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: February 19, 2009
    The process for developing new drug and biologic products is extraordinarily expensive and time-consuming—many consider the traditional model to be unsustainable. Although large pharmaceutical companies may be able to invest in the development of blockbuster drugs because they can expect a large return on their investment, these same organizations, when developing drugs to treat rare and neglected diseases, are unable to rely on such returns. On June 23, 2008, the Institute of Medicine’s Forum on Drug Discovery, Development, and Translation held a public workshop, “Breakthrough Business Models: Drug Development for Rare and Neglected Diseases and Individualized Therapies,” which sought to explore new and innovative strategies for developing drugs for rare and neglected diseases.
  • Released: February 06, 2009
    For many years, concerns about bioterrorism and emerging infectious diseases have drawn attention to the need for strong surveillance systems. Experts are working to develop new and better ways to detect these biological threats as quickly as possible. One effort in this area is the Department of Homeland Security’s BioWatch program. To evaluate the effectiveness of the BioWatch program, the Institute of Medicine (IOM) and National Research Council (NRC) convened the Committee on Effectiveness of National Biosurveillance Systems: BioWatch and the Public Health System. This interim report contains no findings and recommendations, but outlines the committee’s initial progress.
  • Released: January 27, 2009
    In the realm of health care, privacy protections are needed to preserve patients’ dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule.In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine’s Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.
  • Released: January 23, 2009
    The NCI-sponsored cooperative groups have made important contributions to improving treatment for many types of cancer, including breast, ovarian, colorectal, and childhood cancers. Cooperative group research has been instrumental in establishing innovative treatments that improve outcomes and quality of life. Despite these successes, the Cooperative Group Program has faced a number of challenges that threaten its effectiveness. To address this problem, the National Cancer Policy Forum (NCPF) convened a workshop titled “Multi-Center Phase III Clinical Trials and NCI Cooperative Groups” in , DC, on July 1-2, 2008. The purpose of the workshop was to outline the challenges that the public clinical cancer research enterprise faces, and to identify possible solutions to these challenges.
  • Released: January 08, 2009
    Eighty-two thousand chemicals—both natural and man-made—are used today. Some of these chemicals do not produce notable adverse health outcomes, but others can be toxic and harmful to anyone exposed. Currently, we know very little about basic properties of the majority of these chemicals and even less about the human health impact of these exposures. On January 15, 2008, the workshop Environmental Health Sciences Decision Making: Risk Management, Evidence, and Ethics addressed emerging issues in risk management, weight of evidence, and ethics that influence environmental health decision making.
  • Released: December 22, 2008
    One of the biggest threats today is the uncertainty surrounding the emergence of a novel pathogen or the re-emergence of a known infectious disease that might result in disease outbreaks with great losses of human life and immense global economic consequences. In June 2008, the Institute of Medicine’s and National Research Council’s Committee on Achieving Sustainable Global Capacity for Surveillance and Response to Emerging Diseases of Zoonotic Origin convened a workshop that addressed the reasons for the transmission of zoonotic disease and explored the current global capacity for zoonotic disease surveillance.
  • Released: December 15, 2008
    Medical residency in the United States aims to prepare recent medical school graduates to practice medicine independently. Residents often work long hours with limited time off to catch up on their sleep. However, many medical educators believe extensive duty hours are essential to provide residents with the educational experiences they need to become competent in diagnosing and treating patients. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety asserts that revisions to medical residents’ workloads and duty hours are necessary to better protect patients against fatigue-related errors and to enhance the learning environment for doctors in training.
  • Released: December 11, 2008
    Colorectal cancer screening remains low, despite strong evidence that screening prevents deaths. With the aim to make recommended colorectal cancer screening more widespread, the workshop discussed steps to be taken at the clinic, community, and health system levels.
  • Released: December 09, 2008
    In 2008, SUSA asked the Institute of Medicine’s Committee on the State of the USA Health Indicators to provide guidance on 20 key indicators to be used on the organization’s website that would be valuable in assessing health. Taken together, the selected indicators reflect the overall health of the nation and the efficiency and efficacy of U.S. health systems. The complete list of 20 can be found in the report brief and report.
  • Released: December 09, 2008
    The U.S. Department of Health and Human Services (HHS)—which boasts the largest budget of any federal department, spending approximately 2 billion dollars a day—profoundly affects the lives of all Americans. At the request of the U.S. House of Representatives Committee on Oversight and Government Reform, the IOM’s December 2008 report HHS in the 21st Century assesses whether HHS is “ideally organized” to meet the enduring and emerging health challenges facing our nation.
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