{
  "scope": {
    "sample_reviews": 217343,
    "valid_labeled_reviews": 196183,
    "low_rated_reviews": 72038,
    "low_rated_multi_topic_reviews": 47405,
    "high_rated_reviews": 118754
  },
  "pairs": [
    {
      "a": "Billing",
      "b": "Insurance",
      "band": "1\u20132 stars",
      "band_reviews": 72038,
      "a_reviews": 7607,
      "b_reviews": 1989,
      "co_mentions": 908,
      "b_given_a_pct": 11.936374392007362,
      "a_given_b_pct": 45.65108094519859,
      "both_have_negative": 843,
      "both_have_positive": 0,
      "one_has_negative": 64,
      "neither_has_negative": 1,
      "both_negative_pct": 92.84140969162996,
      "analytic_expected": 199.00399299050332,
      "analytic_lift": 4.56272251805184,
      "saved_lift": 4.5658947538142165,
      "saved_expected": 198.86573146292585
    },
    {
      "a": "Staffing",
      "b": "Wait times",
      "band": "1\u20132 stars",
      "band_reviews": 72038,
      "a_reviews": 4398,
      "b_reviews": 22622,
      "co_mentions": 2075,
      "b_given_a_pct": 47.18053660754889,
      "a_given_b_pct": 9.172486959596853,
      "both_have_negative": 2042,
      "both_have_positive": 0,
      "one_has_negative": 33,
      "neither_has_negative": 0,
      "both_negative_pct": 98.40963855421687,
      "analytic_expected": 1529.07591337768,
      "analytic_lift": 1.3570287660972902,
      "saved_lift": 1.3573718957127276,
      "saved_expected": 1528.689378757515
    },
    {
      "a": "Behavioral health",
      "b": "Discrimination",
      "band": "1\u20132 stars",
      "band_reviews": 72038,
      "a_reviews": 1685,
      "b_reviews": 4017,
      "co_mentions": 212,
      "b_given_a_pct": 12.581602373887241,
      "a_given_b_pct": 5.277570326114015,
      "both_have_negative": 203,
      "both_have_positive": 0,
      "one_has_negative": 9,
      "neither_has_negative": 0,
      "both_negative_pct": 95.75471698113208,
      "analytic_expected": 106.15271230392779,
      "analytic_lift": 1.997122780932991,
      "saved_lift": 1.9878610218539188,
      "saved_expected": 106.64729458917836,
      "additional_topics": [
        {
          "topic": "Clinical staff bedside manner and empathy",
          "reviews": 51
        },
        {
          "topic": "Medication, prescriptions and pharmacy",
          "reviews": 34
        },
        {
          "topic": "Patient safety and medical errors",
          "reviews": 32
        }
      ]
    },
    {
      "a": "Front desk",
      "b": "Wait times",
      "band": "1\u20132 stars",
      "band_reviews": 72038,
      "a_reviews": 16424,
      "b_reviews": 22622,
      "co_mentions": 4436,
      "b_given_a_pct": 27.009254749147587,
      "a_given_b_pct": 19.609229953142957,
      "both_have_negative": 4054,
      "both_have_positive": 48,
      "one_has_negative": 336,
      "neither_has_negative": 46,
      "both_negative_pct": 91.38863841298466,
      "analytic_expected": 4631.046122430128,
      "analytic_lift": 0.9578829237986992
    },
    {
      "a": "Billing",
      "b": "Insurance",
      "band": "4\u20135 stars",
      "band_reviews": 118754,
      "a_reviews": 1071,
      "b_reviews": 577,
      "co_mentions": 58,
      "b_given_a_pct": 5.415499533146592,
      "a_given_b_pct": 10.051993067590988,
      "both_have_negative": 21,
      "both_have_positive": 21,
      "one_has_negative": 12,
      "neither_has_negative": 25,
      "both_negative_pct": 36.206896551724135,
      "analytic_expected": 10.465539722518894,
      "analytic_lift": 5.5419979798271015
    },
    {
      "a": "Staffing",
      "b": "Wait times",
      "band": "4\u20135 stars",
      "band_reviews": 118754,
      "a_reviews": 1218,
      "b_reviews": 27343,
      "co_mentions": 310,
      "b_given_a_pct": 25.451559934318556,
      "a_given_b_pct": 1.1337453827304977,
      "both_have_negative": 116,
      "both_have_positive": 121,
      "one_has_negative": 62,
      "neither_has_negative": 132,
      "both_negative_pct": 37.41935483870968,
      "analytic_expected": 401.1763345225868,
      "analytic_lift": 0.7727275348106222
    },
    {
      "a": "Behavioral health",
      "b": "Discrimination",
      "band": "4\u20135 stars",
      "band_reviews": 118754,
      "a_reviews": 1020,
      "b_reviews": 471,
      "co_mentions": 26,
      "b_given_a_pct": 2.549019607843137,
      "a_given_b_pct": 5.520169851380043,
      "both_have_negative": 6,
      "both_have_positive": 14,
      "one_has_negative": 5,
      "neither_has_negative": 15,
      "both_negative_pct": 23.076923076923077,
      "analytic_expected": 4.676827174498367,
      "analytic_lift": 5.5593245227815675
    },
    {
      "a": "Front desk",
      "b": "Wait times",
      "band": "4\u20135 stars",
      "band_reviews": 118754,
      "a_reviews": 32087,
      "b_reviews": 27343,
      "co_mentions": 8133,
      "b_given_a_pct": 25.346713622339266,
      "a_given_b_pct": 29.744358702410125,
      "both_have_negative": 91,
      "both_have_positive": 7378,
      "one_has_negative": 602,
      "neither_has_negative": 7440,
      "both_negative_pct": 1.1188983155047338,
      "analytic_expected": 8103.754428293891,
      "analytic_lift": 1.0036088916519976
    }
  ],
  "definitions": {
    "unit": "Distinct (place_id, review_id); each topic counted at most once per key.",
    "conditional_shares": "Co-mentions divided by all labeled reviews in the rating band mentioning the starting topic; no event direction or sequence.",
    "sentiments": "Any valid statement with the named sentiment flags a topic. Positive and negative flags can overlap.",
    "analytic_expectation": "Exact expectation of independent topic-column shuffles within original 2,3,4,5+ topic-count strata, skipping strata below 50 rows. Original chart estimates use finite shuffles."
  },
  "topics": {
    "Billing": "Billing, charges and collections",
    "Insurance": "Insurance coverage, denials and network issues",
    "Staffing": "Staffing levels and operational capacity",
    "Wait times": "Wait times and timeliness of care",
    "Behavioral health": "Behavioral health and psychiatric care",
    "Discrimination": "Discrimination and equitable treatment",
    "Front desk": "Front desk, reception and administrative staff conduct"
  },
  "sources": {
    "labels": "topic-labeling-hospitals-usa-deepseek-v4-flash-b25-combined/review_topic_labels.parquet",
    "coverage_reviews": "hospitals_usa_2019plus_coverage_10pct/reviews_clean.labelorder.parquet",
    "original_charts": "chart-data.json",
    "generator": "scripts/generate_hospital_pair_insights.py"
  },
  "limitations": [
    "Self-selected public feedback; pending human label validation.",
    "Co-mentions can have any sentiment. Selected pair sentiment checks do not generalize to every pair.",
    "No permutation significance screen, clustering or interaction model refit. No causal or intervention-effect estimates."
  ]
}
