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.


  • The Safe Use Initiative and Health Literacy - Workshop ... Released: December 01, 2010
    Every year at least 1.5 million people suffer adverse effects from medication. These problems occur because people misunderstand labels, are unaware of drug interactions, or otherwise use medication improperly. The Food and Drug Administration’s Safe Use Initiative seeks to identify preventable medication risks and develop solutions to them. The IOM held a workshop to discuss the FDA’s Safe Use Initiative and other efforts to improve drug labeling and safety.
  • The National Children's Study Research Plan: A Review ... Released: September 12, 2008
    The National Children s Study (NCS) is planned to be the largest long-term study of environmental and genetic effects on children s health ever conducted in the United States. By archiving all of the data collected, the NCS is intended to provide a valuable resource for analyses conducted many years into the future. This report evaluates the research plan for the NCS, by assessing the scientific rigor of the study and the extent to which it is being carried out with methods, measures, and collection of data and specimens to maximize the scientific yield of the study.
  • Use of Dietary Supplements by Military Personnel : Health and ... Released: June 09, 2008
    The use of dietary supplements has become increasingly popular among members of the military. While some supplements may provide benefits to health, others could carry adverse effects that might compromise the readiness and performance of service members. The U.S. Department of Defense, the Samueli Institute, the National Institutes of Health (NIH), with additional support from the Food and Drug Administration (FDA), requested that the Institute of Medicine (IOM) review the use of dietary supplements by military personnel, recommending a framework to identify the need for management of dietary supplement use within the military, and developing an approach to report adverse health events.
  • Retooling for an Aging America: Building the Health Care ... Released: April 11, 2008
    The Institute of Medicine charged the ad hoc Committee on the Future Health Care Workforce for Older Americans to determine the health care needs of Americans over 65 years of age and to assess those needs through an analysis of the forces that shape the health care workforce, including education and training, models of care, and public and private programs. The resulting report, Retooling for an Aging America: Building the Health Care Workforce, says that as the population of seniors grows to comprise approximately 20 percent of the U.S. population, they will face a health care workforce that is too small and critically unprepared to meet their health needs.
  • Preliminary Considerations Regarding NASA's ... Released: March 09, 2005
    Extending the spatial and temporal boundaries of human space flight are important goals for the National Aeronautics and Space Administration (NASA), yet human space flight remains an endeavor with substantial risks. NASA's Bioastronautics Critical Path Roadmap (BCPR) defines risk as "the conditional probability of an adverse event occurring, or a system performance-related inefficiency." This is the interim report of the IOM committee's review of NASA's BCPR. The purpose of this report is to provide NASA with preliminary conclusions regarding the strengths and weakness of the BCPR.
  • Quality Through Collaboration: The Future of Rural Health ... Released: November 01, 2004
    Rural America is a vital component of American society. Representing nearly 20 percent of the population, rural communities, like urban landscapes, are rich in cultural diversity. However, the smaller, poorer, and more isolated a rural community is, the more difficult it is to ensure the availability of high-quality health services. The Institute of Medicine report, Quality Through Collaboration: The Future of Rural Health examines the quality of health care in rural America.
  • Financing Vaccines in the 21st Century: Assuring Access and ... Released: August 04, 2003
    Financing Vaccines in the 21st Century: Assuring Access and Availability addresses these challenges by proposing new strategies for assuring access to vaccines and sustaining the supply of current and future vaccines. The report proposes a federal mandate, subsidy and voucher program for vaccines.
  • Medicare Coverage of Routine Screening for Thyroid ... Released: April 18, 2003
    The serum thyroid stimulating hormone (TSH) assay is a common blood test that is already covered by the Medicare program for the diagnosis and treatment of illness. This report is an inquiry into the additional costs and benefits of also offering this test as a preventive service.
  • Guidance for the National Healthcare Disparities Report ... Released: September 27, 2002
    Research has extensively documented the pervasiveness of racial and ethnic disparities in health care. In 1999, as part of a national effort to eliminate health care disparities, Congress required the Agency for Healthcare Research and Quality (AHRQ) to produce an annual report to be called the National Healthcare Disparitites Report (NHDR). In this report, titled Guidance for the National Healthcare Disparities Report, an IOM committee was asked to provide guidance to AHRQ to help fulfill the potential of the NHDR.
  • The Role of Nutrition in Maintaining Health in the Nation's ... Released: January 01, 2000
    Malnutrition and obesity are both common among Americans over age 65. There are also a host of other medical conditions from which older people and other Medicare beneficiaries suffer that could be improved with appropriate nutritional intervention. Despite that, access to a nutrition professional is very limited. This book addresses these questions, provides recommendations for nutrition services for the elderly, and considers how the coverage policy should be approached and practiced.