The 2026 benchmark for building with AI in healthcare

Who's building, what they're building, and how. A survey of 151 healthcare leaders.

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2025-03-07_REPORT_StateofSecurity-1
Who builds
84%
report IT staff building with AI coding assistants
Developers
58%
a 26-point gap behind IT staff
Reaches patients
80%
have deployed patient-facing AI-assisted tools
Trajectory
70%
expect AI-assisted development to increase

What the benchmark found

Healthcare organizations adopted AI coding assistants to move faster.

The builder pool widened at the same time. IT staff build with these tools at 84% of organizations, developers at 58%, and at two in five, developers are not involved at all.

Every figure describes healthcare organizations that already use AI coding assistants, not healthcare organizations generally. Survey of 151 healthcare leaders, fielded July 2026.

  • Nine in ten describe AI adoption as formal and organization-level.
  • 80% have put patient-facing AI-assisted tools into production, ahead of internal scripts and automations at 46%.
  • 82% connect systems to AI through APIs; 79% report comparable use of MCP servers.

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Research
The 2026 benchmark for building with AI in healthcare

The 2026 benchmark for building with AI in healthcare

Published August 2026

Who is building software with AI coding assistants inside healthcare organizations, what they build with them, the API and MCP infrastructure it runs on, and what the trajectory implies for review and governance capacity over the next year.

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Executive summary Healthcare changed who counts as a developer

The full argument in a single page: who is building, what reaches patients, and what it runs on. Includes the By the numbers panel with all six headline figures.

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Infographic Five numbers from the benchmark

Volume, adoption, patient-facing output, integration, and trajectory, each sized for sharing on its own spread. Built for slides and social posts where the full report will not fit.

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Excerpt Adoption is higher than most estimates

Nine in ten describe adoption as formal and organization-level, and roughly three quarters built six or more tools in the past year. Only 4% of health systems have scaled AI with measurable outcomes.

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Excerpt IT staff are building more than developers

IT staff build with these tools at 84% of organizations against 58% for developers, and at two in five, developers are not involved at all.

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Excerpt AI-built software has already reached the patient

Patient-facing forms and portals sit at 55% and chatbots at 53%, both ahead of internal scripts at 46%.

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Excerpt AI is wired into the systems that run the business

Among these organizations, 82% connect systems to AI services through APIs and 79% report comparable use of MCP servers.

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Excerpt What comes next

Seventy percent expect AI-assisted development to increase over the next 12 months, and 1% expect a decrease. Three things worth planning around, plus what Forrester and Gartner project outside healthcare.

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Charts

The four figures behind the findings, each with its own base and scale. Percentages come from the survey of 151 healthcare leaders, fielded July 2026.

Who uses AI coding assistants to build

Share of organizations reporting each group. Multiple selections allowed. n=151

IT staff
84%
Developers or engineers
58%
Operations or administrative staff
53%
Compliance or privacy staff
45%
Clinical staff
38%
Executive leadership
36%
0%50%100%

Source: Paubox, The 2026 benchmark for building with AI in healthcare.

What these organizations have built with AI assistance

Share of organizations reporting each output. Multiple selections allowed. n=151

Data integrations or APIs
65%
Reporting or analytics tools
56%
Patient-facing forms or portals
55%
Chatbots or virtual assistants
53%
EHR integrations
48%
Internal scripts or automations
46%
Other third-party integrations
13%
0%50%100%

Source: Paubox, The 2026 benchmark for building with AI in healthcare.

Why these organizations use AI coding assistants

Share rating each reason very or somewhat important. n=151

Increase development speed
91%
Keep pace with innovation
89%
Address limited engineering resources
85%
Enable non-developers to build solutions
81%
Reduce costs or staffing needs
80%
0%50%100%

Source: Paubox, The 2026 benchmark for building with AI in healthcare.

Number of tools built with AI assistance in the past 12 months

Share of organizations. n=151

None
1%
1 to 5
17%
6 to 20
39%
21 to 50
30%
More than 50
7%
Don't know
6%
0%25%50%

Source: Paubox, The 2026 benchmark for building with AI in healthcare.

Statistics

Every figure in the report. All describe healthcare organizations that already use AI coding assistants, not healthcare organizations generally. n=151.

Who builds with AI coding assistants, 2026
Group Share of organizations
IT staff84%
Developers or engineers58%
Operations or administrative staff53%
Compliance or privacy staff45%
Clinical staff38%
Executive leadership36%
Why these organizations use AI coding assistants, 2026
Reason (very or somewhat important) Share of organizations
Increase development speed91%
Keep pace with innovation89%
Address limited engineering resources85%
Enable non-developers to build solutions81%
Reduce costs or staffing needs80%
What these organizations build with AI assistance, 2026
Output Share of organizations
Data integrations or APIs65%
Reporting or analytics tools56%
Patient-facing forms or portals55%
Chatbots or virtual assistants53%
EHR integrations48%
Internal scripts or automations46%
Other third-party integrations13%
Tools built with AI assistance in the past 12 months, 2026
Tools built Share of organizations
None1%
1 to 517%
6 to 2039%
21 to 5030%
More than 507%
Don't know6%
Adoption, infrastructure and outlook, 2026
Measure Share of organizations
Describe adoption as formal and organization-level88%
Connect systems to AI through APIs, at least moderately82%
Report comparable use of MCP servers79%
Have deployed patient-facing AI-assisted tools into production80%
Built six or more tools in the past 12 months76%
Rate enabling non-developers an important reason for adoption81%
Expect AI-assisted development to increase in the next 12 months70%
Expect AI-assisted development to decrease1%
Sample composition, 2026
Respondents Share of organizations
Hospitals and health systems63%
Organizations with 201 to 5,000 employees76%
Total respondents151
Margin of error at the 95% confidence level+/- 8.0%