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| Scales | Items contained in original tool | Items retained in preliminary tool | Comments |
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First contact utilization | (B1) When you need a regular general checkup, do you go to your PCP before going somewhere else? | (Q9) When you have a new health problem, do you go to your PCP before going somewhere else? |
All original items in “first contact utilization” scale were retained; slight change was made on item order |
| (B2) When you have a new health problem, do you go to your PCP before going somewhere else? | (Q10) When you need a regular general checkup, do you go to your PCP before going somewhere else? |
| (B3) When you have to see a specialist, does your PCP have to approve or give you a referral? | (Q11) When you have to see a specialist, does your PCP have to approve or give you a referral? |
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First contact accessibility | (C3) When your PCP is open and you get sick, would someone from there see you the same day? | (Q12) Once you get there, do you have to wait more than 15 minutes before you are checked by the doctor or nurse? |
(C3) was replaced by (Q12) because almost all of the patients can be seen the same day when they turn to a CHC in China;
(C7) was deleted because most of the CHCs in China do not offer medical services at night |
| (C4) When your PCP is open, can you get advice quickly over the phone if you need it? | (Q13) When your PCP is open, can you get advice quickly over the phone if you need it? |
| (C5) When your PCP is closed, is there a phone number you can call when you get sick? |
(Q14) When your PCP is closed, can you get advice quickly over the phone if you need it? |
| (C7) When your PCP is closed and you get sick during the night, would someone from there see you that night? |
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Ongoing care | (D1) When you go to your PCP’s, are you taken care of by the same doctor or nurse each time? | (Q15) When you go to your PCP’s, are you taken care of by the same doctor or nurse each time? |
(D7) was deleted due to its unfitness for the local context |
| (D4) If you have a question, can you call and talk to the doctor or nurse who knows you best? | (Q16) If you have a question, can you call and talk to the doctor or nurse who knows you best? |
| (D7) Does your PCP know you very well as a person, rather than as someone with a medical problem? |
(Q17) Does your PCP know what problems are most important to you? |
| (D8) Does your PCP know what problems are most important to you? |
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Comprehensiveness
(service available) | (G2) Immunizations (shots) | (Q18) When you have a mental or emotional problems, do you talk to your PCP? | (G2), (G6), and (G10) were deleted because they are the regular healthcare services provided by CHCs |
| (G6) Family planning or birth control methods |
| (G8) Counseling for mental health problems |
| (G10) Sewing up a cut that needs stitches |
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Comprehensiveness
(service provided) | (H1) Advice about healthy foods and unhealthy foods or getting enough sleep | (Q19) Does your PCP talk about healthy diet, adequate sleep, appropriate exercise and so forth with you? |
(H1), (H5) were combined; (H2), (H4), and (H7) were deleted due to their unfitness for the local context |
| (H2) Home safety, like getting and checking smoke detectors and storing medicines safely | (Q20) Does your PCP recommend you to have a regular checkup? |
| (H4) Ways to handle family conflicts that may arise from time to time |
(Q21) Generally, how much time will your PCP spend talking to you? |
| (H5) Advice about appropriate exercise for you |
| (H7) Checking on and discussing the medications you are taking |
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Coordination | (E8) Did your PCP discuss with you different places you could have gone to get help with that problem? | (Q24) Did your PCP discuss with you different places you could have gone to get help with that problem? |
All original items in “coordination” scale were retained; slight change was made on item order |
| (E9) Did your PCP or someone working with your PCP help you make the appointment for that visit? | (Q25) Did your doctor write down any information for the specialist about the reason for the visit? |
| (E10) Did your PCP write down any information for the specialist about the reason for the visit? | (Q26) Did your PCP or someone working with your PCP help you make the appointment for that visit? |
| (E12) After you went to the specialist or special service, did your PCP talk with you about what happened at the visit? | (Q27) After you went to the specialist or special service, did your PCP talk with you about what happened at the visit? |
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Coordination (information systems) | (F1) When you go to your PCP, do you bring any of your own medical records, such as shot records or reports of medical care you had in the past? | |
(F1), (F2), and (F3) were all deleted due to their unfitness for the local context |
| (F2) Could you look at your medical record if you wanted to? |
| (F3) When you go to your PCP, is your medical record always available? |
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Family centredness | (I1) Does your PCP ask you about your ideas and opinions when planning treatment and care for you or a family member? | (Q28) Does your doctor ask your ideas and opinions when they are planning treatment/care for you or a family member? |
(I3) was deleted due to its unfitness for the local context |
| (I2) Has your PCP asked about illnesses or problems that might run in your family? |
(Q29) Has your doctor asked about illness or problems that might run in your family? |
| (I3) Would your PCP meet with members of your family if you thought it would be helpful? |
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Community orientation | (J1) Does anyone at your PCP’s office ever make home visits? | (Q30) Would anyone at doctor s office ever make home visits? |
All original items in “community orientation” scale were retained |
| (J2) Does your PCP know about the important health problems of your neighborhood? | (Q31) Does your doctor know about health problems of your neighborhood? |
| (J3) Does your PCP get opinions and ideas from people that will help to provide better health care? | (Q32) Does your PCP get opinions/ideas from people that will help to provide better health care? |
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Cultural competence | (K1) Would you recommend your PCP to a friend or relative? |
(Q33) Would you recommend your doctor to a friend or relative? |
(K2) and (K3) were deleted due to their unfitness for the local context |
| (K2) Would you recommend your PCP to someone who does not speak English well? |
| (K3) Would you recommend your PCP to someone who uses folk medicine, such as herbs or homemade medicines, or has special beliefs about health care? |
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