{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T14:25:19Z","timestamp":1754144719986,"version":"3.41.2"},"reference-count":66,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T00:00:00Z","timestamp":1752624000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T00:00:00Z","timestamp":1752624000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Philos Ethics Humanit Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>The medical care provided by the physician is an important part of the hospital scene and the action of caring. Assessments of the physician-patient meeting are based on welcome and the physician\u2019s ability to be perceived as hospitable by the patient. By definition, to be hospitable is to have the ability to welcome, care for, reassure, and be courteous, respectful, and trustworthy. This article aims to understand patients\u2019 perceptions of medical care perceived as not hospitable, characterized by a lack of care and welcome, in a hospital environment, based on a complaint\u2019s website.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method<\/jats:title>\n            <jats:p>The research method used was qualitative analysis and the research strategy was documentary research. The data were collected on a complaints registration platform. The theoretical framework used was the theory of Hospitality. The study selected, coded, and categorized the complaints of 127 patients at the 09 most renowned private hospitals in Brazil. The Voyant tools assisted in the textual analysis of complaints while coding classified them into categories. <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>After evaluating the reasons and elements of the complaint, the following was analyzed the encounter characterized as hostile and inhospitable and the attitudes perceived by the patients were grouped into what was defined as \u201cthe 4 D\u2019s of non-hospitality\u201d: dehumanization, disregard, dereliction of duty, and disability. Each of the attitudes was characterized by the physician\u2019s behavior and the sensations, emotions, and feelings triggered in the patient.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Patients\u2019 perception of the not hospitable encounter may be hostile or inhospitable. The physician\u2019s attitude is an important criterion for evaluating the encounter. The physician\u2019s attitude and the form of care are key factors in a culture focused on hospitality in the hospital environment. Hostile and inhospitable attitudes affect the physician-patient relationship and may compromise the patient\u2019s well-being.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s13010-025-00176-0","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T23:03:20Z","timestamp":1752620600000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patients\u2019 perception of medical care in the hospital environment: the reasons of non-hospitality"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3115-3002","authenticated-orcid":false,"given":"Laura Marques","family":"Castelhano","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5524-418X","authenticated-orcid":false,"given":"Gilberto de Araujo","family":"Guimar\u00e3es","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6678-8481","authenticated-orcid":false,"given":"Isabel","family":"Baptista","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2025,7,16]]},"reference":[{"key":"176_CR1","doi-asserted-by":"publisher","unstructured":"Schaad B, Prologue. 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