What the study found
Distributive and informational justice were significantly associated with corporate reputation in public hospitals in North Cyprus. Multifocal trust, meaning trust across multiple parties or levels, was found to mediate the relationship between justice perceptions and corporate reputation.
Why the authors say this matters
The authors conclude that the study offers a broad look at justice perceptions, multifocal trust, corporate reputation, satisfaction, and patient citizenship behaviour in non-competitive public healthcare settings. They say the findings provide practical recommendations for hospital administrators on managing hospital reputation and supporting patient-centred practices.
What the researchers tested
The researchers used justice theory and social exchange theory to examine links between justice perceptions and corporate reputation, with multifocal trust as a mediator and patient satisfaction as a moderator. They also examined the association between corporate reputation and patient citizenship behaviour using a cross-sectional survey of 450 patients recently treated in public hospitals, analyzed with PLS-SEM.
What worked and what didn't
The study found significant associations between distributive justice and informational justice and corporate reputation. It also found that multifocal trust had a mediating association between justice perceptions and corporate reputation, and that corporate reputation was strongly associated with patient citizenship behaviour. Patient satisfaction did not moderate the relationship between trust and corporate reputation.
What to keep in mind
The study was cross-sectional, so it captures one point in time rather than change over time. The abstract does not describe additional limitations beyond the North Cyprus public hospital setting and the variables examined.
Key points
- Distributive and informational justice were significantly linked to corporate reputation.
- Multifocal trust mediated the relationship between justice perceptions and corporate reputation.
- Corporate reputation was strongly associated with patient citizenship behaviour.
- Patient satisfaction did not moderate the trust–reputation relationship.
- The study used a cross-sectional survey of 450 patients in public hospitals in North Cyprus.
Disclosure
- Research title:
- Justice perceptions were linked to reputation in public hospitals
- Authors:
- Laurine Nwosu, Figen Yeşilada
- Institutions:
- Cyprus International University
- Publication date:
- 2026-04-01
- OpenAlex record:
- View
Get the weekly research newsletter
Stay current with peer-reviewed research without reading academic papers — one filtered digest, every Friday.