Although not everything on the Choosing Wisely lists is likely to reduce low-value care, it is a good starting point for a conversation about curtailing low-value interventions.
For patients to adopt personal health records, they must be convinced of the value the technology has for them. Framing that value in a way that actively engages patients as collaborators in their health care management will not only empower the individual but improve patient-clinician relationships overall.
“Don’t Ask, Don’t Tell” has infringed on the trust between patient and physician. When it is repealed, physicians will have to invite confidences from patients who have long been unable to give them.