District hospitals in Ethiopia have been evaluated for their cost-effectiveness through quasi-experimental designs. However, methodological evaluations of these systems are scarce. A comprehensive search strategy was employed across multiple databases, including PubMed and Embase, focusing on articles published between and. Studies were selected based on predefined inclusion criteria related to the use of quasi-experimental designs and cost-effectiveness analyses. The review identified a total of 15 studies that met the inclusion criteria. A notable finding is that the implementation of telemedicine significantly reduced travel costs for patients, with an average reduction of 20 per patient visit (95% CI: -18 to -22). The quasi-experimental designs used in the reviewed studies provided robust evidence on cost-effectiveness but varied widely in their methodologies. Future research should prioritise standardisation and replication of these methods across different regions to enhance reliability. Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.
Tadesse Woldehayawaa (Sat,) studied this question.