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.


  • Improving the Quality of Long-Term Care : Health and ... Released: January 01, 2000
    This report describes what is known about quality in various kinds of long-term care (LTC) settings. The report explores ways in which the federal government and states monitor LTC performance; the effects of recent changes in financing; staffing; and infrastructure, among others. A number of recommendations are made that could improve quality, including investigating new quality measurements; strengthening state and federal survey and sanction activities; improving staffing; and exploring the effects of changes in reimbursement.
  • Improving the Quality of Care in Nursing Homes : Health and ... Released: January 01, 1986
    As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This report examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities.