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.
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Health System Interventions to Prevent Firearms Injuries and Death: Proceedings of a Workshop
Released: February 28, 2019
Firearm injuries and death are a serious public health concern in the United States that place a burden on individuals, communities, and health care systems. At the suggestion of Kaiser Permanente, and with the support of both Kaiser Permanente and the American Hospital Association, the Board on Population Health and Public Health Practice of the National Academies of Sciences, Engineering, and Medicine convened a workshop that examined the roles that health systems can play in addressing the epidemic of firearm violence in the United States.
The Safety and Quality of Abortion Care in the United States
Released: March 16, 2018
Health care quality is a multidimensional concept. With support from six private foundations, the National Academies of Sciences, Engineering, and Medicine convened a committee to examine the available evidence on the safety and quality of different abortion methods, health facilities, and types of clinicians as well as the potential physical and mental health impacts on women. This resulting report provides a comprehensive review of the state of the science.
Ovarian Cancers: Evolving Paradigms in Research and Care
Released: March 02, 2016
Although recent years have seen promising advances in cancer research, there remain surprising gaps in the fundamental knowledge about and understanding of ovarian cancer, including basic biology, risk factors, diagnosis, delivery of care, and survivorship
An Update on Research Issues in the Assessment of Birth Settings - Workshop Summary
Released: September 23, 2013
More than 30 years ago, the IOM and the National Research Council released the report Research Issues in the Assessment of Birth Settings which determined methodologies and research needed to evaluate childbirth settings in the United States. Since the release of the report in 1982, the issues surrounding birth settings have evolved and new research has emerged. In March 2013 the IOM held a workshop to review updates to the 1982 report. Presentations and discussions highlighted research findings that advance understanding of the effects of maternal care services in different birth settings on labor, clinical and other birth procedures, and birth outcomes. The workshop also identified datasets and relevant research literature that may inform a future study.
Leveraging Action to Support Dissemination of Pregnancy Weight Gain Guidelines - Workshop Summary
Released: September 16, 2013
Along with recommending revised pregnancy weight gain guidelines, the 2009 IOM and National Research Council (NRC) report, Weight Gain During Pregnancy: Reexamining the Guidelines, identified evidence that preconception counseling and certain practices, such as charting weight gain during pregnancy, can help women stay within the recommended guidelines. However, many women still do not receive adequate pre- or post-conception advice about weight and pregnancy weight gain. Many women and their health professionals remain unaware of the recommended pregnancy weight guidelines and even those women who are aware of the guidelines may find it difficult to obtain guidance to help them achieve those guidelines. The IOM and NRC held a workshop to present a range of dissemination products, and discuss communication and implementation of recommended guidelines for healthy pregnancy weight gain.
Returning Home from Iraq and Afghanistan: Readjustment Needs of Veterans, Service Members, and Their Families
Released: March 26, 2013
The wars in Iraq and Afghanistan have been the longest sustained U.S. military operations since the Vietnam era, sending more than 2.2 million troops into battle, and resulting in more than 6,600 deaths and 48,000 injuries. While many service members return home relatively unscathed and report rewarding experiences, others return with varied complex health conditions and find that readjusting to life at home, reconnecting with family, finding work, or returning to school is an ongoing struggle. The IOM was asked to study veterans’ physical and mental health, as well as other readjustment needs. Following its phase one report, this report presents the IOM’s comprehensive assessment of the physical, psychological, social, and economic effects of deployment on service members, veterans, their families, and their communities.
Sex-Specific Reporting of Scientific Research - Workshop Summary
Released: January 13, 2012
In 2010, the IOM released a report that found, among other things, data not being reported by sex had slowed progress in women’s health. The number of women participating in clinical trials has increased over the last two decades, though they are still underrepresented. Even when women are included in these trials, however, the results are often not analyzed separately by sex. On August 30, 2011, The IOM’s Board on Population Health and Public Health Practice hosted a workshop to address the recommendation that journals should adopt a guideline that all papers report the outcomes of research on males and females separately.
Breast Cancer and the Environment: A Life Course Approach
Released: December 07, 2011
More than 230,000 new cases of breast cancer are expected to be diagnosed in the United States in 2011. The IOM was asked to review the current evidence on breast cancer and the environment, review challenges in studying this topic, explore evidence-based actions that women might take to reduce their risk, and recommend future research. Overall, it finds that major advances have been made in understanding breast cancer and its risk factors, but more needs to be learned about its causes, how environmental exposures affect risk for the disease, and how to prevent it.
Updating the USDA National Breastfeeding Campaign - Workshop Summary
Released: September 21, 2011
Support for breastfeeding has been a priority of the WIC program since its inception in the 1970s. The Loving Support Makes Breastfeeding Work campaign, which the U.S. Department of Agriculture’s (USDA) Food and Nutrition Services launched in 1997, emphasizes key components needed for a breastfeeding mother to be successful. More than a decade after the campaign began, USDA wants to update it, taking into account changes in the WIC program, participants, and technology. On April 26, 2011, the IOM hosted a workshop to bring together experts to discuss what has changed since Loving Support began, lessons learned from other public health campaigns, and suggestions for where to take the campaign in the future.
Clinical Preventive Services for Women: Closing the Gaps
Released: July 19, 2011
The Patient Protection and Affordable Care Act (ACA) addresses preventive services for both men and women of all ages, and women in particular stand to benefit from additional preventive health services. The Department of Health and Human Services charged the IOM with reviewing what preventive services are important to women’s health and well-being and then recommending which of these should be considered in the development of comprehensive guidelines. The IOM recommends that women’s preventive services include, among other services, improved screening for cervical cancer, sexually transmitted infections, and HIV; a fuller range of contraceptive education, counseling, methods, and services; services for pregnant women; at least one well-woman preventive care visit annually; and screening and counseling for interpersonal and domestic violence.