Enhancing primary care quality improvement through national data collection and validation: the primary care quality initiative in Sweden.

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Bibliographic Details
Title: Enhancing primary care quality improvement through national data collection and validation: the primary care quality initiative in Sweden.
Authors: Månsson, Jörgen (AUTHOR), André, Malin (AUTHOR), Johansson, Emil (AUTHOR), Malmer Hagstam, Charlotta (AUTHOR), Eriksson, Maria C. M. (AUTHOR), Steen, Susanne (AUTHOR), Elmroth, Ulrika (AUTHOR), Arvidsson, Eva (AUTHOR)
Source: Scandinavian Journal of Primary Health Care. Sep2025, Vol. 43 Issue 3, p649-659. 11p.
Subjects: Clinical medicine, Medical quality control, Patient safety, Primary health care, Key performance indicators (Management), Benchmarking (Management), Descriptive statistics, Content mining, Research methodology, Medical records, Conceptual structures, Electronic health records, Quality assurance, Needs assessment, Evaluation
Geographic Terms: Sweden
Abstract: Objective: Quality measures in healthcare are crucial for improving outcomes and ensuring patient safety. This study investigated the evolution, implementation, and impact of Primary Care Quality (PCQ). The PCQ aims to facilitate nationwide quality benchmarking, serving as a tool for quality improvement (QI) and research. Design/Settings: A descriptive design outlining the development and operationalisation of the PCQ, a national framework for automatic and systematic data collection and feedback. Results: The national PCQ system is a tool for continuous QI in primary care in Sweden. PCQ has achieved extensive adoption, with over 97% of Swedish primary care centres, both private and public driven, utilising the platform for automatic data extraction from patient records and data visualisation. Quality indicators were developed through a structured approach involving primary care professionals, evidence-based clinical practices, and expert contributions from established knowledge organisations, reflecting the breadth of general practice. Data are automatically retrieved from medical records and visualised in real time, with the possibility of benchmarking at an aggregate level and identifying individuals locally at primary care centres. The PCQ has facilitated improvements by enabling quality dialogue among healthcare professionals and supporting continuous local QI. Regionally, the PCQ supports needs assessments and patient safety initiatives. Nationally, it establishes standardised indicators for quality measurement, enabling effective benchmarking and strategic healthcare planning. Conclusions: The implementation of the national PCQ system provided a framework and tool for continuous QI in primary care. The system has influenced national standardization of primary care indicators, with quality improvement results demonstrated regionally and locally through the PCQ. KEY POINTS: Primary Care Quality is a national system designed for automatic data collection and feedback from primary care electronic medical records. Primary Care Quality aims for quality improvement, consists of indicators developed by professionals, and reflects the breadth of general practice. Data is visualised in real time as graphs with the possibility of benchmarking Primary Care Quality is available for over 97% of all primary care centres in Sweden. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
Description
Abstract:Objective: Quality measures in healthcare are crucial for improving outcomes and ensuring patient safety. This study investigated the evolution, implementation, and impact of Primary Care Quality (PCQ). The PCQ aims to facilitate nationwide quality benchmarking, serving as a tool for quality improvement (QI) and research. Design/Settings: A descriptive design outlining the development and operationalisation of the PCQ, a national framework for automatic and systematic data collection and feedback. Results: The national PCQ system is a tool for continuous QI in primary care in Sweden. PCQ has achieved extensive adoption, with over 97% of Swedish primary care centres, both private and public driven, utilising the platform for automatic data extraction from patient records and data visualisation. Quality indicators were developed through a structured approach involving primary care professionals, evidence-based clinical practices, and expert contributions from established knowledge organisations, reflecting the breadth of general practice. Data are automatically retrieved from medical records and visualised in real time, with the possibility of benchmarking at an aggregate level and identifying individuals locally at primary care centres. The PCQ has facilitated improvements by enabling quality dialogue among healthcare professionals and supporting continuous local QI. Regionally, the PCQ supports needs assessments and patient safety initiatives. Nationally, it establishes standardised indicators for quality measurement, enabling effective benchmarking and strategic healthcare planning. Conclusions: The implementation of the national PCQ system provided a framework and tool for continuous QI in primary care. The system has influenced national standardization of primary care indicators, with quality improvement results demonstrated regionally and locally through the PCQ. KEY POINTS: Primary Care Quality is a national system designed for automatic data collection and feedback from primary care electronic medical records. Primary Care Quality aims for quality improvement, consists of indicators developed by professionals, and reflects the breadth of general practice. Data is visualised in real time as graphs with the possibility of benchmarking Primary Care Quality is available for over 97% of all primary care centres in Sweden. [ABSTRACT FROM AUTHOR]
ISSN:02813432
DOI:10.1080/02813432.2025.2490921