Toward Better Clinical Governance: A Six Sigma Analysis of Patient Satisfaction Determinants in a Tertiary Care Government Hospital

The overall satisfaction scores were positive, but nonclinical service domains require substantial improvement. The satisfaction levels could increase substantially through hospital hygiene improvements, outpatient procedure optimization, patient-provider communication enhancement, and technology-based queue management systems. The implementation of the Six Sigma methodology for regular monitoring enabled healthcare providers to develop evidence-based strategies that enhance clinical governance in government hospitals.