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.
Physician-Assisted Death: Scanning the Landscape ...
Released: June 27, 2018
As a matter of public opinion and of public policy, a national dialogue is taking place around the question of whether, and under what circumstances, terminally ill patients can access life-ending medications with the aid of a physician. This publication summarizes the presentations and discussions from a workshop of the National Academies of Sciences, Engineering, and Medicine. The workshop explored what is known and not known empirically about the practice of physician-assisted death, as well as some of the moral and ethical considerations regarding the practice.
Advancing Obesity Solutions Through Investments in the Built ...
Released: June 15, 2018
The built environment—the physical world made up of the homes, buildings, streets, and infrastructure within which we all live, work, and play—underwent changes during the 20th and 21st centuries. These changes contributed to a sharp decline in physical activity and affected access to healthy foods, which have added to the weight gain observed among Americans in recent decades. As such, policies and practices that affect the built environment could affect obesity rates in the United States and improve the health of Americans.
Harmonization of Approaches to Nutrient Reference Values ...
Released: June 11, 2018
Establishing reference values for nutrient intakes of populations is essential to make recommendations for appropriate, safe dietary intakes and to design nutritional interventions, such as nutrient fortification of foods. Across high-income countries, there is now greater consistency in the methodological approach used to derive the fundamental values needed for establishing nutrient intake recommendations. Yet across other national and international bodies, particularly in the low- and middle-income countries, considerable inconsistency remains.
Urbanization and Slums: Infectious Diseases in the Built ...
Released: June 08, 2018
On December 12-13, the Forum on Microbial Threats, in collaboration with the Board on Life Sciences hosted a workshop examining "Urbanization and Slums: New Transmission Pathways of Infectious Diseases in the Built Environment."
Exploring Early Childhood Care and Education Levers to ...
Released: May 30, 2018
Early care and education programs and providers are ideally suited to partnering with public health and health care organizations to help achieve the shared goals of healthy child development. There are many challenges to tackle and opportunities to maximize on the path to collaboration and improved outcomes, including in preparing and supporting an effective workforce, in financing, and ensuring equity.
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.
An American Crisis: The Growing Absence of Black Men in ...
Released: May 18, 2018
Black men are increasingly underrepresented in medical schools and in the medical profession. Within this context, the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine and the W. Montague Cobb Institute jointly convened a 2-day workshop on November 20-21, 2017, in Washington, D.C.
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.