Primary Care Quality

During 2016, Primary Care Quality is being introduced in Sweden. The system consists of a number of quality indicators, a specification for user friendly feedback and a national function receiving, calculating and returning statistical reference values.

Support for local learning and improvement

The main purpose is simple follow-up and continuous improvement of work for doctors, nurses, physiotherapists, occupational therapists and other primary care professionals. The indicators are developed by representatives for the primary care professions and are created to give meaningful information, supporting health care improvement without causing any extra registrations.

At the health center, updated data from one’s own patients is provided, and national average numbers are given as a reference. Individual patients are possible to follow at the local level.

National statistics provide background and stimulate reflection

The indicators are calculated automatically, based on existing data, and are transferred to a national database, where average values are calculated and returned to the local level. These statistics will also be available as a basis for discussions on overall aims and challenges to primary care in Sweden.

Funded as a quality registry by the SALAR and professional organizations

The professional development has been going on for several years, funded by the joint investment on national quality registries by the Swedish government and the county councils. A traditional quality registry was not possible to create for Swedish primary care, due to problems with integrity and data volumes, but the overall aim is the same. The system is now linked to the work on quality management run by the SALAR, supported by the professional associations.


By connecting to Primary Care Quality Sweden, county councils give their health centers the opportunity to use relevant quality indicators. The connection provides three joint opportunities and commitments:

  • Reporting: Data must be delivered to the national statistics database, according to given specifications.
  • Returning: The calculated reference values provided by the national statistics database must continuously be returned to the health centers, according to given specifications. This means that the returned data must be included in a user friendly and continuously updated presentation, where reference values are shown side by side with the health center’s own data. A possibility to find and follow individual patients must also be provided.
  • Using: Data from the indicators can be used in improvement work and as a starting point in evaluations and operational planning.

During 2016, resources are set aside to contribute with technical support associated with the connection process, free of charge.

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