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Health literacy is the degree to which individuals can obtain,
process, and understand the basic health information and services
they need to make appropriate health decisions. Nearly half of all
American adults - 90 million people - have inadequate health
literacy to navigate the health care system. Implications of Health
Literacy for Public Health is the summary of a workshop convened by
the Institute of Medicine Roundtable on Health Literacy in November
2013 that focused on the implications of health literacy for the
mission and essential services of public health. The workshop
featured the presentation of a commissioned paper on health
literacy activities under way in public health organizations. Other
presentations examined the implications of health literacy for the
mission and essential services of public health, for example,
community health and safety, disease prevention, disaster
management, or health communication. This report includes the
commissioned paper and summaries of the workshop presentations.
Only more recently has it been realized that the intense effort to
care for and cure a child with cancer does not end with survival.
Continued surveillance and a variety of interventions may, in many
cases, be needed to identify and care for consequences of treatment
that can appear early or only after several decades and impair
survivors' health and quality of life. The more than two-thirds of
childhood cancer survivors who experience late effects-that is,
complications, disabilities, or adverse outcomes-as a result of
their disease, its treatment, or both, are the focus of this report
which outlines a comprehensive policy agenda that links improved
health care delivery and follow-up, investments in education and
training for health care providers, and expanded research to
improve the long-term outlook for this growing population now
exceeding 270,000 Americans. Table of Contents Front Matter Summary
1. Introduction 2. The Epidemiology of Childhood Cancer 3. The
Trajectory of Childhood Cancer Care 4. Late Effects of Childhood
Cancer 5. Delivering Survivorship Care 6. Assuring Appropriate
Educational Support Services 7. Employment, Insurance, and Economic
Issues 8. Research Issues 9. Findings and Recommendations
Interpreting the Volume-Outcome Relationship in the Context of
Cancer Care is a summary of a workshop held on May 11, 2000, which
brought together experts to review evidence of the relationship
between volume of services and health-related outcomes for cancer
and other conditions, discuss methodological issues related to the
interpretation of the association between volume and outcome,
assess the applicability of volume as an indicator of quality of
care; and identify research needed to better understand the
volume--outcome relationship and its application to quality
improvement.
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