In an ever more crowded clinical trial landscape with trial activity on the increase  but trial performance dropping, finding the right patients to recruit as trial  participants is becoming a major challenge, and one which many trial sites do  not master, ultimately putting the trial success at risk.For research sites and trial sponsors alike, patient  recruitment is an activity that demands high resource  commitments with an uncertain return. Much effort goes into improving participant  enrollment and retention rates, but a new approach is clearly needed.This white paper sets out to investigate the current trial  landscape as well as the barriers to patient enrollment  and to lay out a technology-enabled approach to study  feasibility and patient identification which promises to  provide a fast and effective way of identifying the pool  of eligible patients for primary care, specialty, and rare disease trials.