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matt.might.net

Matt Might · by 14 Feb 2015

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  1. To operate at the desired scale and at the desired cost per participant, the large national cohort must switch from a "pull" model of medical research to a "push" model of medical research, and it must reimagine participant engagement.
  2. I now accept that a federated model of distributed, heterogeneous EHRs is the only feasible model for the cohort in the near term.
  3. However, I think this aspect of the project will have limited success unless children are included in the cohort. The grim actuarial reality of rare disease is that many who suffer are children.

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