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

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

ULB Institutional Repository from ULB -- Universite Libre de Bruxelles

Abstract: 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.

Keywords: Performance-based financing; Universal health coverage; Equity; Health financing (search for similar items in EconPapers)
Date: 2025-01-31
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Published in: BMC Global and Public Health (2025) v.3 n° 1

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