Methodological Evaluation of District Hospitals Systems in Kenya Using Quasi-Experimental Design to Assess Cost-Effectiveness

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Main Authors: Kinyanjui, Omar, Kamau, Njuguna
Format: Recurso digital
Language:English
Published: Zenodo 2010
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author Kinyanjui, Omar
Kamau, Njuguna
author_facet Kinyanjui, Omar
Kamau, Njuguna
contents <p>District hospitals in Kenya play a crucial role in healthcare delivery, yet their operational efficiency varies significantly. A systematic literature review was conducted to analyse studies assessing the performance and financial management of district hospitals. The analysis included econometric models for estimating cost-effectiveness, with robust standard errors accounting for potential confounding factors. District hospital systems in Kenya showed a median improvement ratio of 12% in service quality per year when using intervention strategies based on quasi-experimental design. The quasi-experimental approach demonstrated the effectiveness of targeted interventions in enhancing district hospitals' operational efficiency and cost-effectiveness, providing evidence for policymakers to improve healthcare delivery. Policymakers should prioritise implementation of these findings to optimise resource allocation and enhance service quality across district hospitals. 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_18905259
institution Zenodo
language eng
publishDate 2010
publisher Zenodo
record_format zenodo
spellingShingle Methodological Evaluation of District Hospitals Systems in Kenya Using Quasi-Experimental Design to Assess Cost-Effectiveness
Kinyanjui, Omar
Kamau, Njuguna
Sub-Saharan
African
Hospital
Systematic
Literature
Quasi-experimental
Evaluation
<p>District hospitals in Kenya play a crucial role in healthcare delivery, yet their operational efficiency varies significantly. A systematic literature review was conducted to analyse studies assessing the performance and financial management of district hospitals. The analysis included econometric models for estimating cost-effectiveness, with robust standard errors accounting for potential confounding factors. District hospital systems in Kenya showed a median improvement ratio of 12% in service quality per year when using intervention strategies based on quasi-experimental design. The quasi-experimental approach demonstrated the effectiveness of targeted interventions in enhancing district hospitals' operational efficiency and cost-effectiveness, providing evidence for policymakers to improve healthcare delivery. Policymakers should prioritise implementation of these findings to optimise resource allocation and enhance service quality across district hospitals. 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 Kenya Using Quasi-Experimental Design to Assess Cost-Effectiveness
topic Sub-Saharan
African
Hospital
Systematic
Literature
Quasi-experimental
Evaluation
url https://doi.org/10.5281/zenodo.18905259