Quasi-Experimental Design in District Hospitals Systems: A Review of Methodological Evaluations in Uganda

Quasi-experimental design is a method used to evaluate healthcare systems, particularly in resource-limited settings such as district hospitals in Uganda. This study reviews literature that employed quasi-experimental designs to assess healthcare interventions in district hospitals. The methodology includes observational studies and case reports. A notable finding is the trend towards using cluster-randomized trials to evaluate interventions, which has been effective in reducing patient wait times by an average of 15% across participating districts. The review underscores the importance of rigorous methodological approaches in evaluating healthcare system effectiveness. Future research should focus on enhancing data collection methods and establishing standardised protocols for consistent results. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.