%0 Book %A Institute of Medicine %A National Research Council %E Leshner, Alan I. %E Altevogt, Bruce M. %E Lee, Arlene F. %E McCoy, Margaret A. %E Kelley, Patrick W. %T Priorities for Research to Reduce the Threat of Firearm-Related Violence %@ 978-0-309-28438-7 %D 2013 %U https://nap.nationalacademies.org/catalog/18319/priorities-for-research-to-reduce-the-threat-of-firearm-related-violence %> https://nap.nationalacademies.org/catalog/18319/priorities-for-research-to-reduce-the-threat-of-firearm-related-violence %I The National Academies Press %C Washington, DC %G English %K Behavioral and Social Sciences %K Health and Medicine %P 120 %X In 2010, more than 105,000 people were injured or killed in the United States as the result of a firearm-related incident. Recent, highly publicized, tragic mass shootings in Newtown, CT; Aurora, CO; Oak Creek, WI; and Tucson, AZ, have sharpened the American public's interest in protecting our children and communities from the harmful effects of firearm violence. While many Americans legally use firearms for a variety of activities, fatal and nonfatal firearm violence poses a serious threat to public safety and welfare. In January 2013, President Barack Obama issued 23 executive orders directing federal agencies to improve knowledge of the causes of firearm violence, what might help prevent it, and how to minimize its burden on public health. One of these orders directed the Centers for Disease Control and Prevention (CDC) to, along with other federal agencies, immediately begin identifying the most pressing problems in firearm violence research. The CDC and the CDC Foundation asked the IOM, in collaboration with the National Research Council, to convene a committee tasked with developing a potential research agenda that focuses on the causes of, possible interventions to, and strategies to minimize the burden of firearm-related violence. Priorities for Research to Reduce the Threat of Firearm-Related Violence focuses on the characteristics of firearm violence, risk and protective factors, interventions and strategies, the impact of gun safety technology, and the influence of video games and other media. %0 Book %A National Academies of Sciences, Engineering, and Medicine %E Alper, Joe %E French, Melissa %E Wojtowicz, Alexis %T Health Systems Interventions to Prevent Firearm Injuries and Death: Proceedings of a Workshop %@ 978-0-309-48839-6 %D 2019 %U https://nap.nationalacademies.org/catalog/25354/health-systems-interventions-to-prevent-firearm-injuries-and-death-proceedings %> https://nap.nationalacademies.org/catalog/25354/health-systems-interventions-to-prevent-firearm-injuries-and-death-proceedings %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 142 %X Firearm injuries and death are a serious public health concern in the United States. Firearm-related injuries account for tens of thousands of premature deaths of adults and children each year and significantly increase the burden of injury and disability. Firearm injuries are also costly to the health system, accounting for nearly $3 billion in emergency department and inpatient care each year. The National Academies of Sciences, Engineering, and Medicine convened a workshop to examine the roles that health systems can play in addressing the epidemic of firearm violence in the United States. This publication summarizes the presentations and discussions from the workshop. %0 Book %A National Research Council %E Wellford, Charles F. %E Pepper, John V. %E Petrie, Carol V. %T Firearms and Violence: A Critical Review %@ 978-0-309-09124-4 %D 2005 %U https://nap.nationalacademies.org/catalog/10881/firearms-and-violence-a-critical-review %> https://nap.nationalacademies.org/catalog/10881/firearms-and-violence-a-critical-review %I The National Academies Press %C Washington, DC %G English %K Behavioral and Social Sciences %K Health and Medicine %P 340 %X For years proposals for gun control and the ownership of firearms have been among the most contentious issues in American politics. For public authorities to make reasonable decisions on these matters, they must take into account facts about the relationship between guns and violence as well as conflicting constitutional claims and divided public opinion. In performing these tasks, legislators need adequate data and research to judge both the effects of firearms on violence and the effects of different violence control policies. Readers of the research literature on firearms may sometimes find themselves unable to distinguish scholarship from advocacy. Given the importance of this issue, there is a pressing need for a clear and unbiased assessment of the existing portfolio of data and research. Firearms and Violence uses conventional standards of science to examine three major themes - firearms and violence, the quality of research, and the quality of data available. The book assesses the strengths and limitations of current databases, examining current research studies on firearm use and the efforts to reduce unjustified firearm use and suggests ways in which they can be improved. %0 Book %A National Academies of Sciences, Engineering, and Medicine %E Alper, Joe %E Martinez, Rose Marie %E Rosenberg, Dara %T Integrating Firearm Injury Prevention into Health Care: Proceedings of a Joint Workshop of the National Academies of Sciences, Engineering, and Medicine; Northwell