Table 9.

Specific item changes compared to the original tool.

Scales	Items contained in original tool	Items retained in preliminary tool	Comments
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?
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?
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?
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
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
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?
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?
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?
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?
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?