Warmth, Competence, Hope and Belonging at Mayo Clinic: Using Social Science to Improve Hospital Patients’ Experience

In the aftermath of patient experience challenges during the Covid-19 pandemic, Mayo Clinic surveyed more than 21,000 outpatient medical practice patients. The findings were that, although Mayo Clinic's typical patient experience scores remained high, warmth and competence measures, such as listening, respect, and clear communication, showed opportunities to deepen patient relationships and foster greater feelings of hope and belonging. As a result, Mayo Clinic adopted the social science of warmth and competence as a new framework for improving its relationships with patients. By applying this human social perception lens to the inpatient care environment at its flagship hospital complex in Rochester, MN, frontline staff were empowered to identify overlooked issues, renew collaboration, and implement targeted improvements. Warmth and competence have become an operational framework that guides multidisciplinary teams in identifying practical opportunities to improve the care environment in areas such as quietude, strengthen staff collaboration, and reinforce Mayo Clinic's commitment to patient-centered care. These have contributed to the hospital's increase from a four-star to a five-star rating for patient experience on the Hospital Consumer Assessment of Healthcare Providers and Systems survey in 2025 and 2026.

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Publication Details

Journal
NEJM Catalyst
Published
2026-09-16
DOI
https://doi.org/10.1056/cat.25.0291
Primary Topic
Optimism, Hope, and Well-being
Type
article
Field-Weighted Citation Impact
0.00
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article

Warmth, Competence, Hope and Belonging at Mayo Clinic: Using Social Science to Improve Hospital Patients’ Experience

Laurie Wilshusen, Thomas Welch, Joseph D. Anson, Heidi Stehr et al.
NEJM Catalyst
Optimism, Hope, and Well-being
article

Warmth, Competence, Hope and Belonging at Mayo Clinic: Using Social Science to Improve Hospital Patients’ Experience

Laurie Wilshusen, Thomas Welch, Joseph D. Anson, Heidi Stehr, Sunanda Kane, Daniel Yip, Chris Malone
article en

Abstract

In the aftermath of patient experience challenges during the Covid-19 pandemic, Mayo Clinic surveyed more than 21,000 outpatient medical practice patients. The findings were that, although Mayo Clinic's typical patient experience scores remained high, warmth and competence measures, such as listening, respect, and clear communication, showed opportunities to deepen patient relationships and foster greater feelings of hope and belonging. As a result, Mayo Clinic adopted the social science of warmth and competence as a new framework for improving its relationships with patients. By applying this human social perception lens to the inpatient care environment at its flagship hospital complex in Rochester, MN, frontline staff were empowered to identify overlooked issues, renew collaboration, and implement targeted improvements. Warmth and competence have become an operational framework that guides multidisciplinary teams in identifying practical opportunities to improve the care environment in areas such as quietude, strengthen staff collaboration, and reinforce Mayo Clinic's commitment to patient-centered care. These have contributed to the hospital's increase from a four-star to a five-star rating for patient experience on the Hospital Consumer Assessment of Healthcare Providers and Systems survey in 2025 and 2026.

NEJM CatalystVol. 7(10)
Mayo Clinic (US), Consumer Healthcare Products Association (US), Patients First (US), Mayo Clinic in Arizona (US), Mayo Clinic in Florida (US), Flint Institute Of Arts (US), National Patient Safety Foundation (US)
Reduced inequalities
Openalex Percentile: Top 9%
Optimism, Hope, and Well-being
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Warmth, Competence, Hope and Belonging at Mayo Clinic: Using Social Science to Improve Hospital Patients’ Experience — Laurie Wilshusen, Thomas Welch, et al. · NEJM Catalyst (2026) | TGRS Research Map | TGRS