title: The EFQM excellence model is useful for primary health care teams.
abstract: BACKGROUND
  Primary care teams are facing an increased need to develop quality programmes at local level. GPs must lead this process and promote a positive organizational culture if they want to achieve and maintain a continuous improvement of the service.
  
  
  OBJECTIVE
  The aim of the present study was to test the applicability and reliability of the European Foundation for Quality Management (EFQM) excellence model self-assessment questionnaire in a primary health care organization.
  
  
  METHODS
  A cross-sectional study was carried out of the EFQM questionnaire to compare the scores achieved by a primary health care team in Spain caring for 42 000 inhabitants using internal self-assessment with the scores achieved by professional management auditors through an external audit.
  
  
  RESULTS
  The scores of each criterion achieved by self-evaluation are similar to or lower than those assessed by the external evaluation. There is agreement in the areas suitable for improvement.
  
  
  CONCLUSIONS
  The experience proves the applicability of the EFQM excellence model for primary health care teams and its reliability, at least when the team undergoing self-assessment know they are going to be re-evaluated. There is high concordance in the identification of areas for improvement.
authors.affiliation: Divisió d'Atenció Primària, Institut Català de la Salut, C/Gran Via de les Corts, Catalanes, 587, 08007 Barcelona, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Gené-Badia
authors.forename: G
authors.initials: G
authors.lastname: Jodar-Solà
authors.forename: E
authors.initials: E
authors.lastname: Peguero-Rodríguez
authors.forename: J C
authors.initials: JC
authors.lastname: Contel-Segura
authors.forename: C
authors.initials: C
authors.lastname: Moliner-Molins
mesh_terms: D019985:Benchmarking; D003430:Cross-Sectional Studies; D006801:Humans; D017146:Models, Organizational; D015279:Organizational Culture; D010348:Patient Care Team / Q000592:standards; D011320:Primary Health Care / Q000592:standards*; D011787:Quality of Health Care; D015203:Reproducibility of Results; D013030:Spain; D011795:Surveys and Questionnaires