicine (IOM) make recommendations on how to…
Details

Ending the Tobacco Problem Ending the Tobacco Problem: A Blueprint for the Nation

The nation has made tremendous progress in reducing tobacco use during the past 40 years. Despite extensive knowledge about successful interventions, however, approximately one-quarter of American adults still smoke. Tobacco-related illnesses and death place a…
Details

Bridging the Evidence Gap in Obesity Prevention Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making

To battle the obesity epidemic in America, health care professionals and policymakers need relevant, useful data on the effectiveness of obesity prevention policies and programs. Bridging the Evidence Gap in Obesity Prevention identifies a new…
Details

Progress in Preventing Childhood Obesity Progress in Preventing Childhood Obesity: How Do We Measure Up?

The remarkable increase in the prevalence of obesity among children and youth in the United States over a relatively short timespan represents one of the defining public health challenges of the 21st century. The country is beginning to recognize childhood…
Details

Living in a Food Desert: How Lack of Access to Healthy Foods Can Affect Public Health

Need to run to the grocery store? For some of us, this is relatively easy because we probably live fairly close to one. For others, a trip to a grocery store represents a significant transportation challenge. In the United States, “food deserts”, neighborhoods and communities that have limited access to affordable and nutritious foods, tend to be located in urban and rural low-income neighborhoods. People who live in these areas are less likely to have access to supermarkets or grocery stores that provide healthy choices for food. With limited or no access to food retailers or supermarkets that stock fresh produce, low-fat dairy, whole grains, and other healthy foods, these populations may be more likely to suffer from high rates of diabetes, cardiovascular disease, and obesity.

The Public Health Effect of Food Deserts: Workshop Summary discusses the public health effects—including the prevalence of obesity and the incidence of chronic diseases—of food deserts. This book offers insight on the extent of food deserts, their impact on individual behaviors and health outcomes in various populations, and effective ways to increase the availability of fruits and vegetables and to improve the food environment.

One serious health consequence of living in food deserts is, ironically, obesity. Without ready access to nutritious foods, people living in food deserts often have diets that are high in calories but low in nutritional value. To address this particular public health concern, the Institute of Medicine has published a number of reports that examine how we can roll back the obesity epidemic in the United States.

Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making examines obesity as a societal problem that affects whole populations, like those living in food deserts. This book features a practical, action-oriented framework to support the use of evidence in decision-making about obesity prevention policies and programs and sets a course for the development of new and relevant research.

The books mentioned above and others from the Institute of Medicine provide information and guidance for decision-makers to respond to the challenges of food deserts and their impact on our society.

The Public Health Effects of Food Deserts

The Public Health Effects of Food Deserts: Workshop Summary

In the United States, people living in low-income neighborhoods frequently do not have access to affordable healthy food venues, such as supermarkets. Instead, those living in “food deserts” must rely on convenience stores and small neighborhood stores that…

Details

Bridging the Evidence Gap in Obesity Prevention

Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making

To battle the obesity epidemic in America, health care professionals and policymakers need relevant, useful data on the effectiveness of obesity prevention policies and programs. Bridging the Evidence Gap in Obesity Prevention identifies a new…

Details

Local Government Actions to Prevent Childhood Obesity

Local Government Actions to Prevent Childhood Obesity

The prevalence of childhood obesity is so high in the United States that it may reduce the life expectancy of today’s generation of children. While parents and other adult caregivers play a fundamental role in teaching children about healthy behaviors, even…

Details

Community Perspectives on Obesity Prevention in Children

Community Perspectives on Obesity Prevention in Children: Workshop Summaries

As the public health threat of childhood obesity has become clear, the issue has become the focus of local, state, and national initiatives. Many of these efforts are centered on the community environment in recognition of the role of environmental factors in…

Details

Childhood Obesity Prevention in Texas

Childhood Obesity Prevention in Texas: Workshop Summary

Childhood Obesity Prevention in Texas summarizes the information gathered at a workshop held February 5-6, 2009, in Austin, Texas. At this workshop, committee members met with Texas lawmakers, public officials, and community leaders to exchange ideas…

Details

Progress in Preventing Childhood Obesity

Progress in Preventing Childhood Obesity: How Do We Measure Up?

The remarkable increase in the prevalence of obesity among children and youth in the United States over a relatively short timespan represents one of the defining public health challenges of the 21st century. The country is beginning to recognize childhood…

Details

Perspectives from United Kingdom and United States Policy Makers on Obesity Prevention

Perspectives from United Kingdom and United States Policy Makers on Obesity Prevention: Workshop Summary

Both the United Kingdom and the United States are grappling with nationwide epidemics of obesity. Obesity contributes to diabetes, cardiovascular disease, and some cancers, among other diseases. Although many people are aware of obesity’s causes and…

Details

Joint U.S.-Mexico Workshop on Preventing Obesity in Children and Youth of Mexican Origin

Joint U.S.-Mexico Workshop on Preventing Obesity in Children and Youth of Mexican Origin: Summary

The Joint U.S.-Mexico Workshop on Preventing Obesity in Children and Youth of Mexican Origin was initiated by a desire to share experiences regarding the problem of obesity in children…

Details

DNA Testing: From the Doctor’s Office to the Drugstore

The Human Genome Project, completed in 2003, identified the genes that make up human DNA. Major advances in genomic technologies in the early 21st century have helped to increase dramatically the number of genes identified as playing a role in a variety of common disorders. Genetic or genomic testing can be used to guide medical decision-making and treatment, ranging from personalized drug therapy to assessing an individual’s risk of developing common chronic diseases.

New reports from the Institute of Medicine discuss various possibilities for the future and potential issues that could arise from our ever-expanding knowledge of our genetic makeup. The Value of Genetic and Genomic Technologies: Workshop Summary explores the concept of value in regards to genomics and genetics and how that concept affects the ways decisions are made about using tests and technologies. This book brings together diverse perspectives on the value of genetic testing and discusses its use in clinical practice.

Advances in our understanding of genomics, combined with significant reductions in the cost of genetic tests, have spawned new business models in which companies market genetic tests and personalized genetic profiles directly to consumers. For example, it is now possible to purchase a home DNA paternity test at many pharmacies in the United States. Special DNA test kits allow anyone to trace their ancestry. Direct-to-Consumer Genetic Testing: Summary of a Workshop discusses the scientific and ethical foundations for commercial genetic testing, personal and social issues, research and medical issues, and the impact on health care and public health.

These books and others from the Institute of Medicine explore the possibilities and directions for the future for both researchers and private industry.

The Value of Genetic and Genomic Technologies

The Value of Genetic and Genomic Technologies: Workshop Summary

Knowing one’s genetic disposition to a variety of diseases, including common chronic diseases, can benefit both the individual and society at large. The IOM’s Roundtable on Translating Genomic-Based Research for Health held a workshop on March 22, 2010, to…
Details

 

Direct-to-Consumer Genetic Testing

Direct-to-Consumer Genetic Testing: Summary of a Workshop

Today, scores of companies, primarily in the United States and Europe, are offering whole genome scanning services directly to the public. The proliferation of these companies and the services they offer demonstrate a public appetite for this information and…
Details

 

Establishing Precompetitive Collaborations to Stimulate Genomics-Driven Drug Development

Establishing Precompetitive Collaborations to Stimulate Genomics-Driven Drug Development: Workshop Summary

Despite the many basic research discoveries in genetics, relatively few gene-based treatments, drugs, or preventative measures have been developed. One way to bridge this gap may be for industry, academia, and government to develop partnerships that share…
Details

 

Systems for Research and Evaluation for Translating Genome-Based Discoveries for Health

Systems for Research and Evaluation for Translating Genome-Based Discoveries for Health: Workshop Summary

With the advent of genome-wide association studies, numerous associations between specific gene loci and complex diseases have been identified–for breast cancer, coronary artery disease, and asthma, for example. This rapidly advancing field of genomics has…
Details

 