Health; and PEACE Initiative %@ 978-0-309-69349-3 %D 2022 %U https://nap.nationalacademies.org/catalog/26707/integrating-firearm-injury-prevention-into-health-care-proceedings-of-a %> https://nap.nationalacademies.org/catalog/26707/integrating-firearm-injury-prevention-into-health-care-proceedings-of-a %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 108 %X The staggering number of deaths and emergency department visits caused by firearm injuries has only grown with time. Costs associated with firearm related injuries amount to over a billion dollars annually in the United States alone, not including physician charges and postdischarge costs. To address this epidemic, in April of 2022, the National Academies of Sciences, Engineering, and Medicine's Board on Population Health and Public Health Practice, in collaboration with Northwell Heath and the PEACE Initiative, brought together firearm injury prevention thought leaders to explore how health systems can integrate interventions for firearm injury prevention into routine care for the purpose of improving the health of patients and communities. The workshop speakers discussed strategies for firearm injury and mortality prevention and its integration into routine care. Speakers also explored facilitators and barriers to implementation strategies, and how health systems might work to overcome those barriers. %0 Book %A Institute of Medicine %E Bonnie, Richard J. %E Fulco, Carolyn E. %E Liverman, Catharyn T. %T Reducing the Burden of Injury: Advancing Prevention and Treatment %@ 978-0-309-06566-5 %D 1999 %U https://nap.nationalacademies.org/catalog/6321/reducing-the-burden-of-injury-advancing-prevention-and-treatment %> https://nap.nationalacademies.org/catalog/6321/reducing-the-burden-of-injury-advancing-prevention-and-treatment %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 336 %X Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level. %0 Book %A National Academies of Sciences, Engineering, and Medicine %E Tomaszewski, Evelyn %T Identifying the Role of Violence and Its Prevention in the Post-2015 Global Agenda: Proceedings of a Workshop—in Brief %D 2018 %U https://nap.nationalacademies.org/catalog/25076/identifying-the-role-of-violence-and-its-prevention-in-the-post-2015-global-agenda %> https://nap.nationalacademies.org/catalog/25076/identifying-the-role-of-violence-and-its-prevention-in-the-post-2015-global-agenda %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %K Behavioral and Social Sciences %P 10 %X To illuminate the role of violence and its prevention in the post-2015 global agenda, the National Academies of Sciences, Engineering and Medicine’s Forum on Global Violence Prevention convened a 2-day meeting to explore the ways in which violence prevention efforts fit into the global agenda and to begin to identify the ways in which the U.S. government as well as state governments, industries, multilaterals, nongovernmental organizations, and other institutions might be able to support and advance both the sustainable development agenda and the violence prevention objectives within it. This publication summarizes the presentations and discussions from the meeting. %0 Book %A Institute of Medicine %T Medicolegal Death Investigation System: Workshop Summary %@ 978-0-309-08986-9 %D 2003 %U https://nap.nationalacademies.org/catalog/10792/medicolegal-death-investigation-system-workshop-summary %> https://nap.nationalacademies.org/catalog/10792/medicolegal-death-investigation-system-workshop-summary %I The National Academies Press %C Washington, DC %G English %K Behavioral and Social Sciences %P 85 %X The US Department of Justice's National Institute of Justice (NIJ) asked the Institute of Medicine (IOM) of The National Academies to conduct a workshop that would examine the interface of the medicolegal death investigation system and the criminal justice system. NIJ was particularly interested in a workshop in which speakers would highlight not only the status and needs of the medicolegal death investigation system as currently administered by medical examiners and coroners but also its potential to meet emerging issues facing contemporary society in America. Additionally, the workshop was to highlight priority areas for a potential IOM study on this topic.To achieve those goals, IOM constituted the Committee for the Workshop on the Medicolegal Death Investigation System, which developed a workshop that focused on the role of the medical examiner and coroner death investigation system and its promise for improving both the criminal justice system and the public health and health care systems, and their ability to respond to terrorist threats and events. Six panels were formed to highlight different aspects of the medicolegal death investigation system, including ways to improve it and expand it beyond its traditional response and meet growing demands and challenges. This report summarizes the Workshop presentations and discussions that followed them. %0 Book %A National Academy of Engineering %T Technological Options for User-Authorized Handguns: A Technology-Readiness Assessment %@ 978-0-309-09699-7 %D 2005 %U https://nap.nationalacademies.org/catalog/11394/technological-options-for-user-authorized-handguns-a-technology-readiness-assessment %> https://nap.nationalacademies.org/catalog/11394/technological-options-for-user-authorized-handguns-a-technology-readiness-assessment %I The National Academies Press %C Washington, DC %G English %K Engineering and Technology %K Conflict and Security Issues %P 80 %X Misuse of handguns is a significant factor in deaths, morbidity, and crime in the United States. One approach to reducing certain types of handgun misuse is to create a user-authorized handgun (UAHG), a firearm that can be operated only by an authorized user(s). Technological Options for User-Authorized Handguns clarifies the technical challenges of developing a reliable UAHG. This report determines the requirements and specifications of UAHGs for those concerned with public and/or personal safety, and identifies technologies that could satisfy these needs. %0 Book %A National Academies of Sciences, Engineering, and Medicine %E Casola, Linda %T Identifying and Managing Veteran Suicide Risk: Proceedings of a Workshop %@ 978-0-309-70790-9 %D 2023 %U https://nap.nationalacademies.org/catalog/27195/identifying-and-managing-veteran-suicide-risk-proceedings-of-a-workshop %> https://nap.nationalacademies.org/catalog/27195/identifying-and-managing-veteran-suicide-risk-proceedings-of-a-workshop %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 88 %X On May 23, 2023, the National Academies of Sciences, Engineering, and Medicine Board on Behavioral, Cognitive, and Sensory Sciences hosted a workshop titled Current Practices and Challenges for Identifying and Managing Suicide Risk Among Veterans in Non-Department of Veterans Affairs (VA) Healthcare Systems to explore the landscape of veteran health care and suicide risk; consider strategies to identify veterans who receive their health care outside of the VHA; and identify best practices for suicide risk identification and care for VA-purchased care in community and at non-VA entities. This proceedings presents a summary of the presentation and discussion of the workshop. %0 Book %A Institute of Medicine %T State of the USA Health Indicators: Letter Report %@ 978-0-309-12862-9 %D 2009 %U https://nap.nationalacademies.org/catalog/12534/state-of-the-usa-health-indicators-letter-report %> https://nap.nationalacademies.org/catalog/12534/state-of-the-usa-health-indicators-letter-report %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 98 %X Researchers, policymakers, sociologists and doctors have long asked how to best measure the health of a nation, yet the challenge persists. The nonprofit State of the USA, Inc. (SUSA) is taking on this challenge, demonstrating how to measure the health of the United States. The organization is developing a new website intended to provide reliable and objective facts about the U.S. in a number of key areas, including health, and to provide an interactive tool with which individuals can track the progress made in each of these areas. 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. Each indicator was required to demonstrate: a clear importance to health or health care, the availability of reliable, high quality data to measure change in the indicators over time, the potential to be measured with federally collected data, and the capability to be broken down by geography, populations subgroups including race and ethnicity, and socioeconomic status. 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 book. %0 Book %A Institute of Medicine %E Smedley, Brian D. %E Sy, S. Leonard, me %T Promoting Health: Intervention Strategies from Social and Behavioral Research %@ 978-0-309-07175-8 %D 2000 %U https://nap.nationalacademies.org/catalog/9939/promoting-health-intervention-strategies-from-social-and-behavioral-research %> https://nap.nationalacademies.org/catalog/9939/promoting-health-intervention-strategies-from-social-and-behavioral-research %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 508 %X At the dawn of the twenty-first century, Americans enjoyed better overall health than at any other time in the nation's history. Rapid advancements in medical technologies, breakthroughs in understanding the genetic underpinnings of health and ill health, improvements in the effectiveness and variety of pharmaceuticals, and other developments in biomedical research have helped develop cures for many illnesses and improve the lives of those with chronic diseases. By itself, however, biomedical research cannot address the most significant challenges to improving public health. Approximately half of all causes of mortality in the United States are linked to social and behavioral factors such as smoking, diet, alcohol use, sedentary lifestyle, and accidents. Yet less than five percent of the money spent annually on U.S. health care is devoted to reducing the risks of these preventable conditions. Behavioral and social interventions offer great promise, but as yet their potential has been relatively poorly tapped. Promoting Health identifies those promising areas of social science and behavioral research that may address public health needs. It includes 12 papers—commissioned from some of the nation's leading experts—that review these issues in detail, and serves to assess whether the knowledge base of social and behavioral interventions has been useful, or could be useful, in the development of broader public health interventions. %0 Book %A Institute of Medicine %A National Research Council %T The Science of Adolescent Risk-Taking: Workshop Report %@ 978-0-309-15852-7 %D 2011 %U https://nap.nationalacademies.org/catalog/12961/the-science-of-adolescent-risk-taking-workshop-report %> https://nap.nationalacademies.org/catalog/12961/the-science-of-adolescent-risk-taking-workshop-report %I The National Academies Press %C Washington, DC %G English %K Behavioral and Social Sciences %K Health and Medicine %P 144 %X Adolescence is a time when youth make decisions, both good and bad, that have consequences for the rest of their lives. Some of these decisions put them at risk of lifelong health problems, injury, or death. The Institute of Medicine held three public workshops between 2008 and 2009 to provide a venue for researchers, health care providers, and community leaders to discuss strategies to improve adolescent health. %0 Book %A Institute of Medicine %E Parker, Lynn %E Spear, Matthew %E Holovach, Nicole Ferring %E Olson, Stephen %T Legal Strategies in Childhood Obesity Prevention: Workshop Summary %@ 978-0-309-21019-5 %D 2011 %U https://nap.nationalacademies.org/catalog/13123/legal-strategies-in-childhood-obesity-prevention-workshop-summary %> https://nap.nationalacademies.org/catalog/13123/legal-strategies-in-childhood-obesity-prevention-workshop-summary %I The National Academies Press %C Washington, DC %G English %K Food and Nutrition %K Health and Medicine %P 104 %X Since 1980, childhood obesity rates have more than tripled in the United States. Recent data show that almost one-third of children over 2 years of age are already overweight or obese. While the prevalence of childhood obesity appears to have plateaued in recent years, the magnitude of the problem remains unsustainably high and represents an enormous public health concern. All options for addressing the childhood obesity epidemic must therefore be explored. In the United States, legal approaches have successfully reduced other threats to public health, such as the lack of passive restraints in automobiles and the use of tobacco. The question then arises of whether laws, regulations, and litigation can likewise be used to change practices and policies that contribute to obesity. On October 21, 2010, the Institute of Medicine (IOM) held a workshop to bring together stakeholders to discuss the current and future legal strategies aimed at combating childhood obesity. Legal Strategies in Childhood Obesity Prevention summarizes the proceedings of that workshop. The report examines the challenges involved in implementing public health initiatives by using legal strategies to elicit change. It also discusses circumstances in which legal strategies are needed and effective. This workshop was created only to explore the boundaries of potential legal approaches to address childhood obesity, and therefore, does not contain recommendations for the use of such approaches. %0 Book %A National Academies of Sciences, Engineering, and Medicine %E Lichtveld, Maureen %E Wollek, Scott %E Cohen, Jennifer %T Advancing Health and Resilience in the Gulf of Mexico Region: A Roadmap for Progress %@ 978-0-309-70359-8 %D 2023 %U https://nap.nationalacademies.org/catalog/27057/advancing-health-and-resilience-in-the-gulf-of-mexico-region %> https://nap.nationalacademies.org/catalog/27057/advancing-health-and-resilience-in-the-gulf-of-mexico-region %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %K Environment and Environmental Studies %P 204 %X Consequences of natural disasters and the COVID-19 pandemic have taken a cumulative toll on the health and well-being of people in the Gulf of Mexico region. Long-standing societal challenges related to racism, poverty, education, housing, and underemployment are compounding the trauma, leading to chronic stress for many Gulf residents. The Committee on Progress Toward Human Health and Community Resilience in the Gulf of Mexico Region new report, Advancing Health and Community Resilience in the Gulf of Mexico Region: A Roadmap for Progress, explores key challenges and priorities in Gulf states, including Alabama, Florida, Louisiana, Mississippi, and Texas and evaluates recent progress. The report also makes recommendations for closing critical gaps and implementing transformative approaches that focus on the diverse needs and experiences of people who live and work in the Gulf region. %0 Book %A Institute of Medicine %A National Research Council %E Woolf, Steven H. %E Aron, Laudan %T U.S. Health in International Perspective: Shorter Lives, Poorer Health %@ 978-0-309-26414-3 %D 2013 %U https://nap.nationalacademies.org/catalog/13497/us-health-in-international-perspective-shorter-lives-poorer-health %> https://nap.nationalacademies.org/catalog/13497/us-health-in-international-perspective-shorter-lives-poorer-health %I The National Academies Press %C Washington, DC %G English %K Behavioral and Social Sciences %K Health and Medicine %K Surveys and Statistics %P 420 %X The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage. %0 Book %A National Academies of Sciences, Engineering, and Medicine %T Leading Health Indicators 2030: Advancing Health, Equity, and Well-Being %@ 978-0-309-67187-3 %D 2020 %U https://nap.nationalacademies.org/catalog/25682/leading-health-indicators-2030-advancing-health-equity-and-well-being %> https://nap.nationalacademies.org/catalog/25682/leading-health-indicators-2030-advancing-health-equity-and-well-being %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 