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

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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]
Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Enhancing primary care quality improvement through national data collection and validation: the primary care quality initiative in Sweden.
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  Data: <searchLink fieldCode="AR" term="%22Månsson%2C+Jörgen%22">Månsson, Jörgen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22André%2C+Malin%22">André, Malin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Johansson%2C+Emil%22">Johansson, Emil</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Malmer+Hagstam%2C+Charlotta%22">Malmer Hagstam, Charlotta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Eriksson%2C+Maria+C%2E+M%2E%22">Eriksson, Maria C. M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Steen%2C+Susanne%22">Steen, Susanne</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Elmroth%2C+Ulrika%22">Elmroth, Ulrika</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Arvidsson%2C+Eva%22">Arvidsson, Eva</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Primary+Health+Care%22">Scandinavian Journal of Primary Health Care</searchLink>. Sep2025, Vol. 43 Issue 3, p649-659. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Clinical+medicine%22">Clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+quality+control%22">Medical quality control</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+safety%22">Patient safety</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Key+performance+indicators+%28Management%29%22">Key performance indicators (Management)</searchLink><br /><searchLink fieldCode="DE" term="%22Benchmarking+%28Management%29%22">Benchmarking (Management)</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Content+mining%22">Content mining</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Electronic+health+records%22">Electronic health records</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+assurance%22">Quality assurance</searchLink><br /><searchLink fieldCode="DE" term="%22Needs+assessment%22">Needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink>
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– Name: Abstract
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  Data: 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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  Data: <i>Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/02813432.2025.2490921
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 649
    Subjects:
      – SubjectFull: Clinical medicine
        Type: general
      – SubjectFull: Medical quality control
        Type: general
      – SubjectFull: Patient safety
        Type: general
      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Key performance indicators (Management)
        Type: general
      – SubjectFull: Benchmarking (Management)
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Content mining
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      – SubjectFull: Research methodology
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      – SubjectFull: Medical records
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      – SubjectFull: Electronic health records
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      – SubjectFull: Quality assurance
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      – SubjectFull: Needs assessment
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      – SubjectFull: Evaluation
        Type: general
      – SubjectFull: Sweden
        Type: general
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      – TitleFull: Enhancing primary care quality improvement through national data collection and validation: the primary care quality initiative in Sweden.
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              M: 09
              Text: Sep2025
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