Performance-based financing is not on the path towards universal health coverage and equity

Paul, Elisabeth; Brown, Garrett Wallace; Renmans, Dimitri; Ridde, Valéry

doi:doi/10.1186/s44263-025-00128-y

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Performance-based financing is not on the path towards universal health coverage and equity

par Paul, Elisabeth

;Brown, Garrett Wallace ;Renmans, Dimitri

;Ridde, Valéry

Référence BMC Global and Public Health, 3, 1
Publication Publié, 2025-01-31

Article révisé par les pairs

Résumé :

Performance-based financing is most likely ineffective in advancing universal health coverage and equity. It is rooted in mistrust and flawed incentive structures; it often exacerbates inequalities — both at patient and provider level. Addressing structural injustices at the root of inequity requires systemic reforms beyond PBF’s limited scope and rhetorical commitments.

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