Women S Health Research Progress Pitfalls and Promise 1st Edition Institute of Medicine PDF Download
Women S Health Research Progress Pitfalls and Promise 1st Edition Institute of Medicine PDF Download
https://ebookfinal.com/download/women-s-health-research-progress-
pitfalls-and-promise-1st-edition-institute-of-medicine/
★★★★★
4.7 out of 5.0 (16 reviews )
DOWNLOAD PDF
ebookfinal.com
Women s Health Research Progress Pitfalls and Promise 1st
Edition Institute Of Medicine Pdf Download
EBOOK
Available Formats
Women's Health Research : Progress, Pitfalls, and Promise, National Academies Press, 2010. ProQuest Ebook Central,
THE NATIONAL ACADEMIES PRESS 500 Fifth Street NW Washington, DC 20001
NOTICE: The project that is the subject of this report was approved by the Governing Board
of the National Research Council, whose members are drawn from the councils of the National
Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The
members of the committee responsible for the report were chosen for their special competences
and with regard for appropriate balance.
This study was supported by Contract HHSP23320042509XI, TO# HHSP2332080003T, be-
tween the National Academy of Sciences and the Department of Health and Human Services.
Any opinions, findings, conclusions, or recommendations expressed in this publication are
those of the authors and do not necessarily reflect the view of the organizations or agencies that
provided support for this project.
Library of Congress Cataloging-in-Publication Data
Institute of Medicine (U.S.). Committee on Women’s Health Research.
Women’s health research : progress, pitfalls, and promise / Committee on Women’s Health
Research, Board on Population Health and Public Health Practice.
p. ; cm.
Includes bibliographical references.
ISBN 978-0-309-15389-8 (Book) — ISBN 978-0-309-15390-4 (PDF) 1. Women—Health
and hygiene—Research. I. Title.
[DNLM: 1. Women’s Health—United States—Guideline. 2. Clinical Trials as Topic—
United States—Guideline. 3. Health Services Research—methods—United States—
Guideline. 4. Health Status—United States—Guideline. WA 309 AA1]
RA564.85.I565 2010
362.1082—dc22
2010040695
Additional copies of this report are available from the National Academies Press, 500 Fifth
Street NW, Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the
Washington metropolitan area); Internet, http://www.nap.edu.
For more information about the Institute of Medicine, visit the IOM home page at: www.iom.
edu.
Copyright 2010 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America
Copyright © 2010. National Academies Press. All rights reserved.
The serpent has been a symbol of long life, healing, and knowledge among almost all cultures
and religions since the beginning of recorded history. The serpent adopted as a logotype by
the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche
Museen in Berlin.
Cover credit: Cover painting is reprinted with permission from the artist, Alberto Schunk.
Suggested citation: IOM (Institute of Medicine). 2010. Women’s Health Research: Progress,
Pitfalls, and Promise. Washington, DC: The National Academies Press.
Women's Health Research : Progress, Pitfalls, and Promise, National Academies Press, 2010. ProQuest Ebook Central,
“Knowing is not enough; we must apply.
Willing is not enough; we must do.”
—Goethe
Copyright © 2010. National Academies Press. All rights reserved.
Women's Health Research : Progress, Pitfalls, and Promise, National Academies Press, 2010. ProQuest Ebook Central,
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of
distinguished scholars engaged in scientific and engineering research, dedicated to the
furtherance of science and technology and to their use for the general welfare. Upon the
authority of the charter granted to it by the Congress in 1863, the Academy has a mandate
that requires it to advise the federal government on scientific and technical matters. Dr.
Ralph J. Cicerone is president of the National Academy of Sciences.
The National Academy of Engineering was established in 1964, under the charter of
the National Academy of Sciences, as a parallel organization of outstanding engineers.
It is autonomous in its administration and in the selection of its members, sharing with
the National Academy of Sciences the responsibility for advising the federal government.
The National Academy of Engineering also sponsors engineering programs aimed at
meeting national needs, encourages education and research, and recognizes the superior
achievements of engineers. Dr. Charles M. Vest is president of the National Academy of
Engineering.
The Institute of Medicine was established in 1970 by the National Academy of Sciences
to secure the services of eminent members of appropriate professions in the examina-
tion of policy matters pertaining to the health of the public. The Institute acts under the
responsibility given to the National Academy of Sciences by its congressional charter to
be an adviser to the federal government and, upon its own initiative, to identify issues of
medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute
of Medicine.
