About Publications

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.


  • A National Cancer Clinical Trials System for the 21st Century ... Released: April 15, 2010
    The National Cancer Institute’s (NCI) Clinical Tri¬als Cooperative Group Program has played a key role in developing new and improved cancer therapies. However, the program is falling short of its potential, and the IOM recommends changes that aim to transform the Cooperative Group Program into a dynamic system that efficiently responds to emerging scientific knowledge; involves broad cooperation of stakeholders; and leverages evolving technologies to provide high-quality, practice-changing research.
  • Future Directions for the National Healthcare Quality and ... Released: April 14, 2010
    The Agency for Healthcare Research and Quality’s annual National Healthcare Quality Report (NHQR) and the National Healthcare Disparities Report (NHDR) reveal areas in which health care performance has improved over time and identify major shortcomings. The IOM concludes that the next generation of reports can be improved in ways that would make them more influential in promoting change in the health care system.
  • Regionalizing Emergency Care. Workshop Summary : Health ... Released: March 22, 2010
    During medical emergencies, hospital staff and emergency medical services providers, can face barriers in delivering the fastest and best possible care. In 2006, the IOM recommended that the federal government implement a regionalized emergency care system to improve cooperation and overcome these challenges. Three years later, the IOM held a workshop to assess the nation’s progress toward regionalizing emergency care.
  • Policy Issues in the Development of Personalized Medicine in ... Released: February 08, 2010
    As cancer care becomes more personalized, patients will receive preventive or therapeutic interventions based on their susceptibilities or predicted responses. But before the use of personalized cancer care can reach its full potential, the health care system must resolve a number of policy issues. To explore these policy challenges, the National Cancer Policy Forum held this workshop in June 2009.
  • Redesigning Continuing Education in the Health Professions ... Released: December 04, 2009
    Today’s professional health workforce is not consistently prepared to provide high quality health care and assure patient safety. Redesigning Continuing Education in the Health Professions examines continuing education for all health professionals, explores development of a national continuing education institute, and offers guidance on the establishment and operation of an institute to develop a coordinated continuing professional development system.
  • Assessing and Improving Value in Cancer Care. Workshop ... Released: November 04, 2009
    Like other areas of health care, oncology is under pressure to control expenses while improving patient outcomes and the quality of care. Unlike many other areas of health care, however, oncology faces unique challenges that can make it especially difficult to control costs. On February 9-10, 2009, the National Cancer Policy Forum held a workshop to explore these issues from multiple perspectives, including those of patients and patient advocates, providers, insurers, health care researchers, federal agencies, and industry. Assessing and Improving the Value in Cancer Care summarizes workshop discussions and presentations.
  • The National Emergency Care Enterprise: Advancing Care ... Released: September 09, 2009
    In 2006, the Institute of Medicine (IOM) released a series of three reports on the Future of Emergency Care in the United States Health System. Following the release of the IOM reports, the federal government established the “National Emergency Care Enterprise,” a collaborative construct that covers federal government activities across the entire spectrum of emergency care. On May 21-22, 2009, the IOM hosted a workshop to bring stakeholders and policy makers together to examine the progress in the past three years in moving the nation towards the IOM’s broader vision of a “regionalized, coordinated, and accountable” emergency care system.
  • Race, Ethnicity, and Language Data: Standardization for ... Released: August 31, 2009
    The quality of health care in the United States is not optimal, and the pace of improvement is slow. In addition, disparities persist for specific population groups. A fundamental step in identifying which populations are most at risk is to col¬lect data on race, ethnicity, and English-language proficiency. The Institute of Medicine (IOM) formed the Subcommittee on Standardized Col¬lection of Race/Ethnicity Data for Healthcare Quality Improvement to examine ap¬proaches to standardization. In its 2009 report, Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement, the subcommittee recommends collection of more granular ethnicity and language need according to national standards in addition to OMB race and Hispanic ethnicity categories.
  • The US Oral Health Workforce in the Coming Decade. ... Released: August 06, 2009
    The current oral health workforce fails to meet the needs of many segments of the U.S. population. This variability in access to oral health services is often related to geography, insurance status, sociodemographic characteristics, and income levels. The Institute of Medicine hosted a workshop on February 9-11, 2009, jointly sponsored by the California HealthCare Foundation and the Health Resources and Services Administration to discuss these issues.
  • Initial National Priorities for Comparative Effectiveness ... Released: June 30, 2009
    Clinical research presents health care providers with information on the natural history and clinical presentations of disease as well as diagnostic and treatment options. Comparative effectiveness research (CER) identifies what works best for which patients under what circumstances. Congress, in the American Recovery and Reinvestment Act (ARRA) of 2009, tasked the IOM to recommend national priorities for research questions to be addressed by CER and supported by ARRA funds. In its 2009 report, Initial National Priorities for Comparative Effectiveness Research, the authoring committee establishes a working definition of CER, develops a priority list of research topics, and identifies the necessary requirements to support a robust and sustainable CER enterprise.