PONE-D-21-07002An Assessment of Organisational Culture in Australian Hospitals Using Employee Online ReviewsPLOS ONE

Dear Dr. Pavithra,

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Oathokwa Nkomazana, MD MSC PhD

Academic Editor

PLOS ONE

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Additional Editor Comments (if provided):

Thank you for an interesting study. Please note comment from Reviewer 3; especially about the vocal minority eclipsing the silent majority. Also note comments by Reviewer 2 about the methods.

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

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Reviewer #1: Yes

Reviewer #2: Partly

Reviewer #3: Yes

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: N/A

Reviewer #2: Yes

Reviewer #3: Yes

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Reviewer #1: No

Reviewer #2: No

Reviewer #3: Yes

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Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

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5. Review Comments to the Author

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Reviewer #1: The aim of this study was to analyse content of reviews posted by hospital employees on three job websites. It is understandable that performing rigorous statistics might have been a challenge given the small samples. Organizational culture is a complex concept, this study provides a baseline on which future studies could build on. Did the authors considered qualitative content analysis regarding trustworthiness?

Reviewer #2: There is a lot of details that needed to be provided to strengthen this study. A lot of statements across the study sections introduce ideas that are not well expanded or tied together. The methods section is confusing and has gaps that if revised could help improve the study, including clarity on how and why 103 reviews were extracted for the study period – sample size determination? how was data abstracted from the reviews? Providing the online review (i.e. details of the elements captured by these surveys) is also a critical addition that could be made to help provide clarity on study results and discussions. I find this study to be technically lacking with insufficient depth in the analysis and presentation of the results – the insufficient introduction also adds to this limitation.

Reviewer #3: The article is well written, methodologically sound, and relevant as it seeks to answer an important question: with the proliferation of online reviews of health care providers and health facilities, how good are these reviews at providing information related to organizational culture? The answer is that they can be quite good, with some caveats. My comments are pretty minor, and the authors should feel free to accept them or not. I thought it would be interesting to have a table that compares data/findings between former employees and current employees. I also through that in the discussion it might be worth expanding upon the risk that, with online reviews, the opinions of a "vocal" minority might end up overwhelming those of a quite majority

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Reviewer #1: No

Reviewer #2: No

Reviewer #3: No

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An Assessment of Organisational Culture in Australian Hospitals Using Employee Online Reviews

PONE-D-21-07002R1

Dear Dr. Pavithra,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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Kind regards,

Oathokwa Nkomazana, MD MSC PhD

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments: