Publications from the National Academies of Sciences, Engineering, and Medicine provide objective and straightforward advice to decision makers and the public. This site includes Health and Medicine Division (HMD) publications released after 1998. A complete list of HMD’s publications from its establishment in 1970 to the present is available as a PDF.
Financing and Payment Strategies to Support High-Quality ...
Released: May 16, 2018
Those facing serious illness have a range of interconnected medical and non-medical needs, and the way their care is financed has a large impact on the care they receive. Medicare is the predominant payer, but both Medicaid and private payers also play significant roles in financing care for serious illness. In an effort to address the complex needs of people with serious illness, public and private health care payers are testing innovative financing strategies and alternative payment models.
Exploring Tax Policy to Advance Population Health, Health ...
Released: April 05, 2018
On December 7, 2017 the Roundtable on Population Health Improvement held a 1-day, public workshop in Oakland, California to address the use of tax policies to channel resources and shape economic incentives affecting population health. The workshop began with a “tax policy 101” overview.
Graduate Medical Education Outcomes and Metrics ...
Released: March 27, 2018
Graduate medical education (GME) is critical to the career development of individual physicians, to the functioning of many teaching institutions, and to the production of our physician workforce. The current lack of established GME outcome metrics limits our ability to assess the impact of individual graduates, the performance of GME programs and teaching institutions, and the collective contribution of GME graduates to the physician workforce.
Advancing Therapeutic Development for Pain and Opioid Use ...
Released: March 23, 2018
Chronic pain is one of the most prevalent, costly, and disabling health conditions in the United States. In parallel with increasing recognition of the need to treat chronic pain, the opioid epidemic has emerged as a growing public health emergency. In 2017, the National Institutes of Health began exploring public-private partnerships to develop solutions to the opioid crisis and cut in half the time it takes to develop non-addictive analgesics. To help inform this effort, the National Academies’ Forum on Neuroscience and Nervous Systems Disorders hosted a public workshop that brought together experts and stakeholders from academia, federal agencies, advocacy organizations, and companies developing therapeutics for pain and opioid use disorders.
Implementing and Evaluating Genomic Screening Programs ...
Released: March 16, 2018
Genomic applications are being integrated into a broad range of clinical and research activities at health care systems across the United States. The genomics-based screening programs are clinical screening programs that examine genes or variants in unselected populations in order to identify individuals who are at an increased risk for a particular health concern (e.g., diseases, adverse drug outcomes) and who might benefit from clinical interventions.
Community-Based Health Literacy Interventions: Proceedings ...
Released: March 09, 2018
The Roundtable on Health Literacy hosted a one-day public workshop that featured moderated panels, invited presentations, and discussions of community-based health literacy interventions. The areas of focus included the range of community-based health literacy interventions that currently exist, research related to community-based health literacy interventions, and best practices in community-based health literacy interventions.
Enabling Novel Treatments for Nervous System Disorders by ...
Released: March 08, 2018
The blood-brain barrier (BBB) presents a special challenge to the development of therapeutics for many central nervous system (CNS) disorders. Far from acting simply as a physical barrier, the BBB is a complex dynamic system involving several cell types, passive and active transport mechanisms, and adaptive function to control the exchange of substances between the blood and the CNS. Few therapeutic agents readily traverse the BBB to reach the brain or spinal cord, including most small molecule drugs and the vast majority of large molecules such as proteins.
A Proposed Framework for Integration of Quality Performance ...
Released: March 07, 2018
The Roundtable on Health Literacy hosted a public workshop featuring invited presentations and discussion of the quality performance measures for integration of health literacy, cultural competence, and language access services. A commissioned paper was presented and the workshop included presentations and discussion of reactions to the paper; the relationship of quality measures to patient-centered care; and approaches to integrating measures in health care organizations.
Exploring Early Childhood Care and Education Levers to ...
Released: February 22, 2018
Experts from the health and the early childhood care and education fields gathered on September 14, 2017, in New York City at a workshop hosted by the Roundtable on Population Health Improvement. The workshop presentations and discussion focused on the evidence base at the intersection of the two fields; on exploring current and potential effective strategies to work together; and on the policy levers available to improve early childhood development, health, and learning.
Public Health Consequences of E-Cigarettes : Health and ...
Released: January 23, 2018
Millions of Americans use e-cigarettes, even as rates of smoking combustible tobacco cigarettes continue to decline among youth and adults. In 2016 youth e-cigarette use was substantially higher than cigarette smoking or use of any other tobacco product. The Center for Tobacco Products of the Food and Drug Administration requested that the National Academies of Sciences, Engineering, and Medicine convene a committee of experts to conduct a review the available evidence of the health effects related to the use of e-cigarettes and identify future federally funded research needs.