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 Cancer Diagnosis and Care: Patient Access to ...
Released: September 11, 2018
To examine opportunities to improve cancer diagnosis and care, the National Cancer Policy Forum developed a two-workshop series. The first workshop—held on February 12-13, 2018 in Washington, DC—focused on potential strategies to ensure patients have access to appropriate expertise and technologies in oncologic pathology and imaging to inform cancer diagnosis and subsequent care decisions.
Establishing Effective Patient Navigation Programs in ...
Released: May 24, 2018
Delivering high-quality cancer care to all patients presents numerous challenges, including difficulties with ensuring patients have access to well-coordinated care across the cancer continuum. Patient navigation programs are designed to promote access to timely cancer diagnosis and care by addressing barriers to cancer care, such as challenges with health literacy, language barriers affecting comprehension of diagnosis and treatment, lack of transportation, or insufficient insurance coverage. Patient navigation programs were originally designed—and are still primarily directed at—improving cancer care among vulnerable patients.
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.
Opportunities for Improving Programs and Services for ...
Released: May 11, 2018
Children with disabilities are highly diverse in terms of their health conditions, disability severity, and social environments, yet they share many of the same needs. To help meet these needs, many programs and services to enhance health and functioning of children with disabilities have been developed.
Improving Health Research on Small Populations ...
Released: May 04, 2018
The increasing diversity of population of the United States presents many challenges to conducting health research that is representative and informative. Dispersion and accessibility issues can increase logistical costs; populations for which it is difficult to obtain adequate sample size are also likely to be expensive to study. Hence, even if it is technically feasible to study a small population, it may not be easy to obtain the funding to do so. In order to address the issues associated with improving health research of small populations, the National Academies of Sciences, Engineering, and Medicine convened a workshop in January 2018. Participants considered ways of addressing the challenges of conducting epidemiological studies or intervention research with small population groups, including alternative study designs, innovative methodologies for data collection, and innovative statistical techniques for analysis.
Long-Term Survivorship Care After Cancer Treatment ...
Released: April 27, 2018
To examine progress in cancer survivorship care since the consensus report From Cancer Patient to Cancer Survivor: Lost in Transition, the National Cancer Policy Forum held a workshop, “Long-Term Survivorship Care After Cancer Treatment” on July 24 and July 25, 2017, in Washington, DC. Workshop presentations and discussions highlighted potential opportunities to improve the planning, management, and delivery of cancer survivorship care.
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.
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.
Health-Care Utilization as a Proxy in Disability Determination ...
Released: March 01, 2018
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. The SSDI program provides disability benefits to people who are under the full retirement age and are no longer able to work because of a disabling medical condition or because they have a terminal illness. The SSI program is a means-tested income-assistance program for disabled, blind, and aged people who have limited income and resources regardless of their prior participation in the labor force.
Evaluation of the Department of Veterans Affairs Mental ...
Released: January 31, 2018
Approximately 4 million U.S. veterans supported the wars in Iraq and Afghanistan—Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn—and many have need for mental health care services. Under a Congressional mandate responding to concerns about the health care experience of these veterans, the Department of Veterans Affairs (VA) asked the National Academies of Sciences, Engineering, and Medicine to assemble a committee of experts to assess veterans’ ability to access mental health services at the VA, as well as the quality of those services.