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This evaluation aims to appraise the methods used for measuring cost-effectiveness in Ugandan district hospital systems using the difference-in-differences model.

March 13, 2026Open Access

A Difference-in-Differences Evaluation of Cost-Effectiveness in Ugandan District Hospital Systems: A Methodological Appraisal

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This evaluation aims to appraise the methods used for measuring cost-effectiveness in Ugandan district hospital systems using the difference-in-differences model.
Constructed a difference-in-differences model based on cost per disability-adjusted life year averted.
Used panel data from hospital administrative records for analysis.
Tested the parallel trends assumption and employed cluster-robust standard errors.
30% of matched control groups violated the parallel trends assumption, complicating causal inference.
Estimates suggested cost reduction, but the confidence interval was wide, indicating significant uncertainty.

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Implication

A methodological appraisal assesses cost-effectiveness in Ugandan hospitals, highlighting validation challenges.

Cite This Study

Ssebaggala et al. (2023) studied this question.

synapsesocial.com/papers/69b3abd602a1e69014ccd13c https://doi.org/10.5281/zenodo.18946934

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A Difference-in-Differences Evaluation of Cost-Effectiveness in Ugandan District Hospital Systems: A Methodological Appraisal

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Implication

Cite This Study

A Difference-in-Differences Evaluation of Cost-Effectiveness in Ugandan District Hospital Systems: A Methodological Appraisal

Key Points

Discussion

Implication

Cite This Study

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