The impact of primary care funding on health inequalities: an umbrella review.

ABSTRACT:

Background

The funding of primary care is subject to intense debate internationally. Three main funding models predominate: capitation, pay-for-performance, and fee-for-service. A number of systematic reviews regarding the effect of primary care funding structures have been published, but not synthesized through an equity lens. Given the urgent need for evaluating funding models and addressing inequalities, a reliable, synthesized evidence base concerning the effects of funding on inequalities is imperative.

Aims

This umbrella review aims to systematically evaluate all systematic reviews available on the effect of different primary care funding models in high-income countries on inequalities in funding, access, outcomes, or experience from inception until 2024.

Methods

SUBMITTER: Holdroyd I 

PROVIDER: S-EPMC11883797 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature