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.


  • Mitochondrial Replacement Techniques: Ethical, Social, and ... Released: February 03, 2016
    Mitochondrial replacement techniques (MRT) are designed to prevent the transmission of mitochondrial DNA (mtDNA) diseases from mother to child. These diseases vary in presentation and severity, but common symptoms include developmental delays, seizures, weakness and fatigue, muscle pain, vision loss, and heart problems, leading to morbidity and in some cases premature death.
  • Global Health Risk Framework: Governance for Global Health ... Released: January 13, 2016
    Since the 2014 Ebola outbreak, many public- and private-sector leaders have experienced a need for improved management of global public health emergencies. The effects of the Ebola epidemic go well beyond the three hardest-hit countries and beyond the health sector. Education, child protection, commerce, transportation, and human rights have all suffered. The National Academy of Medicine has managed an independent, international commission on improving international management and response to outbreaks. As input to this effort, the Institute of Medicine convened four workshops in the summer of 2015 to inform the commission report. These workshops examined questions of resilient health systems, research and development of medical products, pandemic financing, and governance for global health. Each workshop gathered diverse perspectives on a range of policies, operations, and options for collaboration to improve the global health system.
  • Global Health Risk Framework: Pandemic Financing ... Released: January 13, 2016
    Since the 2014 Ebola outbreak, many public- and private-sector leaders have experienced a need for improved management of global public health emergencies. The effects of the Ebola epidemic go well beyond the three hardest-hit countries and beyond the health sector. Education, child protection, commerce, transportation, and human rights have all suffered. The National Academy of Medicine has managed an independent, international commission on improving international management and response to outbreaks. As input to this effort, the Institute of Medicine convened four workshops in the summer of 2015 to inform the commission report. These workshops examined questions of resilient health systems, research and development of medical products, pandemic financing, and governance for global health. Each workshop gathered diverse perspectives on a range of policies, operations, and options for collaboration to improve the global health system.
  • Appropriate Use of Advanced Technologies for Radiation ... Released: December 23, 2015
    In recent years, the field of oncology has witnessed a number of technological advances, including more precise radiation therapy and minimally invasive surgical techniques. The increased cost of these novel treatments without adequate assessment of how they affect patient outcomes is a pressing concern given that inappropriate use of expensive technologies is one of the key factors that threaten the affordability of cancer care in the United States.
  • Assessing the Impact of Applications of Digital Health Records ... Released: December 08, 2015
    On July 20, 2015, the IOM’s Forum on Neuroscience and Nervous System Disorders held a public session at the 2015 Alzheimer’s Association International Conference in Washington, DC, to assess the impact of DHRs on Alzheimer’s disease research. “AD is the most common cause of dementia in older adults.” An estimated 46.8 million people worldwide are currently living with dementia, and the prevalence is expected to double every year for the next 20 years. Given the few therapies currently available to treat the symptoms of AD, compared to other central nervous system disorders, this session explored how DHRs may be used to help improve clinical trial design and methodology for AD research.
  • The Role of Clinical Studies for Pets with Naturally Occurring ... Released: October 30, 2015
    Recently, there has been renewed interest in comparative oncology— the study of naturally developing cancers in animals as models for human disease—as one way to improve cancer drug development and reduce attrition of investigational agents. Tumors that spontaneously develop in pet dogs and other companion animals as a result of normal aging share many characteristics with human cancers, such as histological appearance, tumor genetics, biological behavior, molecular targets, and therapeutic response.
  • Providing Sustainable Mental and Neurological Health Care ... Released: October 01, 2015
    Mental, neurological, and substance use (MNS) disorders are the leading cause of disability and the 10th leading cause of death worldwide. Despite this high burden, there is a significant shortage of resources available to prevent, diagnose, and treat these disorders. Approximately four out of five people with serious MNS disorders living in low- and middle-income countries do not receive needed health services, with Sub-Saharan Africa having one of the largest treatment gaps.
  • Assessing and Improving the Interpretation of Breast Images ... Released: September 24, 2015
    Since 2005, a substantial new body of research pertaining to mammography interpretation has been published. To explore this evidence and its policy implications, the IOM’s National Cancer Policy Forum, with support from the American Cancer Society (ACS), brought together experts and members of the public for the workshop, “Assessing and Improving the Interpretation of Breast Images,” which was held on May 12 and 13, 2015, in Washington, DC. At this workshop, clinicians and researchers, along with representatives from the Food and Drug Administration (FDA), National Cancer Institute (NCI), and patient advocacy organizations, discussed potential options for action to improve the quality of mammography interpretation.
  • Non-Invasive Neuromodulation of the Central Nervous System ... Released: July 27, 2015
    Given the growing interest in non-invasive neuromodulation technologies, the Institute of Medicine’s Forum on Neuroscience and Nervous System Disorders convened a workshop, inviting a range of stakeholders—including developers of devices and new technologies, researchers, clinicians, ethicists, regulators, and payers—to explore the opportunities, challenges, and ethical questions surrounding the development, regulation, and reimbursement of these devices for the treatment of nervous system disorders as well as for non-therapeutic uses, including cognitive and functional enhancement.
  • Enabling Discovery, Development, and Translation of ... Released: July 22, 2015
    On February 24, 2015, the Institute of Medicine’s (IOM’s) Forum on Neuroscience and Nervous Disorders convened key stakeholders at a workshop in Washington, DC, to explore how best to enable the discovery, development, and translation of treatments for cognitive dysfunction in depression, including a focus on the regulatory path forward.