%0 Book %A Institute of Medicine %A National Research Council %T Improving Access to Oral Health Care for Vulnerable and Underserved Populations %@ 978-0-309-20946-5 %D 2011 %U https://nap.nationalacademies.org/catalog/13116/improving-access-to-oral-health-care-for-vulnerable-and-underserved-populations %> https://nap.nationalacademies.org/catalog/13116/improving-access-to-oral-health-care-for-vulnerable-and-underserved-populations %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 296 %X Access to oral health care is essential to promoting and maintaining overall health and well-being, yet only half of the population visits a dentist each year. Poor and minority children are less likely to have access to oral health care than are their nonpoor and nonminority peers. Older adults, people who live in rural areas, and disabled individuals, uniformly confront access barriers, regardless of their financial resources. The consequences of these disparities in access to oral health care can lead to a number of conditions including malnutrition, childhood speech problems, infections, diabetes, heart disease, and premature births. Improving Access to Oral Health Care for Vulnerable and Underserved Populations examines the scope and consequences of inadequate access to oral health services in the United States and recommends ways to combat the economic, structural, geographic, and cultural factors that prevent access to regular, quality care. The report suggests changing funding and reimbursement for dental care; expanding the oral health work force by training doctors, nurses, and other nondental professionals to recognize risk for oral diseases; and revamping regulatory, educational, and administrative practices. It also recommends changes to incorporate oral health care into overall health care. These recommendations support the creation of a diverse workforce that is competent, compensated, and authorized to serve vulnerable and underserved populations across the life cycle. The recommendations provided in Improving Access to Oral Health Care for Vulnerable and Underserved Populations will help direct the efforts of federal, state, and local government agencies; policy makers; health professionals in all fields; private and public health organizations; licensing and accreditation bodies; educational institutions; health care researchers; and philanthropic and advocacy organizations. %0 Book %A Institute of Medicine %E Hewitt, Maria %T Oral Health Literacy: Workshop Summary %@ 978-0-309-26289-7 %D 2013 %U https://nap.nationalacademies.org/catalog/13484/oral-health-literacy-workshop-summary %> https://nap.nationalacademies.org/catalog/13484/oral-health-literacy-workshop-summary %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 142 %X The Institute of Medicine (IOM) Roundtable on Health Literacy focuses on bringing together leaders from the federal government, foundations, health plans, associations, and private companies to address challenges facing health literacy practice and research and to identify approaches to promote health literacy in both the public and private sectors. The roundtable serves to educate the public, press, and policy makers regarding the issues of health literacy, sponsoring workshops to discuss approaches to resolve health literacy challenges. It also builds partnerships to move the field of health literacy forward by translating research findings into practical strategies for implementation. The Roundtable held a workshop March 29, 2012, to explore the field of oral health literacy. The workshop was organized by an independent planning committee in accordance with the procedures of the National Academy of Sciences. The planning group was composed of Sharon Barrett, Benard P. Dreyer, Alice M. Horowitz, Clarence Pearson, and Rima Rudd. The role of the workshop planning committee was limited to planning the workshop. Unlike a consensus committee report, a workshop summary may not contain conclusions and recommendations, except as expressed by and attributed to individual presenters and participants. Therefore, the summary has been prepared by the workshop rapporteur as a factual summary of what occurred at the workshop. %0 Book %A National Academy of Medicine %E DeStefano, Laura Harbold %E Fuentes-Afflick, Elena %E Higginbotham, Eve %E Woolley, Mary %E Yamamoto, Keith %T Transforming Human Health: Celebrating 50 Years of Discovery and Progress %@ 978-0-309-69395-0 %D 2022 %U https://nap.nationalacademies.org/catalog/26722/transforming-human-health-celebrating-50-years-of-discovery-and-progress %> https://nap.nationalacademies.org/catalog/26722/transforming-human-health-celebrating-50-years-of-discovery-and-progress %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 156 %X The past half-century has been an era of astonishing progress for biomedical science, health, and health care in the United States and worldwide. This volume, commissioned to mark the occasion of the 50th anniversary of the founding of the U.S. National Academy of Medicine (NAM; formerly the Institute of Medicine [IOM]), tells the story of that progress across five major fields: biomedical science and technology, diseases and conditions, public health, U.S. health care, and global health. Since the NAM was founded in 1970, the nation and the world have seen multitudes of remarkable "firsts"—including the dawn of targeted gene therapies, the near eradication of polio, revolutionary treatments for cancers and cardiovascular disease, and many more. NAM members were the architects of many of these breakthroughs, alongside countless dedicated scientists, clinicians, educators, and public health leaders worldwide. The