Abstract Healthcare systems globally are undergoing fundamental transformation driven by demographic transitions, technological advancement, and evolving patient expectations. India’s healthcare system faces persistent challenges in access, equity, and efficiency, particularly in rural regions, compounded by rising chronic diseases and population aging. This narrative review explores the potential of a hybrid, artificial intelligence (AI)-enabled integrated healthcare delivery system (IHDS) anchored in value-based care principles to address these gaps, as traditional infrastructure alone is insufficient. Drawing on global evidence from high-impact peer-reviewed literature, the World Health Organization reports,Government of India policy documents,and grey literature, it has been examined how AI can enhance care coordination, diagnostics, and resource optimization in low- and middle-income countries (LMICs). Comparative metrics from global integrated care models reveal improvements in patient outcomes (15%–30% reduction in avoidable hospitalizations), cost-efficiency (up to 20% savings in chronic disease management), and digital adoption rates (over 70% in targeted interventions). These findings are contextualized within India’s evolving digital health landscape, highlighting initiatives such as Ayushman Bharat Digital Mission, Pradhan Mantri Jan Arogya Yojana, and Ayushman Bharat Health Account, proposing a scalable IHDS framework tailored to India’s sociodemographic realities. Technologies, including interoperable electronic health records, IoT-enabled monitoring, AI-driven diagnostics, and predictive analytics, enable shifting from episodic treatment to holistic, preventive, and personalized care. The review concludes with strategic recommendations for policy integration, ethical governance, and future research directions. Successful implementation could deliver high-quality care to 90% of India’s population by 2034, reduce preventable hospitalizations by 25%, and optimize expenditures, positioning India as a global exemplar of digitally enabled integrated health care for LMICs.
Pradeep Kumar (Wed,) studied this question.