Knowledge, practice and faith on Total Quality Management principles among workers in the Health Care System: evidence from an Italian investigation.

Background: The implementation of Total Quality Management (TQM) principles in the sanitary field, in order to be effective, requires a radical change in management practice as well as the organizational culture and its philosophy. The need to monitor such a transformation emerges too.

Objectives: This study surveys how well TQM principles are known and understood by health care professionals from the employees' point of view and the factors affecting it.