{
  "reporting_period": "2023–2025",
  "definition": "Share of labeled sampled reviews with at least one valid positive communication label; distinct listing-plus-review keys.",
  "peer_scope": "Other listings with the exact Google category Hospital.",
  "comparisons": [
    {
      "group": "Hospital A, all labeled reviews",
      "reviews": 104,
      "communication_positive": 26,
      "reach_pct": 25.0
    },
    {
      "group": "Other Hospital-category listings, all labeled reviews",
      "reviews": 26561,
      "communication_positive": 2179,
      "reach_pct": 8.203757388652535
    },
    {
      "group": "Hospital A, 4–5 stars",
      "reviews": 97,
      "communication_positive": 26,
      "reach_pct": 26.804123711340207
    },
    {
      "group": "Other Hospital-category listings, 4–5 stars",
      "reviews": 17131,
      "communication_positive": 2134,
      "reach_pct": 12.456949389994746
    },
    {
      "group": "Hospital A, 4–5 stars and at least 25 words",
      "reviews": 44,
      "communication_positive": 19,
      "reach_pct": 43.18181818181818
    },
    {
      "group": "Other Hospital-category listings, 4–5 stars and at least 25 words",
      "reviews": 10170,
      "communication_positive": 1696,
      "reach_pct": 16.676499508357914
    }
  ],
  "yearly_comparisons": [
    {
      "year": 2023,
      "case_n": 36,
      "case_positive": 6,
      "peer_n": 7452,
      "peer_positive": 524
    },
    {
      "year": 2024,
      "case_n": 42,
      "case_positive": 13,
      "peer_n": 7977,
      "peer_positive": 639
    },
    {
      "year": 2025,
      "case_n": 26,
      "case_positive": 7,
      "peer_n": 11132,
      "peer_positive": 1016
    }
  ],
  "sampling_weighted_reach": [
    {
      "group": "Hospital A",
      "weighted_positive_reach_pct": 24.958444128223853,
      "weight_min": 15.51063829787234,
      "weight_max": 15.761904761904763
    },
    {
      "group": "Peers",
      "weighted_positive_reach_pct": 8.586861008608231,
      "weight_min": 1.0,
      "weight_max": 21.4
    }
  ],
  "rating_length_standardization": {
    "expected_communication_praise_count_at_peer_rating_length_rates": 10.289757393141098,
    "expected_reach_pct": 9.893997493404902,
    "observed_reach_pct": 25.0
  },
  "manual_reading": [
    {
      "behavior": "Explains steps, procedures, results, or the care plan",
      "reviews": 13
    },
    {
      "behavior": "Answers questions or listens to concerns/preferences",
      "reviews": 15
    },
    {
      "behavior": "Explicitly describes understandable language",
      "reviews": 4
    },
    {
      "behavior": "Mentions comfort, ease, relief, being heard, or not feeling rushed",
      "reviews": 6
    },
    {
      "behavior": "Explicitly includes family in updates or answers",
      "reviews": 2
    }
  ],
  "manual_reading_population": 26,
  "bedside_manner_overlap": [
    {
      "positive_communication": true,
      "n": 26,
      "positive_bedside": 11
    },
    {
      "positive_communication": false,
      "n": 78,
      "positive_bedside": 41
    }
  ],
  "qualifications": [
    "Google listings can aggregate outpatient, inpatient, and specialty services. Category and coarse service-topic controls do not match acuity or actual service mix.",
    "Case selection used the same data; intervals do not account for selection, clustering, label error, or review self-selection.",
    "Positive communication and feelings of reassurance are co-reported. No intervention date, actual waiting records, anxiety scale, or causal effect is observed.",
    "The manual reading covers all 26 model-selected communication-positive case reviews, not an independent audit of the full labeling dataset.",
    "Sample inclusion weights address the sampling design, not propensity to write a review.",
    "The hospital identity and identifying review details are omitted from the proposed public narrative. Verbatim review quotes can be searched; use de-identified paraphrases."
  ],
  "selection": "Exploratory shortlist of Hospital/General hospital/University hospital categories with >=100 recent labeled reviews; selected communication-rich case after inspection, not a held-out test or validated best hospital."
}