%0 Book %A Institute of Medicine %T Informing the Future: Critical Issues in Health: Fourth Edition %D 2007 %U https://nap.nationalacademies.org/catalog/12014/informing-the-future-critical-issues-in-health-fourth-edition %> https://nap.nationalacademies.org/catalog/12014/informing-the-future-critical-issues-in-health-fourth-edition %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 120 %0 Book %A Institute of Medicine %E Hernandez, Lyla M. %E Munthali, A. Wezi %T Training Physicians for Public Health Careers %@ 978-0-309-10760-0 %D 2007 %U https://nap.nationalacademies.org/catalog/11915/training-physicians-for-public-health-careers %> https://nap.nationalacademies.org/catalog/11915/training-physicians-for-public-health-careers %I The National Academies Press %C Washington, DC %G English %K Education %K Health and Medicine %P 136 %X Public health efforts have resulted in tremendous improvements in the health of individuals and communities. The foundation for effective public health interventions rests, in large part, on a well-trained workforce. Unfortunately there is a major shortage of public health physicians who are prepared to face today's public health challenges. Training Physicians for Public Health Careers focuses on the critical roles that physicians play in maintaining and strengthening the public health system, identifies what these physicians need to know to engage in effective public health actions, explores the kinds of training programs that can be used to prepare physicians for public health roles, and examines how these training programs can be funded. Medical schools, schools of public health, health care and public health care professionals, medical students and students of public health will find this of special interest. %0 Book %A National Research Council %E Kalsbeek, William D. %E Plewes, Thomas J. %E McGowan, Ericka %T Measuring Respirator Use in the Workplace %@ 978-0-309-10288-9 %D 2007 %U https://nap.nationalacademies.org/catalog/11799/measuring-respirator-use-in-the-workplace %> https://nap.nationalacademies.org/catalog/11799/measuring-respirator-use-in-the-workplace %I The National Academies Press %C Washington, DC %G English %K Industry and Labor %K Health and Medicine %P 94 %X Respirators are used in a variety of workplaces including emergency response, mining operations, construction, manufacturing, and hospitals. In 2001, National Institute of Occupational Safety and Health (NIOSH) and Bureau of Labor Statistics commissioned a nationwide survey of respirator use in the workplace, the results of which were published in the 2003 report Respirator Usage in Private Sector Firms. The purpose of the survey was to evaluate respirator use and practices, including training practices and the value of respirator manufacturer's instruction, in order to help guide NIOSH respirator certification and research. This National Research Council (NRC) report evaluates the survey in terms of several measures such as the adequacy and appropriateness of the survey instrument, the survey methodology, data analysis, and the conclusions drawn from the data. The NRC report finds that the survey was an important first step in collecting respiratory protection data from a probability sample but that several improvements could be made in survey design and analysis. Based on the review of the survey, the NRC report concludes that data on respirator use would be best provided by employers and employees in the context of the work setting. %0 Book %A National Research Council %A Institute of Medicine %T Challenges in Adolescent Health Care: Workshop Report %@ 978-0-309-11269-7 %D 2007 %U https://nap.nationalacademies.org/catalog/12031/challenges-in-adolescent-health-care-workshop-report %> https://nap.nationalacademies.org/catalog/12031/challenges-in-adolescent-health-care-workshop-report %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 90 %X Several positive and negative lifelong behaviors are established during adolescence including diet and exercise, sexual conduct, practices related to oral health, smoking, drinking, and the use if legal and illegal substances. The complex issues that adolescents deal with on a daily basis can turn into health problems that persist throughout adulthood. Unfortunately the adolescents who are frequently the most disconnected from routine health care services - those who lack insurance and family support - are often those at greatest risk for multiple and chronic health problems. Therefore, those that are responsible for delivering health care services to adolescents must address the health conditions that require immediate attention while preparing young people to adopt practices that can help improve their future health status and prevent unhealthy behaviors. Challenges in Adolescent Health Care studies adolescent health care in the United States, highlights critical health care needs, and identifies service models and components of care that may strengthen and improve health care services, settings, and systems for adolescents. The book explores the nature of adolescent challenges and how they reflect larger societal issues such as poverty, crime and the prevalence of violence. These issues, in addition to lack of comprehensive health coverage, dysfunctional families and the lack of support systems, make providing adequate health care incredibly challenging. Challenges in Adolescent Health Care defines high-quality health care, identifies the strengths and weaknesses of various service models and explores various training programs. The book recommends that health care providers must be sensitive to socioeconomic factors and incorporate health care in a broad array of settings including schools, neighborhoods and community centers. %0 Book %A Institute of Medicine %T Hospital-Based Emergency Care: At the Breaking Point %@ 978-0-309-10173-8 %D 2007 %U https://nap.nationalacademies.org/catalog/11621/hospital-based-emergency-care-at-the-breaking-point %> https://nap.nationalacademies.org/catalog/11621/hospital-based-emergency-care-at-the-breaking-point %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 424 %X Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: &#8226 The role and impact of the emergency department within the larger hospital and health care system. &#8226 Patient flow and information technology. &#8226 Workforce issues across multiple disciplines. &#8226 Patient safety and the quality and efficiency of emergency care services. &#8226 Basic, clinical, and health services research relevant to emergency care. &#8226 Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems. %0 Book %A Institute of Medicine %E Oria, Maria %E Sawyer, Kristin %T Joint U.S.