Innovations in Service Delivery in the Age of Genomics

Innovations in Service Delivery in the Age of Genomics: Workshop Summary

New discoveries in genomics–that is, the study of the entire human genome–are changing how we diagnose and treat diseases. As the trend shifts from genetic testing largely being undertaken for rare genetic disorders to, increasingly, individuals being…
Details

 

Diffusion and Use of Genomic Innovations in Health and Medicine

Diffusion and Use of Genomic Innovations in Health and Medicine: Workshop Summary

Until fairly recently, genetic information was used primarily in the diagnosis of relatively rare genetic diseases, such as cystic fibrosis and Huntington’s Disease, but a transformation in the use of genetic and genomic information is underway. While…
Details

 

Understanding Baby Boomers and the Medicare Crunch

The year 2011 marks a milestone for the Baby Boom generation, as they begin turning 65. Boomers will be qualifying for Medicare at a rate of one every eight seconds; a record 2.8 million will qualify in 2011. In all, the government expects 76 million Boomers will age on to Medicare. The rapid escalation of beneficiaries along with health care cost increases that are outpacing inflation present a huge challenge to the Medicare system.

A recent report from the National Research Council, Improving Health Care Cost Projections for the Medicare Population: Summary of a Workshop, focuses on areas of research needed to improve health care cost projections for the Medicare population and on the strengths and weaknesses of competing frameworks for projecting health care expenditures for the elderly.

Another recently released report, Accounting for Health and Health Care: Approaches to Measuring the Sources and Costs of Their Improvement, provides guidance about what data are needed to measure the output produced by the medical care sector. Without this kind of information it is impossible to credibly assess whether the nation spends too much or too little on medical care relative to, say, public health measures, and, perhaps more important, whether we purchase something close to the right mix of medical care goods and services for a given level of resources expended.

These books and others can provide information and direction for health care cost research and decision making.

Improving Health Care Cost Projections for the Medicare Population Improving Health Care Cost Projections for the Medicare Population: Summary of a Workshop

Developing credible short-term and long-term projections of Medicare health care costs is critical for public- and private-sector policy planning, but faces challenges and uncertainties. There is uncertainty not only in the underlying economic and demographic…
Details

Accounting for Health and Health Care Accounting for Health and Health Care: Approaches to Measuring the Sources and Costs of Their Improvement

It has become trite to observe that increases in health care costs have become unsustainable. How best for policy to address these increases, however, depends in part on the degree to which they represent increases in the real quantity of medical services as…
Details

The Healthcare Imperative The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary

The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to…
Details

Value in Health Care Value in Health Care: Accounting for Cost, Quality, Safety, Outcomes, and Innovations: Workshop Summary

The United States has the highest per capita spending on health care of any industrialized nation. Yet despite the unprecedented levels of spending, harmful medical errors abound, uncoordinated care continues to frustrate patients and providers, and U.S….
Details

Rewarding Provider Performance Rewarding Provider Performance: Aligning Incentives in Medicare (Pathways to Quality Health Care Series)

The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series…
Details

Medicare's Quality Improvement Organization Program Medicare’s Quality Improvement Organization Program: Maximizing Potential (Series: Pathways to Quality Health Care)

Medicares Quality Improvement Organization Program is the second book in the new Pathways to Quality Health Care series. Focusing on performance improvement, it considers the history, role, and effectiveness of the Quality Improvement…
Details

Performance Measurement Performance Measurement: Accelerating Improvement (Pathways to Quality Health Care Series)

Performance Measurement is the first in a new series of an ongoing effort by the Institute of Medicine (IOM) to improve health care quality. Performance Measurement offers a comprehensive review of available measures and introduces a new framework to…
Details

FREE FROM NAP: December 2010

Examination of Front-of-Package Nutrition Rating Systems and Symbols Examination of Front-of-Package Nutrition Rating Systems and Symbols: Phase I Report

The federal government requires that most packaged foods carry a standardized label–the Nutrition Facts panel–that provides nutrition information intended to help consumers make healthful choices. In recent years, manufacturers have begun to include…
Details

The Power of Renewables The Power of Renewables: Opportunities and Challenges for China and the United States

