in common with the way clinical audits have traditionally developed in many countries quality registers in sweden focus predominantly on hospital and specialist care eight of the quality registers also cover services provided in primary care dementia diabetes heart failure chronic obstructive pulmonary disease copd palliative care slowhealing wounds asthma and senior alert for reducing falls malnutrition pressure ulcers however in general coverage of providers and data completeness in quality registers is considerably poorer in primary care than for the hospital sector in part this is reportedly because staff find the addon task of data collection and reporting for several quality registers burdensome resulting in weak engagement by gps