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. 2026 Jun 16;6:1808077. doi: 10.3389/frhs.2026.1808077

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© 2026 Sethy, Mahapatro, Mundu and Sahoo.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Line graph comparing UHC Service Coverage Index against Digital Health Adoption Index for four categories: Rapid Adopters (red), Slow Adopters (blue), Digital-First (green), and UHC-First (purple). Each line shows increasing UHC coverage with higher digital health adoption, with Rapid Adopters performing best. A vertical dashed line at Adoption Threshold marks a key transition point on the x-axis. — Digital health adoption trajectories and health outcomes. Source: Longitudinal analysis of 135 LMICs (2000–2023). Digital health adoption index (DHAI) on x-axis, UHC SCI on y-axis. Arrow direction indicates trajectory over time.