What the study found
The study found significant associations between distributive and informational justice and corporate reputation in public hospitals. It also found that multifocal trust mediated the relationship between justice perceptions and corporate reputation, and that corporate reputation was strongly associated with patient citizenship behaviour.
Why the authors say this matters
The authors conclude that their findings offer practical recommendations for hospital administrators on managing hospital reputation and supporting patient-centred practices in public hospitals. The study suggests this is relevant in non-competitive public healthcare environments.
What the researchers tested
The researchers used justice theory and social exchange theory to examine links among justice perceptions, corporate reputation, multifocal trust, patient satisfaction, and patient citizenship behaviour. They conducted a cross-sectional survey of 450 patients who recently received care in public hospitals in North Cyprus and analyzed the data using PLS-SEM, a statistical method for testing direct, mediating, and moderating relationships.
What worked and what didn't
Distributive justice and informational justice showed significant associations with corporate reputation. Multifocal trust showed a mediating association between justice perceptions and corporate reputation, and 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 used a cross-sectional survey, so the abstract does not describe changes over time. The available summary does not report additional limitations beyond the study setting in public hospitals in North Cyprus.
Key points
- Distributive and informational justice were significantly associated with corporate reputation.
- Multifocal trust mediated the link between justice perceptions and corporate reputation.
- Corporate reputation was strongly associated with patient citizenship behaviour.
- Patient satisfaction did not change the trust–reputation relationship.
- The study surveyed 450 patients in public hospitals in North Cyprus.
Disclosure
- Research title:
- Justice perceptions are linked to hospital reputation and patient citizenship behavior
- Authors:
- Laurine Nwosu, Figen Yeşilada
- Institutions:
- Cyprus International University, Cyprus International University
- Publication date:
- 2026-04-01
- OpenAlex record:
- View
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