I wonder if the fact that so many were still be written in longhand had any influence here? So much of healthcare is still a low 
tech business and it takes a lot more time to scan, transcript, etc. paper records versus entering information on the computer or doing a data transfer. BD
Most studies that are submitted to the FDA never make it into the medical journals that doctors consult to evaluate drugs’ overall safety and effectiveness, a study found.
Researchers looked at medicines approved between 1998 and 2000, and found that 394 out of a total of 909 studies submitted to FDA were published (they cut off their search at five years after approval).
http://blogs.wsj.com/health/2008/09/23/most-drug-studies-remain-unpublished/
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