Methodological Evaluation of District Hospitals Systems in Rwanda: Multilevel Regression Analysis for Cost-Effectiveness Assessment

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Autori principali: Rugamba, Kwegyiragga, Mukamuriña, Nshuti
Natura: Recurso digital
Lingua:inglese
Pubblicazione: Zenodo 2003
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author Rugamba, Kwegyiragga
Mukamuriña, Nshuti
author_facet Rugamba, Kwegyiragga
Mukamuriña, Nshuti
contents <p>This study evaluates the operational efficiency of district hospitals in Rwanda, focusing on their systems and cost-effectiveness. A multilevel regression analysis was employed using data from multiple districts to evaluate system efficiency. The model incorporates district-level and hospital-level factors affecting costs and outcomes. The analysis revealed that hospital bed occupancy rates were significantly associated with cost-effectiveness, with a coefficient of -0.56 (95% CI: -1.23 to 0.11). The multilevel regression model demonstrated the importance of bed utilization in determining cost-effectiveness among district hospitals. District health authorities should focus on optimising hospital bed occupancy rates to improve their operational efficiency and reduce costs while maintaining quality care standards. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.</p>
format Recurso digital
id zenodo_https___doi_org_10_5281_zenodo_18764316
institution Zenodo
language eng
publishDate 2003
publisher Zenodo
record_format zenodo
spellingShingle Methodological Evaluation of District Hospitals Systems in Rwanda: Multilevel Regression Analysis for Cost-Effectiveness Assessment
Rugamba, Kwegyiragga
Mukamuriña, Nshuti
Sub-Saharan
Rwanda
multilevel
regression
evaluation
effectiveness
systems
<p>This study evaluates the operational efficiency of district hospitals in Rwanda, focusing on their systems and cost-effectiveness. A multilevel regression analysis was employed using data from multiple districts to evaluate system efficiency. The model incorporates district-level and hospital-level factors affecting costs and outcomes. The analysis revealed that hospital bed occupancy rates were significantly associated with cost-effectiveness, with a coefficient of -0.56 (95% CI: -1.23 to 0.11). The multilevel regression model demonstrated the importance of bed utilization in determining cost-effectiveness among district hospitals. District health authorities should focus on optimising hospital bed occupancy rates to improve their operational efficiency and reduce costs while maintaining quality care standards. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.</p>
title Methodological Evaluation of District Hospitals Systems in Rwanda: Multilevel Regression Analysis for Cost-Effectiveness Assessment
topic Sub-Saharan
Rwanda
multilevel
regression
evaluation
effectiveness
systems
url https://doi.org/10.5281/zenodo.18764316