The United States and China are the world’s top two energy consumers and, as of 2010, the two largest economies. Consequently, they have a decisive role to play in the world’s clean energy future. Both countries are also motivated by related goals, namely…
Details

High School Dropout, Graduation, and Completion Rates High School Dropout, Graduation, and Completion Rates: Better Data, Better Measures, Better Decisions

High school graduation and dropout rates have long been used as indicators of educational system productivity and effectiveness and of social and economic well being. While determining these rates may seem like a straightforward task, their calculation is in…
Details

The Role of Human Factors in Home Health Care The Role of Human Factors in Home Health Care: Workshop Summary

The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be…
Details

Strengthening the National Institute of Justice Strengthening the National Institute of Justice

The National Institute of Justice (NIJ) is the nation’s primary resource for advancing scientific research, development, and evaluation on crime and crime control and the administration of justice in the United States. Headed by a presidentially appointed…
Details

The 2009 H1N1 Influenza Vaccination Campaign The 2009 H1N1 Influenza Vaccination Campaign: Summary of a Workshop Series

The 2009 H1N1 vaccination campaign was one of the largest public health campaigns in U.S. history, vaccinating one-quarter of the population in the first three months. The IOM held three workshops in Raleigh, NC; Austin, TX; and Seattle, WA to learn from…
Details

When Weather Matters When Weather Matters: Science and Service to Meet Critical Societal Needs

The past 15 years have seen marked progress in observing, understanding, and predicting weather. At the same time, the United States has failed to match or surpass progress in operational numerical weather prediction achieved by other nations and failed to…
Details

Research Priorities for Assessing Health Effects from the Gulf of Mexico Oil Spill Research Priorities for Assessing Health Effects from the Gulf of Mexico Oil Spill: A Letter Report

It is as yet uncertain how the Gulf of Mexico oil spill will affect the health of clean-up workers and volunteers, residents, and visitors in the Gulf. The IOM recommends that the U.S. Department of Health and Human Services focus on researching psychological…
Details

Transforming Clinical Research in the United States Transforming Clinical Research in the United States: Challenges and Opportunities: Workshop Summary

An ideal health care system relies on efficiently generating timely, accurate evidence to deliver on its promise of diminishing the divide between clinical practice and research. There are growing indications, however, that the current health care system and…
Details

Critical Code Critical Code: Software Producibility for Defense

Critical Code contemplates Department of Defense (DoD) needs and priorities for software research and suggests a research agenda and related actions. Building on two prior books–Summary of a Workshop on Software Intensive Systems and…
Details

Take 5: Top 5 Books on Public Health and Nutrition

The scientists on your list may not always be the easiest people to shop for during the holidays. It should come as no surprise that we have recommendations. Take five and finish your holiday shopping with our most-recommended books for the health professional in your life.

Women's Health Research Women’s Health Research: Progress, Pitfalls, and Promise
Even though slightly over half of the U.S. population is female, medical research historically has neglected the health needs of women. However, over the past two decades, there have been major changes in government support of women’s health research…
Details
Preventing Mental, Emotional, and Behavioral Disorders Among Young People Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and PossibilitiesMental health and substance use disorders among children, youth, and young adults are major threats to the health and well-being of younger populations which often carryover into adulthood. The costs of treatment…
Details
Retooling for an Aging America Retooling for an Aging America: Building the Health Care Workforce
As the first of the nation’s 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for…
Details
Preventing Childhood Obesity Preventing Childhood Obesity: Health in the Balance
Children’s health has made tremendous strides over the past century. In general, life expectancy has increased by more than thirty years since 1900 and much of this improvement is due to the reduction of infant and early childhood mortality. Given this…
Details
Assessing Changing Food Consumption Patterns Dietary Reference Intakes: The Essential Guide to Nutrient RequirementsWidely regarded as the classic reference work for the nutrition, dietetic, and allied health professions since its introduction in 1943, Recommended Dietary Allowances has been the accepted source in nutrient allowances for healthy people. Responding to the expansion of scientific … Details