1. The best colorectal cancer screening test is the one that gets done (May 21)
Not only does screening colonoscopy cost a lot more money, it hasn't been shown to be more effective than flexible sigmoidoscopy. In fact, screening colonoscopy has never even been tested in a randomized trial, and may never be.
2. Changing unhealthy habits requires changing environments (June 4)
Strategies to stabilize, and eventually, reverse, national obesity rates will need to change obesity-promoting environments on the individual and community levels.
3. How would you rate your health care team? (June 7)
One way for physicians to meet the health care needs of a burgeoning and increasingly complex patient population is to delegate many of their traditional responsibilities - such as patient education, lifestyle counseling, medication titration, and medication-adherence counseling - to other health professionals.
4. Lung cancer screening: understanding "relative risk" (August 15)
To make a fully informed medical decision, whenever a doctor says, "Test X will reduce your risk of disease X (or death from disease X) by 20 percent," patients should always ask, "20 percent of what"?
5. Welcoming health centers to the medical neighborhood (August 22)
Hospitals and large specialty practices have financial and material resources, while community health centers have the experience and know-how to manage care for high-risk patients with chronic conditions who generate a disproportionate share of health care costs.
6. In health care, little details make all the difference (December 4)
People are fallible, but health systems need not be. Despite the staggering complexity involved in flying passenger jets and constructing skyscrapers, commercial airline accidents are rare and building collapses even rarer. (So it should be in health care, also.)
