Thank you all for your comments thus far. From this conversation, I've gained insight into how practitioners, health systems, and policymakers can work towards achieving high value care by addressing practice patterns, workplace culture, institutional leadership and payment systems.
What do you see as the role of the patient in advocating for high value care? Sometimes patients may be intimidated to question a physician's judgment. Based on your experience, what advice would you give trainees who want to empower their patients to ask questions and push back on their clinical decisions?