Performance-based financing; Universal health coverage; Equity; Health
Abstract :
[en] 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.
Disciplines :
Public health, health care sciences & services Special economic topics (health, labor, transportation...)
Author, co-author :
Paul, Elisabeth ; Université de Liège - ULiège > Département des sciences sociales > Sociologie du développement ; School of Public Health, Université Libre de Bruxelles, Brussels, Belgium. Elisabeth.Paul@ulb.be
Brown, Garrett W; School of Politics and International Relations, University of Leeds, Leeds, UK
Renmans, Dimitri; School of Public Health, Université Libre de Bruxelles, Brussels, Belgium
Ridde, Valéry; Université Paris Cité, Inserm, Université Sorbonne Paris Nord, Ceped, Institut de recherche pour le développement (IRD), Paris, France
Language :
English
Title :
Performance-based financing is not on the path towards universal health coverage and equity.
D. Renmans N. Holvoet C.G. Orach B. Criel Opening the ‘black box’ of performance-based financing in low- and lower middle-income countries: a review of the literature Health Policy Plan 31 9 1297 1309 27126200
N.S. Singh R.J. Kovacs R. Cassidy S.R. Kristensen J. Borghi G.W. Brown A realist review to assess for whom, under what conditions and how pay for performance programmes work in low- and middle-income countries Soc Sci Med 270 33373774 113624
Diaconu K, Falconer J, Verbel A, Fretheim A, Witter S. Paying for performance to improve the delivery of health interventions in low‐ and middle‐income countries. Cochrane Database of Systematic Reviews. 2021;(5). Available from: https://doi.org/10.1002/14651858.CD007899.pub3.
D. de Walque E. Kandpal A. Wagstaff J. Friedman S. Neelsen M. Piatti-Fünfkirchen et al. Improving effective coverage in health: do financial incentives work? Washington D.C. World Bank
L. Lannes B. Meessen A. Soucat P. Basinga Can performance-based financing help reaching the poor with maternal and child health services? The experience of rural Rwanda Int J Health Plann Manage 31 3 309 348 26122744
V. Ridde L. Gautier A.M. Turcotte-Tremblay I. Sieleunou E. Paul Performance-based financing in africa: time to test measures for equity Int J Health Serv 48 3 549 561 29932352
R. Kovacs G.W. Brown A. Kadungure S.R. Kristensen G. Gwati L. Anselmi et al. Who is paid in pay-for-performance? Inequalities in the distribution of financial bonuses amongst health centres in Zimbabwe Health Policy Plan 37 4 429 439 35090018 9006063
Waithaka D, Cashin C, Barasa E. Is performance-based financing a pathway to strategic purchasing in sub-Saharan Africa? A synthesis of the evidence. Health Systems & Reform [Internet] 1;8(2):e2068231 Available from: 10.1080/23288604.2022.2068231
E. Paul G.W. Brown V. Ridde Misunderstandings and ambiguities in strategic purchasing in low- and middle-income countries Int J Health Plann Manage 35 5 1001 1008 32677101
