Evidence map›Paper›PMID 40254819›Full record

ArticleScandinavian journal of primary health care2025

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

Jörgen Månsson, Malin André, Emil Johansson, Charlotta Malmer Hagstam, Maria C M Eriksson, Susanne Steen, Ulrika Elmroth, Eva Arvidsson

Abstract readValidation Study
In one paragraph

Article in Scandinavian journal of primary health care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Persistence and truth in research and practice.Scandinavian journal of primary health care · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jörgen MånssonGeneral Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0003-2571-2605
Malin AndréDepartment of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-0941-0378
Emil JohanssonGeneral Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Charlotta Malmer HagstamDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Maria C M ErikssonGeneral Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0001-8051-8077
Susanne SteenDepartment of Care and Welfare, the Swedish Association of Local Authorities and Regions, Sweden.
Ulrika ElmrothDepartment of Care and Welfare, the Swedish Association of Local Authorities and Regions, Sweden.
Eva ArvidssonDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0002-2843-2169

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveQuality 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.

resultsThe 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.

conclusionsThe 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.

Indexed as

Data CollectionPrimary Health CareQuality ImprovementQuality Indicators, Health CareBenchmarkingHumansPatient SafetyQuality of Health CareSwedendata collectionelectronic health recordhealthcare analyticsPrimary carequality improvementquality indicatorsvalidation

Identifiers

PMID40254819
PMCPMC12377125

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.