Hospital review analysis · USA · 2019+Run completed 12 Jul 2026

What 217,343 hospital reviews talk about

Reviews analyzed217,343From 10,029 healthcare facilities
Source coverage10.4%Of 2.09 million eligible reviews
Final taxonomy29Canonical topics in 7 categories

Interpretation: this is a large, broad sample rather than the full review population. The facility-level cap prevents a handful of heavily reviewed locations from overwhelming the discovery step, while year stratification preserves coverage across the 2019–2026 window.

From reviews to a usable taxonomyBottom-up discovery and consolidation
2.09meligible source reviews
217,343stratified sample
216 / 218usable / attempted discovery batches
3,280raw topic candidates
344 → 25two-stage automated consolidation
29 / 7manually refined topics / categories
Ratings are strongly polarisedAverage 3.54 / 5
1 ★31.2%
2 ★3.7%
3 ★2.7%
4 ★4.4%
5 ★58.0%
62.4% are 4–5 star reviews; 34.9% are 1–2 star reviews.
Reviews by year2026 is partial
50k25k0 201920212223242526*

Interpretation: the review population is highly polarised: 89.2% of reviews are either one or five stars. That pattern is common in voluntary review data - people are most likely to post after an especially good or especially poor experience. The rising annual count reflects both review activity and the available source data; it should not be read as growth in hospital demand. The 2026 count is incomplete.

Geographic coverage across the United States217,135 reviews matched to a US state
Hospital review coverage by US stateStates are shaded by the selected measure. Facility locations can be shown as a dot overlay.
LowHigh
Highest review counts
California32,948
Texas27,221
Florida25,026

Interpretation: California, Texas and Florida account for 39.2% of the sampled reviews, so the national result is not geographically even. State rating differences are descriptive, not a league table: facility mix, review behaviour and source coverage vary substantially by state. The map is best used to understand coverage before making comparisons.

Largest facility types in the sampleReview count
Hospital56,545
Emergency room35,178
Medical clinic32,486
Medical center30,061
Urgent care center21,349
General hospital15,732
Taxonomy breadth by categoryCanonical topics
Clinical care & safety6
Facility & environment5
Rights, equity & specialty5
Care process & coordination4
Staff, communication & nursing4
Access & timeliness3
Financial & administrative2

Interpretation: the four largest facility labels - hospital, emergency room, medical clinic and medical center - contribute roughly 71% of reviews. The taxonomy is nevertheless broader than emergency care alone: it also covers scheduled access, billing, maternity and pediatric care, behavioural health, rehabilitation, privacy and accessibility.

Explore all 29 final topics

Interpretation: the final taxonomy is the main analytical product of this run. It defines a manually reviewed vocabulary of 29 topics that can be applied consistently to every review in a subsequent labelling step.

How raw review language becomes a topicIllustrative discovery examples

Snippets are lightly shortened and de-identified for display.
Sampling and model settings
2019 onwardReview date window
20 minimumReviews per source facility
200 maximumSelected per facility
Year-stratifiedWithin each facility
Seed 42Reproducible sample
1,000 reviewsPer discovery batch
GPT-5.4 nanoTopic discovery model
DeepSeek V4 ProTopic consolidation model
What this run establishes

It identifies a coherent vocabulary for hospital experience analysis: the major dimensions people discuss and how fragmented source wording can be consolidated into stable topics.

What still needs another step

To say how common each topic is, compare facilities, or chart topic sentiment over time, each review must be assigned one or more final topics. Discovery-stage topic counts cannot substitute for review-level prevalence.

Overall interpretation

The run produced a concise, operational taxonomy spanning access, staff interactions, administration, facilities, clinical care, coordination, patient rights and specialty care. The taxonomy defines what can be measured in the subsequent review-labelling step; it does not by itself show which topics are most prevalent.

Next analytical step: label reviews with the 29 final topics, then calculate topic prevalence, sentiment or rating by facility, state and year. That is the point at which the taxonomy becomes a measurement system and supports reliable time-series or geographic comparisons.