While improvements on some indicators in some P4P schemes are found, no clear “breakthrough” in performance improvement can be clearly linked to the introduction of a P4P scheme. The share of hypertensive patients with controlled blood pressure is significantly higher in FHU models A (53.8%) and B (where there is the greatest P4P component) (65.2%) than in traditional health care centres (37.8%). The same is true for controlled diabetics (Louren9o, 2016) (see Table 2.6).