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Resuscitating Primary Care: A Triad of Patient, Clinician, and AI Coach

THOMAS BODENHEIMER, MD, MPH
LIZ SALMI, AS
DAVE DEBRONKART, SB
TOM DELBANCO, MD

FPM. 2026;33(2):5-6.

Author disclosures: Liz Salmi has received a grant from Abridge AI, Inc. No other relevant financial relationships.

The answer to physician burnout and patient access could lie in using technology to augment the traditional doctor-patient relationship.

Dr. Bodenheimer is adjunct professor of Family and Community Medicine at the University of California-San Francisco School of Medicine and spent 32 years in primary care practice.

Liz Salmi is director of communications and patient initiatives for OpenNotes, an academic lab studying patient-clinician communication at Beth Israel Deaconess Medical Center.

Dave deBronkart is a patient advocate and international speaker on health care and health IT issues.

Dr. Delbanco is co-founder of OpenNotes and John F. Keane & Family Professor of Medicine at Harvard Medical School and Beth Israel Deaconess Medical Center.

Author disclosures: Liz Salmi has received a grant from Abridge AI, Inc. No other relevant financial relationships.

  1. 1.The Health of U.S. Primary Care: 2025 Scorecard Report — The Cost of Neglect. Milbank Memorial Fund. Feb. 18, 2025. Accessed Feb. 4, 2026. https://www.milbank.org/publications/the-health-of-us-primary-care-2025-scorecard-report-the-cost-of-neglect/
  2. 2.Finger on the Pulse: The State of Primary Care in the U.S. and Nine Other Countries. The Commonwealth Fund. March 28, 2024. Accessed Feb. 4, 2026. https://www.commonwealthfund.org/publications/issue-briefs/2024/mar/finger-on-pulse-primary-care-us-nine-countries
  3. 3.National Academies of Sciences, Engineering, and Medicine. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. The National Academies Press; 2021.
  4. 4.Delbanco S, Delbanco T. Technology and transparency: empowering patients and clinicians to improve health care value. Ann Intern Med. 2018;168(8):585-586.
  5. 5.Barr PJ, Gramling R, Vosoughi S. Preparing for the widespread adoption of clinic visit recording. N Engl J Med AI. 2024;1(11).
  6. 6.Dzuali F, Seiger K, Novoa R, et al. ChatGPT may improve access to language-concordant care for patients with non–English language preferences. JMIR Med Educ. 2024;10:e51435.
  7. 7.Mafi JN, Gerard M, Chimowitz H, et al. Patients contributing to their doctors' notes: insights from expert interviews. Ann Intern Med. 2018;168(4):302-305.
  8. 8.Jeffries E. Can AI fix primary care? Mass General Brigham thinks so. Becker's Health IT. Sept. 16, 2025. Accessed Feb. 4, 2026. https://www.beckershospitalreview.com/healthcare-information-technology/ai/can-aifix-primary-care-mass-general-brigham-thinks-so/
  9. 9.Heath S. Amazon One Medical unveils Health AI assistant for patients. Jan. 21, 2026. Accessed Feb. 3, 2026. https://www.techtarget.com/patientengagement/news/366637543/Amazon-One-Medical-unveils-Health-AI-assistant-for-patients
  10. 10.Hanna K. Assembling your AI toolkit in family medicine. Fam Pract Manag. 2025;32(6):27-31.
  11. 11.Huang CJ, Drazen JM. Artificial intelligence and machine learning in clinical medicine, 2023. N Engl J Med. 2023;388(13):1201-1208.

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