However, adults seen at primary practices with the attributes of a PCMH - where clinicians are accessible, know patients’ medical history, and help co-ordinate care - rated their care higher and were less likely to experience co-ordination gaps or report medical errors. The conclusion supports the need for redesigning primary care, developing care teams accountable across sites of care, and managing transitions well. Primary care is at the centre of the care system in Sweden, and well positioned and qualified to take on such a role.