milestones chronicled in this volume are a testament to their remarkable work, which has saved and improved innumerable lives. %0 Book %A Transportation Research Board %A National Academies of Sciences, Engineering, and Medicine %E Gillespie, Robin Mary %E Wang, Xinge %E Brown, Tia %T Developing Best-Practice Guidelines for Improving Bus Operator Health and Retention %D 2014 %U https://nap.nationalacademies.org/catalog/22322/developing-best-practice-guidelines-for-improving-bus-operator-health-and-retention %> https://nap.nationalacademies.org/catalog/22322/developing-best-practice-guidelines-for-improving-bus-operator-health-and-retention %I The National Academies Press %C Washington, DC %G English %K Transportation and Infrastructure %P 322 %X TRB’s Transit Cooperative Research Program (TCRP) Report 169: Developing Best-Practice Guidelines for Improving Bus Operator Health and Retention addresses some of the health and safety issues common throughout the transit industry, and describes approaches that transit organizations in the United States and Canada have taken to address health problems faced by transit employees.The report is supplemented by a presentation, Making the Case for Transit Workplace Health Protection and Promotion, and an Excel worksheet, Transit Operator Workplace Health Protection and Promotion Planning, Evaluation, and ROI Template, that may assist transit agencies with implementing and carrying out transit-specific programs to protect the health of bus operators and other employees. %0 Book %A Institute of Medicine %T Public Policy Options for Better Dental Health: Report of a Study %D 1980 %U https://nap.nationalacademies.org/catalog/9921/public-policy-options-for-better-dental-health-report-of-a %> https://nap.nationalacademies.org/catalog/9921/public-policy-options-for-better-dental-health-report-of-a %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 167 %0 Book %A Institute of Medicine %E Harris, Tracy A. %T The U.S. Oral Health Workforce in the Coming Decade: Workshop Summary %@ 978-0-309-13904-5 %D 2009 %U https://nap.nationalacademies.org/catalog/12669/the-us-oral-health-workforce-in-the-coming-decade-workshop %> https://nap.nationalacademies.org/catalog/12669/the-us-oral-health-workforce-in-the-coming-decade-workshop %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 182 %X Access to oral health services is a problem for all segments of the U.S. population, and especially problematic for vulnerable populations, such as rural and underserved populations. The many challenges to improving access to oral health services include the lack of coordination and integration among the oral health, public health, and medical health care systems; misaligned payment and education systems that focus on the treatment of dental disease rather than prevention; the lack of a robust evidence base for many dental procedures and workforce models; and regulatory barriers that prevent the exploration of alternative models of care. This volume, the summary of a three-day workshop, evaluates the sufficiency of the U.S. oral health workforce to consider three key questions: What is the current status of access to oral health services for the U.S. population? What workforce strategies hold promise to improve access to oral health services? How can policy makers, state and federal governments, and oral health care providers and practitioners improve the regulations and structure of the oral health care system to improve access to oral health services? %0 Book %A Institute of Medicine %T Advancing Oral Health in America %@ 978-0-309-18630-8 %D 2011 %U https://nap.nationalacademies.org/catalog/13086/advancing-oral-health-in-america %> https://nap.nationalacademies.org/catalog/13086/advancing-oral-health-in-america %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 266 %X Though it is highly preventable, tooth decay is a common chronic disease both in the United States and worldwide. Evidence shows that decay and other oral diseases may be associated with adverse pregnancy outcomes, respiratory disease, cardiovascular disease, and diabetes. However, individuals and many health care professionals remain unaware of the risk factors and preventive approaches for many oral diseases. They do not fully appreciate how oral health affects overall health and well-being. In Advancing Oral Health in America, the Institute of Medicine (IOM) highlights the vital role that the Department of Health and Human Services (HHS) can play in improving oral health and oral health care in the United States. The IOM recommends that HHS design an oral health initiative which has clearly articulated goals, is coordinated effectively, adequately funded and has high-level accountability. In addition, the IOM stresses three key areas needed for successfully maintaining oral health as a priority issue: strong leadership, sustained interest, and the involvement of multiple stakeholders from both the public and private sectors. Advancing Oral Health in America provides practical recommendations that the Department of Health and Human Services can use to improve oral health care in America. The report will serve as a vital resource for federal health agencies, health care professionals, policy makers, researchers, and public and private health organizations. %0 Book %A Institute of Medicine %T Initial National Priorities for Comparative Effectiveness Research %@ 978-0-309-13836-9 %D 2009 %U https://nap.nationalacademies.org/catalog/12648/initial-national-priorities-for-comparative-effectiveness-research %> https://nap.nationalacademies.org/catalog/12648/initial-national-priorities-for-comparative-effectiveness-research %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 252 %X Clinical research presents health care providers with information on the natural history and clinical presentations of disease as well as diagnostic and treatment options. In today's healthcare system, patients, physicians, clinicians and family caregivers often lack the sufficient scientific data and evidence they need to determine the best course of treatment for the patients' medical conditions. Initial National Priorities for Comparative Effectiveness Research(CER) is designed to fill this knowledge gap by assisting patients and healthcare providers across diverse settings in making more informed decisions. In this 2009 report, the Institute of Medicine's Committee on Comparative Effectiveness Research Prioritization establishes a working definition of CER, develops a priority list of research topics, and identifies the necessary requirements to support a robust and sustainable CER enterprise. As part of the 2009 American Recovery and Reinvestment Act, Congress appropriated $1.1 billion in federal support of CER, reflecting legislators' belief that better decisions about the use of health care could improve the public's health and reduce the cost of care. The Committee on Comparative Effectiveness Research Prioritization was successful in preparing a list 100 top priority CER topics and 10 recommendations for best practices in the field. %0 Book %A Institute of Medicine %E Stoto, MIchael A. %E Behrens, Ruth %E Rosemont, Connie %T Healthy People 2000: Citizens Chart the Course %@ 978-0-309-04340-3 %D 1990 %U https://nap.nationalacademies.org/catalog/1627/healthy-people-2000-citizens-chart-the-course %> https://nap.nationalacademies.org/catalog/1627/healthy-people-2000-citizens-chart-the-course %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 244 %0 Book %A National Academies of Sciences, Engineering, and Medicine %E Olson, Steve %E Anderson, Karen M. %T Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop %@ 978-0-309-46905-0 %D 2018 %U https://nap.nationalacademies.org/catalog/24967/achieving-rural-health-equity-and-well-being-proceedings-of-a %> https://nap.nationalacademies.org/catalog/24967/achieving-rural-health-equity-and-well-being-proceedings-of-a %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 94 %X Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop. %0 Book %A Institute of Medicine %E Hernandez, Lyla M. %T Health Literacy, eHealth, and Communication: Putting the Consumer First: Workshop Summary %@ 978-0-309-12642-7 %D 2009 %U https://nap.nationalacademies.org/catalog/12474/health-literacy-ehealth-and-communication-putting-the-consumer-first-workshop %> https://nap.nationalacademies.org/catalog/12474/health-literacy-ehealth-and-communication-putting-the-consumer-first-workshop %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %K Computers and Information Technology %P 126 %X There is great enthusiasm over the use of emerging interactive health information technologies-often referred to as eHealth-and the potential these technologies have to improve the quality, capacity, and efficiency of the health care system. However, many doctors, advocacy groups, policy makers and consumers are concerned that electronic health systems might help individuals and communities with greater resources while leaving behind those with limited access to technology. In order to address this problem, the Institute of Medicine's Roundtable on Health Literacy held a workshop to explore the current status of communication technology, the challenges for its use in populations with low health literacy, and the strategies for increasing the benefit of these technologies for populations with low health literacy. The summary of the workshop, "Health Literacy, eHealth, and Communication: Putting the Consumer First," includes participants' comments on these issues. %0 Book %A Institute of Medicine %E Smedley, Brian D. %E Butler, Adrienne Stith %E Bristow, Lonnie R. %T In the Nation's Compelling Interest: Ensuring Diversity in the Health-Care Workforce %@ 978-0-309-09125-1 %D 2004 %U https://nap.nationalacademies.org/catalog/10885/in-the-nations-compelling-interest-ensuring-diversity-in-the-health %> https://nap.nationalacademies.org/catalog/10885/in-the-nations-compelling-interest-ensuring-diversity-in-the-health %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 429 %X The United States is rapidly transforming into one of the most racially and ethnically diverse nations in the world. Groups commonly referred to as minorities--including Asian Americans, Pacific Islanders, African Americans, Hispanics, American Indians, and Alaska Natives--are the fastest growing segments of the population and emerging as the nation's majority. Despite the rapid growth of racial and ethnic minority groups, their representation among the nation’s health professionals has grown only modestly in the past 25 years. This alarming disparity has prompted the recent creation of initiatives to increase diversity in health professions. In the Nation's Compelling Interest considers the benefits of greater racial and ethnic diversity, and identifies institutional and policy-level mechanisms to garner broad support among health professions leaders, community members, and other key stakeholders to implement these strategies. Assessing the potential benefits of greater racial and ethnic diversity among health professionals will improve the access to and quality of healthcare for all Americans. %0 Book %A National Academies of Sciences, Engineering, and Medicine %E Alper, Joe %T Community-Based Health Literacy Interventions: Proceedings of a Workshop %@ 978-0-309-46667-7 %D 2018 %U https://nap.nationalacademies.org/catalog/24917/community-based-health-literacy-interventions-proceedings-of-a-workshop %> https://nap.nationalacademies.org/catalog/24917/community-based-health-literacy-interventions-proceedings-of-a-workshop %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 244 %X In its landmark report, Health Literacy: A Prescription to End Confusion, the Institute of Medicine noted that there are 90 million adults in the United States with limited health literacy who cannot fully benefit from what the health and health care systems have to offer. Since the release of that report, health literacy has become a vibrant research field that has developed and disseminated a wide range of tools and practices that have helped organizations, ranging in size from large health care systems to individual health care providers and pharmacists, to engage in health literate discussions with and provide health literate materials for patients and family members. Improving the health literacy of organizations can be an important component of addressing the social determinants of health and achieving the triple aim of improving the patient experience, improving the health of populations, and reducing the cost of care. However, the focus on organizations does not address the larger issue of how to improve health literacy across the U.S. population. To get a better understanding of the state of community-based health literacy interventions, the Roundtable on Health Literacy hosted a workshop on July 19, 2017 on community-based health literacy interventions. It featured examples of community-based health literacy programs, discussions on how to evaluate such programs, and the actions the field can take to embrace this larger view of health literacy. This publication summarizes the presentations and discussions from the workshop. %0 Book %A Institute of Medicine %E Olsen, LeighAnne %E Grossmann, Claudia %E McGinnis, J. Michael %T Learning What Works: Infrastructure Required for Comparative Effectiveness Research: Workshop Summary %@ 978-0-309-12068-5 %D 2011 %U https://nap.nationalacademies.org/catalog/12214/learning-what-works-infrastructure-required-for-comparative-effectiveness-research-workshop %> https://nap.nationalacademies.org/catalog/12214/learning-what-works-infrastructure-required-for-comparative-effectiveness-research-workshop %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 610 %X It is essential for patients and clinicians to have the resources needed to make informed, collaborative care decisions. Despite this need, only a small fraction of health-related expenditures in the United States have been devoted to comparative effectiveness research (CER). To improve the effectiveness and value of the care delivered, the nation needs to build its capacity for ongoing study and monitoring of the relative effectiveness of clinical interventions and care processes through expanded trials and studies, systematic reviews, innovative research strategies, and clinical registries, as well as improving its ability to apply what is learned from such study through the translation and provision of information and decision support. As part of its Learning Health System series of workshops, the Institute of Medicine's (IOM's) Roundtable on Value & Science-Driven Health Care hosted a workshop to discuss capacity priorities to build the evidence base necessary for care that is more effective and delivers higher value for patients. Learning What Works summarizes the proceedings of the seventh workshop in the Learning Health System series. This workshop focused on the infrastructure needs--including methods, coordination capacities, data resources and linkages, and workforce--for developing an expanded and efficient national capacity for CER. Learning What Works also assesses the current and needed capacity to expand and improve this work, and identifies priority next steps. Learning What Works is a valuable resource for health care professionals, as well as health care policy makers. %0 Book %A National Academies of Sciences, Engineering, and Medicine %E Krist, Alex H. %E South-Paul, Jeannette %E Meisnere, Marc %T Achieving Whole Health: A New Approach for Veterans and the Nation %@ 978-0-309-69927-3 %D 2023 %U https://nap.nationalacademies.org/catalog/26854/achieving-whole-health-a-new-approach-for-veterans-and-the %> https://nap.nationalacademies.org/catalog/26854/achieving-whole-health-a-new-approach-for-veterans-and-the %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 406 %X Whole health is physical, behavioral, spiritual, and socioeconomic well-being as defined by individuals, families, and communities. Whole health care is an interprofessional, team-based approach anchored in trusted relationships to promote well-being, prevent disease, and restore health. It aligns with a person's life mission, aspiration, and purpose. It shifts the focus from a reactive disease-oriented medical care system to one that prioritizes disease prevention, health, and well-being. It changes the health care conversation from "What’s wrong with you?" to "What matters to you?"The Department of Veterans Affairs (VA), the Samueli Foundation, and the Whole Health Institute commissioned the National Academies of Sciences, Engineering, and Medicine to establish a committee to provide guidance on how to fill gaps and create processes to accelerate the transformation to whole health care for veterans, both inside and outside the VA system, and the rest of the U.S. population. The resulting report presents findings and recommendations that provide a roadmap for improving health and well-being for veterans and the nation.