Perspectives
NAM Perspectives are expert commentaries and discussion papers by leading voices in health and health care.
Browse our latest Perspectives below.
Data Acquisition, Curation, and Use For a Continuously Learning Health System: A Vital Direction for Health and Health Care
Increased sharing of health data among all stakeholders in the health system—from patients and advocates to health professionals and medical researchers—is essential for creating a learning health system. Such a system would leverage health data from a variety ...
Authors: Harlan M. Krumholz, Philip E. Bourne, Richard E. Kuntz, Harold L. Paz, Sharon F. Terry, and Joanne Waldstreicher
Tags: Continuously Learning Health System, Data Sharing, Health Data, Health IT, Vital Directions
September 19, 2016
Improving Access to Effective Care for People Who Have Mental Health and Substance Use Disorders: A Vital Direction for Health and Health Care
Mental health and substance use disorders affect people of all ages and demographics and are extremely burdensome to society. At least 18.1% of American adults experience some form of mental disorder, 8.4% have a substance use disorder, and about 3% experience ...
Authors: James Knickman, K. Ranga Rama Krishnan, Harold A. Pincus, Carlos Blanco, Dan G. Blazer, Molly J. Coye, John H. Krystal, Scott L. Rauch, Gregory E. Simon, and Benedetto Vitiello
Tags: Mental Health, Substance Abuse and Mental Health, Vital Directions
September 19, 2016
Innovation in Development, Regulatory Review, and Use of Clinical Advances: A Vital Direction for Health and Health Care
This paper describes issues and challenges in inventing and regulating new medicines, vaccines, and devices and in integrating these advances into clinical practices as rapidly as appropriate and possible. It describes the landscape of discovery and invention, ...
Authors: Michael Rosenblatt, Christopher P. Austin, Marc Boutin, William W. Chin, Steven K. Galson, Amgen; Sachin H. Jain, Michelle McMurry-Heath, Samuel R. Nussbaum, John Orloff, Steven E. Weinberger, and Janet Woodcock
Tags: Biotechnology, Drug Discovery and Development, Pharmaceuticals, Regulation, Vital Directions
September 19, 2016
Addressing Social Determinants of Health and Health Disparities: A Vital Direction for Health and Health Care
Despite the powerful effects of social and behavioral factors on health, development, and longevity, U.S. health policy has largely ignored them. The United States spends far more money per capita on medical services than do other nations, while spending less ...
Authors: Nancy E. Adler, David M. Cutler, Jonathan E. Fielding, Sandro Galea, M. Maria Glymour, Howard K. Koh, and David Satcher
Tags: Population Health, Select Populations and Health Disparities, social determinants of health, Vital Directions
September 19, 2016
The Democratization of Health Care: A Vital Direction for Health and Health Care
The US health-care delivery system is in the midst of a transformation. For generations, it was rooted in a transactional, fee-for-service ethos that rewarded mainly interventions to treat individuals for diseases. Today, it aims to emphasize improvement in an ...
Authors: Paul C. Tang, Mark D. Smith, Julia Adler-Milstein, Tom Delbanco, Stephen J. Downs, Giridhar G. Mallya, Debra L. Ness, Ruth M. Parker, Danny Z. Sands
Tags: Community Health, Health Care, health literacy, Population Health, Vital Directions
September 19, 2016
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