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Article

The Image of Healthcare Institutions in the Opinion of Patients—Evaluation of Factors Influencing the Assessment of Public Hospitals

by
Janina Kulińska
and
Jolanta Grzebieluch
*
Department of Public Health, Medical University of Wroclaw, 50-367 Wroclaw, Poland
*
Author to whom correspondence should be addressed.
Healthcare 2026, 14(12), 1690; https://doi.org/10.3390/healthcare14121690 (registering DOI)
Submission received: 2 March 2026 / Revised: 26 May 2026 / Accepted: 29 May 2026 / Published: 12 June 2026

Abstract

Introduction: Patients are increasingly aware of ways to manage their own health—especially regarding chronic diseases—along with the fundamental factors that should be present in well-organized and patient-oriented healthcare organizations. Due to the fact that the image of healthcare organizations depends on patients’ opinions, healthcare organizations are continuously improving and transforming their processes to increase patient satisfaction. This study aimed to analyze the relationship between patients’ opinions about the public hospitals in which they were treated and selected factors, including socio-demographic characteristics, previous hospital experiences, sources of information, and satisfaction with hospitalization in Poland. Methods: A cross-sectional survey was conducted among patients hospitalized in eight public hospitals in Wrocław. A self-developed questionnaire included two sections: (I) opinions about the hospital (11 items) and (II) expectations and satisfaction (12 items). Questionnaires were distributed in person. Data were analyzed using descriptive and inferential statistics, including correlation and chi-square tests. Results: Hospital image was shaped mainly by interpersonal factors, particularly staff kindness (82.9%), access to specialists (75.4%), and a sense of safety (54.4%). Women were more likely than men to seek information about hospitals before admission (47.6% vs. 39.3%; p = 0.021). A positive correlation was found between patient expectations and satisfaction with hospitalization (ρ = 0.425; p < 0.001). Media exposure played a minor role in shaping hospital image (22.1%), while personal recommendations and previous experience were the dominant sources of influence. Conclusion: Patients’ assessments of hospital image are determined primarily by relational and communication factors rather than infrastructural or technical aspects. Sociodemographic characteristics, such as gender and previous contact with the institution, may moderate these perceptions. The findings highlight the need to strengthen patient-centered care models, improve communication competencies among health professionals, and develop transparent institutional communication strategies.
Keywords: hospital image; patient satisfaction; public hospitals; health services perception; patient expectations; sociodemographic factors; patient experience; healthcare communication; Poland; health care quality hospital image; patient satisfaction; public hospitals; health services perception; patient expectations; sociodemographic factors; patient experience; healthcare communication; Poland; health care quality

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MDPI and ACS Style

Kulińska, J.; Grzebieluch, J. The Image of Healthcare Institutions in the Opinion of Patients—Evaluation of Factors Influencing the Assessment of Public Hospitals. Healthcare 2026, 14, 1690. https://doi.org/10.3390/healthcare14121690

AMA Style

Kulińska J, Grzebieluch J. The Image of Healthcare Institutions in the Opinion of Patients—Evaluation of Factors Influencing the Assessment of Public Hospitals. Healthcare. 2026; 14(12):1690. https://doi.org/10.3390/healthcare14121690

Chicago/Turabian Style

Kulińska, Janina, and Jolanta Grzebieluch. 2026. "The Image of Healthcare Institutions in the Opinion of Patients—Evaluation of Factors Influencing the Assessment of Public Hospitals" Healthcare 14, no. 12: 1690. https://doi.org/10.3390/healthcare14121690

APA Style

Kulińska, J., & Grzebieluch, J. (2026). The Image of Healthcare Institutions in the Opinion of Patients—Evaluation of Factors Influencing the Assessment of Public Hospitals. Healthcare, 14(12), 1690. https://doi.org/10.3390/healthcare14121690

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