African Primary Care Nursing | 21 July 2008
Methodological Evaluation and Cost-Effectiveness Analysis of District Hospitals Systems in Ethiopia Using Time-Series Forecasting Models
M, e, k, o, n, n, e, n, A, s, e, f, a, ,, Y, a, r, e, d, A, b, e, b, e, w, o, r, k
Abstract
District hospitals in Ethiopia play a crucial role in primary care services but face challenges related to service delivery and financial sustainability. A comprehensive meta-analysis was conducted with data from multiple Ethiopian districts. Time-series forecasting models were applied to evaluate system performance over time and identify trends for cost-effectiveness assessment. The analysis revealed a significant decrease in outpatient visits by 15% within the first year of implementing the new service delivery model, indicating potential improvements in patient access. This study provides evidence that time-series forecasting models can effectively assess the cost-effectiveness of district hospital systems in Ethiopia. Further research should be conducted to evaluate long-term impacts and explore potential scaling-up strategies for similar healthcare interventions. District Hospitals, Cost-Effectiveness Analysis, Time-Series Forecasting, Ethiopian Healthcare Systems Treatment effect was estimated with $\text{logit}(p<em>i)=\beta</em>0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.