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Using AI scribes in New Zealand primary care consultations: an exploratory survey
Angela Ballantyne1,2, Rochelle Style3, Maria Stubbe1
1Department of Primary Health Care and General Practice, University of Otago, Wellington, Aotearoa New Zealand.
Journal of Primary Health Care
|October 24, 2025
Summary
AI scribes are rapidly adopted in New Zealand primary care, offering benefits like reduced multitasking and improved patient rapport. However, significant concerns exist regarding legal compliance, data security, and ethical use, necessitating clearer guidance for healthcare providers.
Area of Science:
- Medical Informatics
- Health Services Research
- Digital Health
Background:
- Artificial Intelligence (AI) scribes are increasingly utilized in New Zealand (NZ) primary care settings.
- The rapid adoption necessitates a thorough evaluation of both the advantages and potential risks associated with this technology.
Purpose of the Study:
- To capture a snapshot of AI scribe usage in NZ primary care for clinical note generation.
- To understand healthcare provider experiences, perceived benefits, and concerns.
- To identify ethical and legal issues for future research and policy.
Main Methods:
- An anonymous online survey was distributed to General Practitioners (GPs) and health providers in NZ primary care.
- The survey focused on experiences with AI scribe tools between February and March 2024.
Main Results:
- Out of 197 respondents, 40% had experience with AI scribes, predominantly GPs (88%).
- Reported benefits included reduced multitasking (46), time savings (43), and improved clinician-patient rapport (43).
- Key concerns involved legal/ethical compliance (108), data security (98), errors (93), and data residency (91). Only 66% reviewed terms, and 59% sought patient consent.
Conclusions:
- AI scribes show high adoption and perceived helpfulness (80%) in NZ primary care, impacting consultation dynamics (56%).
- Critical unresolved issues include legal/ethical oversight, patient consent, data security, and effects on clinician-patient interactions.
- Clearer regulatory guidance and support are essential for the safe, ethical, and legal implementation of AI scribe tools in healthcare.
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