-Mexico Workshop on Preventing Obesity in Children and Youth of Mexican Origin: Summary %@ 978-0-309-10325-1 %D 2007 %U https://nap.nationalacademies.org/catalog/11813/joint-us-mexico-workshop-on-preventing-obesity-in-children-and-youth-of-mexican-origin %> https://nap.nationalacademies.org/catalog/11813/joint-us-mexico-workshop-on-preventing-obesity-in-children-and-youth-of-mexican-origin %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 210 %X The Joint U.S.-Mexico Workshop on Preventing Obesity in Children and Youth of Mexican Origin was initiated by a desire to share experiences regarding the problem of obesity in children and youth of Mexican origin on both sides of the border, with a particular focus on potential solutions. U.S and Mexican researchers, public health officials, industry leaders, and policy-makers engaged in valuable dialogue to share perspectives, challenges, and opportunities. Commonalities and differences in the United States and Mexico regarding risk factors, potential interventions and programs, and need for all sectors to collaborate and make progress toward solving this serious public health problem were also discussed. This dialogue served as a basis to explore a bi-national agenda for addressing this epidemic, which was the ultimate goal of the workshop. %0 Book %A Institute of Medicine %E McHugh, Megan %E Slavin, Peter %T Future of Emergency Care: Dissemination Workshop Summaries %@ 978-0-309-10468-5 %D 2007 %U https://nap.nationalacademies.org/catalog/11926/future-of-emergency-care-dissemination-workshop-summaries %> https://nap.nationalacademies.org/catalog/11926/future-of-emergency-care-dissemination-workshop-summaries %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 162 %X In June 2006, the Institute of Medicine (IOM) Committee on the Future of Emergency Care in the U.S. Health System released a series of reports on the state of emergency care. The reports, Emergency Medical Services at the Crossroads; Hospital-Based Emergency Care: At the Breaking Point; and Emergency Care for Children: Growing Pains, identified a number of disturbing problems including overcrowded emergency departments, a lack of coordination among emergency providers, variability in the quality of care provided to patients, workforce shortages, lack of disaster preparedness, a limited research base, and shortcomings in the systems' ability to care for pediatric patients. These problems, while apparent to those who work in the field, are largely hidden from public view, in part because popular fictional television programs frequently depict the emergency care system in fine shape. Despite the lifesaving feats performed every day by emergency departments and ambulance services, the nation's emergency medical system as a whole is overburdened, underfunded, and highly fragmented. The IOM received funding from 14 organizations to conduct a series of dissemination workshops associated with the release of the 2006 reports on the future of emergency care. Three one-day regional dissemination workshops were conducted in Salt Lake City, Utah (September 7, 2006), Chicago, Ilinois (October 27, 2006), and New Orleans, Louisiana (November 2, 2006). Each of the workshops featured focused discussions in two issue areas. The meeting in Salt Lake City focused on pediatric emergency care and care in rural areas; in Chicago it was workforce issues and hospital efficiency; and in New Orleans it was EMS issues and disaster preparedness. A fourth capstone workshop, held in Washington, D.C., provided an opportunity to engage congressional and other federal policy leaders in a discussion of emergency care issue. Future of Emergency Care summarizes the proceedings of the workshops. Each regional workshop began with an overview of the findings and recommendations from the three reports on the future of emergency care. Findings and recommendations from those three reports are also summarized in this report. %0 Book %A Institute of Medicine %E Koplan, Jeffrey P. %E Liverman, Catharyn T. %E Kraak, Vivica I. %E Wisham, Shannon L. %T Progress in Preventing Childhood Obesity: How Do We Measure Up? %@ 978-0-309-10208-7 %D 2007 %U https://nap.nationalacademies.org/catalog/11722/progress-in-preventing-childhood-obesity-how-do-we-measure-up %> https://nap.nationalacademies.org/catalog/11722/progress-in-preventing-childhood-obesity-how-do-we-measure-up %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 494 %X The remarkable increase in the prevalence of obesity among children and youth in the United States over a relatively short timespan represents one of the defining public health challenges of the 21st century. The country is beginning to recognize childhood obesity as a major public health epidemic that will incur substantial costs to the nation. However, the current level of investment by the public and private sectors still does not match the extent of the problem. There is a substantial underinvestment of resources to adequately address the scope of this obesity crisis. At this early phase in addressing the epidemic, actions have begun on a number of levels to improve the dietary patterns and to increase the physical activity levels of young people. Schools, corporations, youth-related organizations, families, communities, foundations, and government agencies are working to implement a variety of policy changes, new programs, and other interventions. These efforts, however, generally remain fragmented and small in scale. Moreover, the lack of systematic monitoring and evaluation of interventions have hindered the development of an evidence base to identify, apply, and disseminate lessons learned and to support promising efforts to prevent childhood obesity. Progress in Preventing Childhood Obesity: How Do We Measure Up? examines the progress made by obesity prevention initiatives in the United States from 2004 to 2006. This book emphasizes a call to action for key stakeholders and sectors to commit to and demonstrate leadership in childhood obesity prevention, evaluates all policies and programs, monitors their progress, and encourages stakeholders to widely disseminate promising practices. This book will be of interest to federal, state, and local government agencies; educators and schools; public health and health care professionals; private-sector companies and industry trade groups; media; parents; and those involved in implementing community-based programs and consumer advocacy. %0 Book %A Institute of Medicine %E Olsen, LeighAnne %E Aisner, Dara %E McGinnis, J. Michael %T The Learning Healthcare System: Workshop Summary %@ 978-0-309-10300-8 %D 2007 %U https://nap.nationalacademies.org/catalog/11903/the-learning-healthcare-system-workshop-summary %> https://nap.nationalacademies.org/catalog/11903/the-learning-healthcare-system-workshop-summary %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 374 %X As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence--from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement--and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.