TY - BOOK AU - Institute of Medicine A2 - Valerie Tate Jopeck A2 - Marion Ein Lewin TI - Developing an Information Infrastructure for the Medicare+Choice Program: Summary of a Workshop SN - DO - 10.17226/6419 PY - 1999 UR - https://nap.nationalacademies.org/catalog/6419/developing-an-information-infrastructure-for-the-medicarechoice-program-summary-of PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - On March 4 and 5, 1998, the Institute of Medicine (IOM) Committee on Choice and Managed Care held a 2-day workshop entitled Developing the Information Infrastructure for Medicare Beneficiaries. This workshop was a follow-up to the IOM report entitled Improving the Medicare Market: Adding Choice and Protections. The workshop focused on the Medicare provisions in the Balanced Budget Act of 1997, which mandate that the Health Care Financing Administration (HCFA) develop a "nationally coordinated education and publicity campaign" in 1998 and move Medicare beneficiaries to an open-season enrollment process by the year 2002. ER - TY - BOOK AU - Institute of Medicine A2 - Stuart Bondurant A2 - Virginia Ernster A2 - Roger Herdman TI - Safety of Silicone Breast Implants SN - DO - 10.17226/9602 PY - 1999 UR - https://nap.nationalacademies.org/catalog/9602/safety-of-silicone-breast-implants PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - The Dow Corning case raised serious questions about the safety of silicone breast implants and about larger issues of medical device testing and patient education. Safety of Silicone Breast Implants presents a well-documented, thoughtful exploration of the safety of these devices, drawing conclusions from the available research base and suggesting further questions to be answered. This book also examines the sensitive issues surrounding women's decisions about implants. In reaching conclusions, the committee reviews: The history of the silicone breast implant and the development of its chemistry. The wide variety of U.S.-made implants and their regulation by the Food and Drug Administration. Frequency and consequences of local complications from implants. The evidence for and against links between implants and autoimmune disorders, connective tissue disease, neurological problems, silicone in breast milk, or a proposed new syndrome. Evidence that implants may be associated with lower frequencies of breast cancer. Safety of Silicone Breast Implants provides a comprehensive, well-organized review of the science behind one of the most significant medical controversies of our time. ER - TY - BOOK AU - Institute of Medicine A2 - M. Alfred Haynes A2 - Brian D. Smedley TI - The Unequal Burden of Cancer: An Assessment of NIH Research and Programs for Ethnic Minorities and the Medically Underserved SN - DO - 10.17226/6377 PY - 1999 UR - https://nap.nationalacademies.org/catalog/6377/the-unequal-burden-of-cancer-an-assessment-of-nih-research PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - We know more about cancer prevention, detection, and treatment than ever before—yet not all segments of the U.S. population have benefited to the fullest extent possible from these advances. Some ethnic minorities experience more cancer than the majority population, and poor people—no matter what their ethnicity—often lack access to adequate cancer care. This book provides an authoritative view of cancer as it is experienced by ethnic minorities and the medically underserved. It offers conclusions and recommendations in these areas: Defining and understanding special populations, and improving the collection of cancer-related data. Setting appropriate priorities for and increasing the effectiveness of specific National Institutes of Health (NIH) research programs, to ensure that special populations are represented in clinical trials. Disseminating research results to health professionals serving these populations, with sensitivity to the issues of cancer survivorship. The book provides background data on the nation's struggle against cancer, activities and expenditures of the NIH, and other relevant topics. ER - TY - BOOK AU - Institute of Medicine AU - National Research Council A2 - Michael A. Stoto A2 - Donna A. Almario A2 - Marie C. McCormick TI - Reducing the Odds: Preventing Perinatal Transmission of HIV in the United States SN - DO - 10.17226/6307 PY - 1999 UR - https://nap.nationalacademies.org/catalog/6307/reducing-the-odds-preventing-perinatal-transmission-of-hiv-in-the PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Thousands of HIV-positive women give birth every year. Further, because many pregnant women are not tested for HIV and therefore do not receive treatment, the number of children born with HIV is still unacceptably high. What can we do to eliminate this tragic and costly inheritance? In response to a congressional request, this book evaluates the extent to which state efforts have been effective in reducing the perinatal transmission of HIV. The committee recommends that testing HIV be a routine part of prenatal care, and that health care providers notify women that HIV testing is part of the usual array of prenatal tests and that they have an opportunity to refuse the HIV test. This approach could help both reduce the number of pediatric AIDS cases and improve treatment for mothers with AIDS. Reducing the Odds will be of special interest to federal, state, and local health policymakers, prenatal care providers, maternal and child health specialists, public health practitioners, and advocates for HIV/AIDS patients. January ER -