The National Research Council was organized by the National Academy of Sciences in
1916 to associate the broad community of science and technology with the Academy’s
purposes of furthering knowledge and advising the federal government. Functioning in
accordance with general policies determined by the Academy, the Council has become
the principal operating agency of both the National Academy of Sciences and the Na-
Copyright © 2010. National Academies Press. All rights reserved.
tional Academy of Engineering in providing services to the government, the public, and
the scientific and engineering communities. The Council is administered jointly by both
Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. Charles M. Vest
are chair and vice chair, respectively, of the National Research Council.
www.national-academies.org
Women's Health Research : Progress, Pitfalls, and Promise, National Academies Press, 2010. ProQuest Ebook Central,
COMMITTEE ON WOMEN’S HEALTH RESEARCH
NANCY E. ADLER, Ph.D. (Chair), Professor of Medical Psychology,
Director, Center for Health and Community, University of California, San
Francisco
ELI Y. ADASHI, M.D., M.S., FACOG, Professor of Medical Science, The
Warren Alpert Medical School, Division of Biology and Medicine, Brown
University, Providence, RI
SERGIO AGUILAR-GAXIOLA, M.D., Ph.D., Director, Center for Reducing
Health Disparities, and Professor of Internal Medicine, School of
Medicine, University of California, Davis
HORTENSIA AMARO, Ph.D., Associate Dean and Distinguished Professor,
Bouvé College of Health Sciences, and Director, Institute on Urban Health
Research, Northeastern University, Boston, MA
MARIETTA ANTHONY, Ph.D., Associate Director, Women’s Health
Programs, Arizona Center for Education and Research on Therapeutics,
and Director, Women’s Health Critical Path Institute, Rockville, MD
DIANE R. BROWN, Ph.D., Executive Director, Institute for the Elimination
of Health Disparities, University of Medicine and Dentistry of New Jersey,
School of Public Health, Newark
NANANDA COL, M.D., M.P.P., M.P.H., FACP, Director, Center for
Outcomes Research and Evaluation, Maine Medical Center, Portland
SUSAN CU-UVIN, M.D., Professor of Obstetrics and Gynecology and
Medicine Director, The Immunology Center, The Miriam Hospital, Brown
University, Providence, RI
DENISE L. FAUSTMAN, M.D., Ph.D., Director, Immunology Laboratory,
Massachusetts General Hospital, and Associate Professor of Medicine,
Harvard Medical School, Boston, MA
JOHN R. FINNEGAN, Ph.D., M.A., Professor and Dean, School of Public
Health, University of Minnesota, Minneapolis
WILLIAM R. HAZZARD, M.D., Professor of Medicine, Division of
Copyright © 2010. National Academies Press. All rights reserved.
Women's Health Research : Progress, Pitfalls, and Promise, National Academies Press, 2010. ProQuest Ebook Central,
HERBERT PETERSON, M.D., Professor and Chair, Department of Maternal
and Child Health, Gillings School of Global Public Health, University of
North Carolina, Chapel Hill
ETTA D. PISANO, M.D., Kenan Professor of Radiology and Biomedical
Engineering, Director, Biomedical Research Imaging Center, Vice Dean
for Academic Affairs, and Director of the North Carolina Translational
Research Center, University of North Carolina School of Medicine, Chapel
Hill (until June 30, 2010); Vice President for Medical Affairs and Dean,
College of Medicine, Medical University of South Carolina, Charleston
(after July 1, 2010)
ALINA SALGANICOFF, Ph.D., Vice President and Director, Women’s
Health Policy and KaiserEDU.org, Kaiser Family Foundation,
Menlo Park, CA
LINDA G. SNETSELAAR, R.D., Ph.D., L.D., Endowed Chair, Associate
Head for Admissions and Curriculum, and Professor in the Department of
Epidemiology, College of Public Health, University of Iowa, Iowa City
Study Staff
MICHELLE C. CATLIN, Ph.D., Study Director
MORGAN A. FORD, Program Officer (until October 2009)
JENNIFER A. COHEN, Program Officer (from June 2010)
ALEJANDRA MARTÍN, Research Assistant (from April 2010)
KATHLEEN McGRAW, Senior Program Assistant
NORMAN GROSSBLATT, Senior Editor
REBEKAH E. GEE, M.D., M.P.H., Norman F. Gant/American Board of
Obstetrics and Gynecology IOM Anniversary Fellow (from November
2009)
ROSE MARIE MARTINEZ, Sc.D., Director, Board on Population Health and
Public Health Practice
Copyright © 2010. National Academies Press. All rights reserved.
