About Publications

Publications from the AffiliateMarketIngtools of Sciences, Engineering, and Medicine provide objective and straightforward advice to decision makers and the public. This site includes We Treat You (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.


  • 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.
  • 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.
  • Released: September 12, 2013
    Each year, child protective services receive reports of child abuse and neglect involving six million children, with many more unreported cases. The long-term consequences of child abuse and neglect are not relegated to only the victim – they also impact their families, future relationships, and society. It is a complex societal problem that requires a comprehensive response. In 1993, the National Research Council (NRC) issued a report that provided an overview of the research on child abuse and neglect. Twenty years later, the Children's Bureau, Administration on Children, Youth, and Families asked the IOM and the NRC to update the 1993 report and provide new research recommendations on this public health challenge.
  • Released: September 12, 2013
    Every day, the Department of Homeland Security (DHS) carries out important work that contributes to the safety of the United States and furthers the formation and maintenance of a resilient nation. Created in 2002 from a merger that rapidly incorporated parts of eight cabinet departments and 22 government agencies, DHS has struggled to integrate its numerous components and their unique cultures. While it’s very accomplished at performing its missions, the nature of the DHS work environment is inherently stressful, and employees suffer from numerous organizational and morale challenges. The DHS Office of Health Affairs asked the IOM to review current workforce resilience efforts, identify gaps, and provide recommendations for a 5-year strategy to improve DHSTogether, its current workforce resilience program.
  • Released: September 10, 2013
    The IOM examined the quality of cancer care in the United States and concluded that the cancer care delivery system is in crisis due to a growing demand for cancer care, increasing complexity of treatment, a shrinking workforce, and rising costs. Changes across the board are urgently needed. All stakeholders – including cancer care teams, patients and their families, researchers, quality metrics developers, and payers, as well as HHS, other federal agencies, and industries – must reevaluate their current roles and responsibilities in cancer care and work together to develop a higher quality care delivery system. Working toward the recommendations outlined in this report, the cancer care community can improve the quality of life and outcomes for people facing a cancer diagnosis.
  • Released: September 04, 2013
    In response to a request from DHS, the Institute of Medicine and the National Research Council hosted a workshop June 25-26, 2013, that explored alternative cost-effective systems that would meet the requirements for a BioWatch autonomous detection system for aerosolized agents. The workshop, which was catalyzed by five commissioned white papers, considered the advantages and disadvantages of several technologies—nucleic acid signatures, immunoassays and protein signatures, genomic sequencing, and mass spectrometry — and the timeframe in which an integrated autonomous biodetection system using these technologies might be deployed. Additionally, the features and capabilities of an autonomous detection system that would be of value to public health officials and decision makers were discussed. This document summarizes the workshop.
  • Released: August 30, 2013
    The governmental public health system lacks critical information about environmental health impacts of shale gas extraction technologies and is limited in its ability to address concerns raised by federal, state, and local regulators, as well as employees in the shale gas extraction industry and the general public. Members of the IOM Roundtable on Environmental Health Sciences, Research, and Medicine recognized the need to discuss the human health impact of shale gas extraction through the lens of health impact assessment. The Roundtable held a workshop in 2012 to examine the state of the science regarding shale gas extraction, the direct and indirect environmental health effects of shale gas extraction, and the use of health impact assessment as a tool to help identify the public health impact of shale gas extraction.
  • Released: August 23, 2013
    Public engagement allows citizens to give government officials input about pending policy decisions that can require difficult choices between competing values in the development of disaster plans. Public engagement can help inform members of the community, include their input in disaster planning to increase legitimacy and acceptance, and reveal public misunderstandings, biases, and areas of deep disagreement. Building on recommendations and guidance from the 2012 IOM report, Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response, the IOM Forum on Medical and Public Health Preparedness for Catastrophic Events sponsored an interactive workshop at the National Association of County and City Health Officials Public Health Preparedness Summit earlier this year. The workshop aimed to provide practitioners with guidance and key principles of public engagement to encourage attendees to begin engaging the public in their own communities.
  • Released: August 15, 2013
    In an efficient health care system, care choices are democratized and based on the best evidence. Though the infrastructure and cultural changes necessary to transform the patient role are significant, empowering patients to become partners in—rather than customers of—the health care system is a critical step on the road to achieving the best care at lower cost. Increased patient engagement in care decisions, value, and research is crucial to the pursuit of better care, improved health, and lower health care costs. This publication details discussions at the February 2013 IOM workshop which gathered patients and experts in areas such as decision science, evidence generation, communication strategies, and health economics to consider the central roles for patients in bringing about progress in all aspects of the U.S. health care system.
  • Released: August 14, 2013
    Sub-Saharan Africa has one of the largest treatment gaps for mental, neurological, and substance use (MNS) disorders in the world. The ability to provide adequate human resources for the delivery of essential interventions for MNS disorders is a critical barrier to bridging the treatment gap. In 2012, the IOM hosted a second workshop in Kampala, Uganda, to discuss candidate core competencies that providers might need to help ensure the effective delivery of services for MNS disorders. The workshop focused on candidate competencies for four MNS disorders that account for the greatest burden in low- and middle-income countries: depression, psychosis, epilepsy, and alcohol use disorders.
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