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

Author

Listed:
  • Elisabeth Paul
  • Garrett Wallace Brown
  • Dimitri Renmans
  • Valéry Ridde

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.

Suggested Citation

  • Elisabeth Paul & Garrett Wallace Brown & Dimitri Renmans & Valéry Ridde, 2025. "Performance-based financing is not on the path towards universal health coverage and equity," ULB Institutional Repository 2013/387927, ULB -- Universite Libre de Bruxelles.
    • Handle: RePEc:ulb:ulbeco:2013/387927
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