Seid M, Margolis P, Opipari-Arrigan L (2014). Engagement, Peer Production, and the Learning Healthcare System.  Future of Health Technology's Future of Child Health Summit at the MIT Faculty club 168(3), pg. 201.

Physicians deliver about half of indicated care, and patients do about half of what it takes to stay healthy, despite the best intentions and tireless efforts of both physicians and patients.  The learning healthcare system (LHS) has been proposed as a solution.

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