A recommendation system and method includes extracting patient features for a current patient to generate representation of the current patient. The patient features for the current patient are compared to physician features of one or more physicians and patient-to-physician features of a group of patients from medically related records. Outcome measures associated with physicians are compared related to a current query. A future outcome for patient, physician pairs are predicted for the current patient based upon at least one predictive model constructed from the features and outcome measures to output.