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The purpose of this article is to describe the role of communication in patient satisfaction at the Santo Tomás Hospital, if the relationships of dialogue between health workers and patients and family members allow strengthening the forms of relationships both in the presentation of requests and in the response mechanisms that may be experienced. A descriptive study of the topic of hospital communication is proposed as an ideal mechanism aimed at consolidating means of intervention of the actors in a more dynamic context, while the assertive consequence is expressed in the satisfaction of the patient when considering that a level of empathy and approval of the various forms of care that are generated in the hospital center is shown. The study was based on a documentary review, in administrative records of the hospital that is composed of information available in previous records of patients who attended the care service for the elderly. It is concluded that communication channels are necessary and convenient to assertively strengthen integration in the hospital and recognition of relationships between the different actors.