Evidence for doctors
Supported nurses, reviewed by you
The research behind a doctor-led network: what nurses achieve with decision support and a doctor’s review, and what it gives back to you.
Grow your reach without another facility
Nurses do excellent work when they have clinical decision support and a doctor reviewing their cases remotely. With PRIME, that doctor is you: you extend your practice into the pharmacies, clinics and retirement homes around you, with every case under your review, and without the cost, risk and admin of another facility or more staff.
PRIME’s own results
- 9/10times, the reviewing doctor agrees with the diagnosis the nurse made with PRIME
- 1,900+doctor-reviewed consultations so far
- 96%scribe accuracy on South African words
The research
What the studies show
- Market · 2026
Telehealth is growing fast
South Africa's telemedicine market is projected to grow about 20% a year from 2026 to 2034, to more than five times its 2025 size. PRIME is how you take part safely: guideline-driven, checked for emergencies, and reviewed by a doctor.
IMARC Group, 2026 - Primary care · 2018
Nurses as substitutes for doctors in primary care
A Cochrane review of 18 trials: care from nurses probably gives similar or better health outcomes than care from doctors, and patients are probably slightly more satisfied.
Laurant et al., Cochrane Database of Systematic Reviews, 2018 - South Africa · 2012
Nurse-started HIV treatment in 31 clinics
Across 31 South African primary care clinics and more than 15,000 patients, trained and supported nurses started HIV treatment with survival and viral suppression no worse than when doctors did.
Fairall et al., The Lancet, 2012 - Decision support · 2020
Clinical decision support improves care
Across 122 trials and more than 1.2 million patients, computer decision support increased the share of patients getting the recommended care, with small to moderate gains.
Kwan et al., BMJ, 2020 - Your time · 2016
Two hours of desk work for every hour with patients
In a time and motion study of US doctors in four specialties, nearly 2 hours went to electronic records and desk work for every hour of direct time with patients.
Sinsky et al., Annals of Internal Medicine, 2016 - AI scribes · 2025
Ambient scribes and the documentation burden
In a study of 46 clinicians across 17 specialties, an ambient AI scribe was linked to 20% less time on notes per appointment and 30% less after-hours work.
Duggan et al., JAMA Network Open, 2025
Regulation
Built to South African standards
PRIME was developed according to the guidance South Africa's health regulators have issued on artificial intelligence in medicine. These are the documents we work to:
- HPCSABooklet 20: Ethical guidelines on the use of artificial intelligence (2025)
How registered practitioners may use AI ethically: the practitioner stays responsible for every decision, the patient's privacy and consent come first, and AI supports clinical judgement but never replaces it.
- HPCSABooklet 10: General ethical guidelines for good practice in telehealth
How a doctor may review and treat a patient at a distance, as PRIME's reviewing doctors do, to the same standard as an in-person visit.
- SAHPRACommunication to Industry MD08 (2025/2026): AI and machine learning-enabled medical devices
The South African Health Products Regulatory Authority's guiding principles for AI in medical software: local validation, safety, transparency and ongoing monitoring.
By invitation
Get a quote for your practice
Tell us about your practice and the area you serve, and we will be in touch.
By invitation · HPCSA-registered doctors · Questions? Talk to us