vi
Women's Health Research : Progress, Pitfalls, and Promise, National Academies Press, 2010. ProQuest Ebook Central,
Reviewers
This report has been reviewed in draft form by persons chosen for their
diverse perspectives and technical expertise in accordance with procedures ap-
proved by the National Research Council’s Report Review Committee. The pur-
pose of this independent review is to provide candid and critical comments that
will assist the institution in making its published report as sound as possible and
to ensure that the report meets institutional standards of objectivity, evidence, and
responsiveness to the study charge. The review comments and draft manuscript
remain confidential to protect the integrity of the deliberative process. We thank
the following for their review of this report:
vii
Women's Health Research : Progress, Pitfalls, and Promise, National Academies Press, 2010. ProQuest Ebook Central,
viii REVIEWERS
Although the reviewers listed above have provided many constructive com-
ments and suggestions, they were not asked to endorse the conclusions or rec-
ommendations, nor did they see the final draft of the report before its release.
The review of the report was overseen by Ellen Wright Clayton, Vanderbilt
University, and Georges C. Benjamin, American Public Health Association. Ap-
pointed by the National Research Council and Institute of Medicine, they were
Copyright © 2010. National Academies Press. All rights reserved.
responsible for making certain that an independent examination of the report was
carried out in accordance with institutional procedures and that all review com-
ments were carefully considered. Responsibility for the final content of the report
rests entirely with the authoring committee and the institution.
Women's Health Research : Progress, Pitfalls, and Promise, National Academies Press, 2010. ProQuest Ebook Central,
Preface
health, but our understanding of women’s health itself has become more multifac-
eted and nuanced. The concept of women’s health has expanded beyond a narrow
focus on disorders associated with the female reproductive system to encompass
other diseases that create a significant burden in women’s lives. These diseases
are more common or more serious in women than in men, have distinct causes or
manifestations in women than in men, have different outcomes or treatments in
women than in men, or cause high morbidity or mortality in women.
This broader approach to women’s health and related research moves toward
a woman-centered view rather than a disease-centered view. It highlights the
importance of considering quality of life rather than simply survival or mortal-
ity in evaluating the success of treatments and interventions. It has also revealed
the inequities in the extent of disease among women from different sociodemo-
ix
Women's Health Research : Progress, Pitfalls, and Promise, National Academies Press, 2010. ProQuest Ebook Central,
PREFACE
graphic groups, and of the uneven distribution of benefit from research advances
and new treatments. Research has also broadened to include studies that take into
account not only biological sex as a determinant of disease, but also gender; this
expanded view encompasses and highlights the importance of social, psychologi-
cal and behavioral influences.
The substantial progress in our understanding of the range of determinants
of women’s health has, in many cases, been translated into better treatments and
decreases in incidence and prevalence of some conditions; these are reviewed
in this report. In a few instances, there were breakthroughs that the committee
considered to be “game-changers,” but in most cases there were smaller advances
that followed from an accumulation of knowledge from a range of different types
of studies.
While impressed by the progress that has occurred, the committee was also
distressed by the number of pitfalls, particularly in the translation of findings into
practice and policy, and in the health disparities among women. Some of these
pitfalls derive from problems in the current organization of research (for example,
institutes within the National Institutes of Health [NIH] that are primarily focused
on specific diseases) and of health care (for example, fragmentation of care,
misalignment of financial incentives). Others reside in the many problems of the
health delivery system; it is yet too soon to know how well the just-passed reform
bill will address these in general or in relation to women’s health.
Other challenges arise in the clear communication of complex research
findings in a media context that thrives on sound bites and controversy. Because
these problems have been the focus of many Institute of Medicine (IOM) reports
and are not specific to women’s health, we only acknowledge them briefly in the
report.
The committee ended its work feeling hopeful about the promise of future
improvements in the health of women. Some of the changes at NIH (for example,
the focus on translational research and cross-institute initiatives) should be par-
ticularly helpful for women’s health. There is accumulating knowledge of the
broad set of determinants of women’s health, including data on their risk factors,
Copyright © 2010. National Academies Press. All rights reserved.
Women's Health Research : Progress, Pitfalls, and Promise, National Academies Press, 2010. ProQuest Ebook Central,
Other documents randomly have
different content
Veterinary - Practice Problems
Spring 2023 - University
Our website is not just a platform for buying books, but a bridge
connecting readers to the timeless values of culture and wisdom. With
an elegant, user-friendly interface and an intelligent search system,
we are committed to providing a quick and convenient shopping
experience. Additionally, our special promotions and home delivery
services ensure that you save time and fully enjoy the joy of reading.
ebookfinal.com