One of the biggest challenges facing Bangladesh’s healthcare sector is the limited capacity to identify health risks before they become serious medical problems. Most people seek medical attention only after their illnesses reach a critical stage. As a result, patients face higher treatment costs, while hospitals and specialist doctors experience increasing pressure.The foundation of an effective healthcare system should be preventive and primary healthcare. However, Bangladesh’s healthcare system has historically placed greater emphasis on hospital-based treatment. Although healthcare structures exist at the district and upazila levels, many people still travel to major cities in search of advanced medical care.In this context, artificial intelligence (AI) and digital technology-based healthcare services have created new possibilities. Initiatives like the Intelligent General Practitioner (iGP) model demonstrate how technology can help deliver primary healthcare services more efficiently and closer to people’s communities.The core idea of this model is to focus more on disease prevention rather than treatment after illness occurs. By regularly collecting, analysing and monitoring an individual’s health information, it is possible to identify risks of hypertension, diabetes, heart disease and other non-communicable diseases at an early stage. This allows patients to receive timely care while reducing long-term pressure on the healthcare system.Globally, healthcare is undergoing a major transformation towards data-driven systems. In the past, medical decisions largely depended on patients’ descriptions and physicians’ experience. Today, analysis of previous health records, test results and lifestyle information allows healthcare providers to make more effective decisions. AI can make this process faster and more accurate.For a densely populated country like Bangladesh, AI-based community healthcare could play a particularly important role. A significant portion of the population still lacks easy access to specialist medical services. If trained healthcare workers in remote areas can use digital technologies for preliminary examinations, health risk assessments and basic medical guidance, healthcare inequality can be reduced significantly.An important aspect of the iGP model is the involvement of community health workers. Female health workers have long played a vital role in Bangladesh’s rural healthcare system. Combining their experience with modern technology can make them even more effective in providing healthcare services to communities.However, several challenges must be considered while expanding technology-based healthcare. First, strong digital infrastructure is essential. Without reliable internet connectivity, electricity and necessary technological equipment in remote areas, the benefits of such initiatives will remain limited.Second, protecting health data is a major concern. An individual’s health information is highly personal and sensitive. Therefore, strong policies must be developed to ensure the proper storage, use and security of digital health records.Third, public trust in AI-based healthcare must be established. Many people still have uncertainty about technology-driven medical services. Increasing public awareness and providing proper training to healthcare workers are essential steps.One point must be made clear- AI is not a replacement for doctors. Healthcare is a human-centred profession where a patient’s physical condition, emotional needs and social circumstances must all be considered. AI will primarily serve as a supportive tool, helping doctors and healthcare workers make faster and more informed decisions.The need to expand technology use in Bangladesh’s healthcare sector is becoming increasingly evident. The country’s population is growing, life expectancy is increasing, and the burden of chronic diseases such as diabetes, heart disease and cancer is also rising. In this situation, simply increasing the number of hospitals will not solve all healthcare challenges. Bangladesh needs a healthcare system where people can understand their health risks before serious illness develops.This transformation requires coordinated efforts among the government, private sector, technology companies and healthcare professionals. Proven digital healthcare models should be expanded nationwide. At the same time, greater emphasis should be placed on primary healthcare and technological development in national health budgets.The future of Bangladesh’s healthcare sector will depend on how effectively we can use technology for the benefit of people. Artificial intelligence is not a magical solution, but it can be a powerful tool. With proper planning, accountability and a people-centred approach, AI-based healthcare can become a major driver of change in Bangladesh’s medical system. On the journey towards ensuring quality healthcare for all, technology will be a supporting force-and it is our responsibility to use that force effectively.Opinion Dr. Sabrina Sharmeen HusainBCS, cardiac surgeon