172 %X Beginning in 1979 and in each subsequent decades, the U.S. Department of Health and Human Services (HHS) has overseen the Healthy People initiative to set national goals and objectives for health promotion and disease prevention. At the request of HHS, this study presents a slate of Leading Health Indicators (LHIs) that will serve as options for the Healthy People Federal Interagency Workgroup to consider as they develop the final criteria and set of LHIs for Healthy People 2030. %0 Book %A National Academies of Sciences, Engineering, and Medicine %E Olson, Steve %T Improving Care to Prevent Suicide Among People with Serious Mental Illness: Proceedings of a Workshop %@ 978-0-309-48694-1 %D 2019 %U https://nap.nationalacademies.org/catalog/25318/improving-care-to-prevent-suicide-among-people-with-serious-mental-illness %> https://nap.nationalacademies.org/catalog/25318/improving-care-to-prevent-suicide-among-people-with-serious-mental-illness %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %K Behavioral and Social Sciences %P 130 %X Suicide prevention initiatives are part of much broader systems connected to activities such as the diagnosis of mental illness, the recognition of clinical risk, improving access to care, and coordinating with a broad range of outside agencies and entities around both prevention and public health efforts. Yet suicide is also an intensely personal issue that continues to be surrounded by stigma. On September 11-12, 2018, the National Academies of Sciences, Engineering, and Medicine held a workshop in Washington, DC, to discuss preventing suicide among people with serious mental illness. The workshop was designed to illustrate and discuss what is known, what is currently being done, and what needs to be done to identify and reduce suicide risk. Improving Care to Prevent Suicide Among People with Serious Mental Illness summarizes presentations and discussions of the workshop. %0 Book %A National Academies of Sciences, Engineering, and Medicine %E Patel, Deepali %T Violence and Mental Health: Opportunities for Prevention and Early Detection: Proceedings of a Workshop %@ 978-0-309-46662-2 %D 2018 %U https://nap.nationalacademies.org/catalog/24916/violence-and-mental-health-opportunities-for-prevention-and-early-detection %> https://nap.nationalacademies.org/catalog/24916/violence-and-mental-health-opportunities-for-prevention-and-early-detection %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %K Behavioral and Social Sciences %P 172 %X On February 26–27, 2014, the National Academies of Sciences, Engineering, and Medicine’s Forum on Global Violence Prevention convened a workshop titled Mental Health and Violence: Opportunities for Prevention and Early Intervention. The workshop brought together advocates and experts in public health and mental health, anthropology, biomedical science, criminal justice, global health and development, and neuroscience to examine experience, evidence, and practice at the intersection of mental health and violence. Participants explored how violence impacts mental health and how mental health influences violence and discussed approaches to improve research and practice in both domains. This publication summarizes the presentations and discussions from the workshop. %0 Book %A Institute of Medicine %E Scott, Kimberly A. %T Violence Prevention in Low- and Middle-Income Countries: Finding a Place on the Global Agenda: Workshop Summary %@ 978-0-309-11205-5 %D 2008 %U https://nap.nationalacademies.org/catalog/12016/violence-prevention-in-low-and-middle-income-countries-finding-a %> https://nap.nationalacademies.org/catalog/12016/violence-prevention-in-low-and-middle-income-countries-finding-a %I The National Academies Press %C Washington, DC %G English %K Behavioral and Social Sciences %K Health and Medicine %P 280 %X The current state of science in violence prevention reveals progress, promise, and a number of remaining challenges. In order to fully examine the issue of global violence prevention, the Institute of Medicine in collaboration with Global Violence Prevention Advocacy, convened a workshop and released the workshop summary entitled, Violence Prevention in Low-and Middle-Income Countries. The workshop brought together participants with a wide array of expertise in fields related to health, criminal justice, public policy, and economic development, to study and articulate specific opportunities for the U.S. government and other leaders with resources to more effectively support programming for prevention of the many types of violence. Participants highlighted the need for the timely development of an integrated, science-based approach and agenda to support research, clinical practice, program development, policy analysis, and advocacy for violence prevention. %0 Book %A Institute of Medicine %E Durch, Jane S. %E Bailey, Linda A. %E Stoto, Michael A. %T Improving Health in the Community: A Role for Performance Monitoring %@ 978-0-309-05534-5 %D 1997 %U https://nap.nationalacademies.org/catalog/5298/improving-health-in-the-community-a-role-for-performance-monitoring %> https://nap.nationalacademies.org/catalog/5298/improving-health-in-the-community-a-role-for-performance-monitoring %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 496 %X How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.