Nature Medicine

PRIMARY-AI: outcomes-based standards to safeguard primary care in the AI era

2/28/2026 Source: Nature Medicine

Summary

Zeng D()(1), Car LT()(2)(3), Khunti K(4), Liu Y(5), Bärnighausen T(6)(7)(8), Chavannes NH(9), Keane PA(10)(11)(12), Kunz H(3)(13), Xue L(14), Sung JJY(15), Tham YC(16)(17)(18), Righetto L(19), Sarker R(20), Wong SYS(21), Boudreau D(22), Dai Q(23)(24)(25)(26), Jia W(27), Liu Y(28)(29), Shen D(30)(31)(32), Liu J(33), Shen W(34), Ji JS(35), Wang Z(36)(37)(38), Wang Z(37), Wang H(39), Tang S(40)(41)(42)(43), Pei C(5)(6), Jiang Z(1), Zou Z(44), Qin Y(1), Li H(27), Wang Y(45), Gunasekeran DV(46)

Content

# PRIMARY-AI: outcomes-based standards to safeguard primary care in the AI era *Published: 2026 Mar* Zeng D(#)(1), Car LT(#)(2)(3), Khunti K(4), Liu Y(5), Bärnighausen T(6)(7)(8), Chavannes NH(9), Keane PA(10)(11)(12), Kunz H(3)(13), Xue L(14), Sung JJY(15), Tham YC(16)(17)(18), Righetto L(19), Sarker R(20), Wong SYS(21), Boudreau D(22), Dai Q(23)(24)(25)(26), Jia W(27), Liu Y(28)(29), Shen D(30)(31)(32), Liu J(33), Shen W(34), Ji JS(35), Wang Z(36)(37)(38), Wang Z(37), Wang H(39), Tang S(40)(41)(42)(43), Pei C(5)(6), Jiang Z(1), Zou Z(44), Qin Y(1), Li H(27), Wang Y(45), Gunasekeran DV(46)(47)(48), Wong S(15)(49), Xu D(50)(51)(52), Urbanowicz R(53), Laranjo L(54), Neves AL(3)(55), Liu N(56), He Y(57), Le PV(58)(59), Bressler N(60), Atun R(61)(62)(63), Klonoff DC(64), Sheng B(65)(66), Shah N(67)(68)(69), Car J(70), Wong TY(71)(72)(73)(74). DOI: 10.1038/s41591-025-04178-5