Enhancing the Vitality of the National Institutes of Health: Organizational Change to Meet New Challenges

Front Cover

The report says that important organizational changes are needed at the National Institutes of Health to ensure the agency meets future challenges effectively. In particular, the report advises NIH to devote additional resources to innovative interdisciplinary research that reflects its strategic objectives and cuts across all agency's institutes and centers. The report recommends that Congress should establish a formal process for determining how specific proposals for changes in the number of NIH agencies and centers should be addressed.

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Contents

Executive Summary
1
1 Introduction
17
2 The Evolution of NIHs Organizational Structure
33
The Changing Nature of Biomedical Science
51
4 The Organizational Structure of the National Institutes of Health
67
5 Enhancing NIHs Ability to Respond to New Challenges
83
6 Accountability Administration and Leadership
103
7 Putting Principles into Practice
121
References
129
Appendixes
135
APPENDIX B Acronyms and Abbreviations
139
APPENDIX C Committee Member Biographies
143
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