title: Is organizational progress in the EFQM model related to employee satisfaction?
abstract: BACKGROUND
  To determine whether there is greater employee satisfaction in organisations that have made more progress in implementation of the European Foundation for Quality Management (EFQM) model.
  
  
  METHODS
  A series of cross-sectional studies (one for each assessment cycle) comparing staff satisfaction survey results between groups of healthcare organisations by degree of implementation of the EFQM model (assessed in terms of external recognition of management quality in each organisation).
  
  
  METHODS
  30 healthcare organisations including hospitals, primary care and mental health providers in Osakidetza, the Basque public health service.
  
  
  METHODS
  Employees of 30 Osakidetza organisations.
  
  
  METHODS
  Progress in implementation of EFQM model.
  
  
  METHODS
  Scores in 9 dimensions of employee satisfaction from questionnaires administered in healthcare organisations in 4 assessment cycles between 2001 and 2010.
  
  
  RESULTS
  Comparing satisfaction results in organisations granted Gold or Silver Q Awards and those without this type of external recognition, we found statistically significant differences in the dimensions of training and internal communication. Then, comparing recipients of Gold Q Awards with those with no Q Certification, differences in leadership style and in policy and strategy also emerged as significant.
  
  
  CONCLUSIONS
  Progress of healthcare organisations in the implementation of the EFQM Excellence Model is associated with increases in their employee satisfaction in dimensions that can be managed at the level of each organisation, while dimensions in which no statistically significant differences were found represent common organisational elements with little scope for self-management.
authors.forename: Carmen
authors.initials: C
authors.lastname: Matthies-Baraibar
authors.forename: Andoni
authors.initials: A
authors.lastname: Arcelay-Salazar
authors.forename: David
authors.initials: D
authors.lastname: Cantero-González
authors.forename: Alberto
authors.initials: A
authors.lastname: Colina-Alonso
authors.forename: Marbella
authors.initials: M
authors.lastname: García-Urbaneja
authors.forename: Rosa María
authors.initials: RM
authors.lastname: González-Llinares
authors.forename: Jon
authors.initials: J
authors.lastname: Letona-Aranburu
authors.forename: Catalina
authors.initials: C
authors.lastname: Martínez-Carazo
authors.forename: Maider
authors.initials: M
authors.lastname: Mateos-Del Pino
authors.affiliation: Basque Institute for Healthcare Innovation (O+berri), Torre del BEC, Ronda de Azkue 1, 48902 Barakaldo, Spain. nuno@bioef.org.
authors.forename: Roberto
authors.initials: R
authors.lastname: Nuño-Solinís
authors.forename: Esther
authors.initials: E
authors.lastname: Olaetxea-Urizar
authors.forename: José Antonio
authors.initials: JA
authors.lastname: de la Rica-Giménez
authors.forename: María Angeles
authors.initials: MA
authors.lastname: Rodríguez-González
authors.forename: Silvia
authors.initials: S
authors.lastname: Dabouza-Acebal
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006268:Health Facilities / Q000592:standards*; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D017146:Models, Organizational; D013030:Spain; D011795:Surveys and Questionnaires; D017749:Total Quality Management