African Cardiology Review | 22 April 2006

Cost-Effectiveness Analysis of District Hospital Systems in Tanzania Using Multilevel Regression Models

C, h, e, w, a, C, h, i, t, u, w, o, ,, K, a, s, i, m, b, i, M, u, h, i, n, d, o, ,, S, i, m, b, a, M, a, g, a, m, b, a, ,, S, i, m, e, o, n, M, a, s, a, n, j, a

Abstract

District hospitals in Tanzania are critical for delivering primary healthcare services to rural communities. A multilevel regression model was employed to analyse data from Tanzanian district hospitals, accounting for both individual patient-level characteristics and hospital-level factors. The analysis revealed that increasing investment in infrastructure at the hospital level significantly reduced treatment costs without compromising quality of care (Slope = -0.75, \(SE = 0\).12, p < 0.01). Multilevel regression models provide a robust framework for evaluating cost-effectiveness in healthcare systems. District hospitals should prioritise investment in infrastructure to optimise resource allocation and improve patient outcomes.