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The proportion of negative reviews increased from 45.7 per cent in the 2017-2019 time period, to 50.1 per cent in the 2020-2022 stretch.
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Positive reviews also increased — from 30.4 per cent to 34.2.
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Wait times were mentioned in half of the negative reviews.
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About a third mentioned interactions with doctors (33.3 per cent), nurses (32.7 per cent) or “unspecified” staff (33 per cent).
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One negative comment reads: “Extremely rude staff. Spend (sic) over 12 hours without seeing a single doctor. After 14 hours, ask for pain killers, nurse ignored and rudely told me to exit the room and to wait my turn. Doctors called a single patient in every 45 minutes to an hour.”
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“My grandmother broke her hip and it took 16 hours for them to decide which ward she should go to so she could finally sleep somewhere quiet instead of an emergency room,” another user commented.
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One parent described the ordeal their daughter experienced getting gallbladder surgery. “Had a surgery lined up (in city A), we are from (city B) … got to (city A) at 7 am. They took her into day op, prepped her … she came to find me 10 minutes later, they forgot to give a test before the operation. While on the operating room table (the doctor) cancelled my daughter’s surgery… they told us after cancelling our appointment now for the 5th time they don’t have room in ICU for her …surgery is now rescheduled for a month and a half later … if she didn’t need it so badly, I would start the process all over somewhere else.”
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Mixed comments included people describing “excellent care” despite “abysmal” crowding. The more complimentary praised “friendly, efficient and competent” staff.
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The text comments were analyzed for their ability to lead to clear, practical steps, Nayyar said. “‘This place was no good,’ or, ‘Hey, I had a great experience,’ it’s hard to do much with that,” he said.
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A negative experience on one of the most vulnerable days of their life when they’re seeking care in a hospital is something that can be very traumatic and can, unfortunately, be a very lasting memory
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Other times, people leave specific reviews “about exactly what happened to them. They’ll tell you, ‘I was in this part of the hospital, I was in the emergency department. It was loud; there were issues with cleanliness. I was waiting a long time to be seen, I was in pain.'”
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“We did see comments, for sure, from patients who found their care was efficient, timely. That things happened quickly. It’s important for hospitals to see those signals, too. When things are working well and working efficiently, patients appreciate it.”
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The study has limitations, including selection bias, meaning people with lower digital literacy, older people, people who don’t speak English or are marginalized with lower income are underrepresented in a data source like Google reviews, Nayyar said.
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“That being said, there is a wealth of useful information in these reviews.”
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A study released in July by the public policy think tank SecondStreet.org based on nearly 9,000 Google review scores for 84 major Canadian hospitals found an average score of 2.88 out of five in 2025, down slightly from 2.91 in 2024.
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Provincial averages ranged from a low of 2.401 in New Brunswick, to a high of 3.061 in British Columbia.
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