Horizon scan 2035: Digital health and the future of general practice

BACKGROUND: Digital health has become core clinical infrastructure in Australian general practice. Artificial intelligence (AI), genomics and simulation technologies are converging with workforce, demographic and equity pressures to reshape care delivery. OBJECTIVE: To describe key digital technologies likely to shape general practice to 2035. To identify system shifts needed for safe and equitable integration. To outline 'no regrets' actions. DISCUSSION: General practice is moving from episodic to continuous data-enabled care supported by AI, genomics, digital twins and wellness technologies. These tools promise more personalised and preventive care but risk widening inequity and creating new governance, accountability and cyber-security challenges. Investment in digital and genomic literacy, interoperable infrastructure, ethical governance and equity-by-design is essential to maintain trust and professional standards.