Appendix 1.

Measurement of first contact role and breadth of service profiles.

First contact care:
In case of the following health problems, to what extent will patients in your practice population (people who normally apply to you for primary medical care) contact you as the first health care provider? (This is only about the first contact, not about further diagnosis or treatment).	(Almost)	Usually	Occasionally	Seldom/always never
1. Child with severe cough	□	□	□	□
2. Child aged 8 with hearing problem	□	□	□	□
3. Woman aged 18 asking for oral contraception	□	□	□	□
4. Man aged 24 with stomach pain	□	□	□	□
5. Man aged 45 with chest pain	□	□	□	□
6. Woman aged 50 with a lump in her breast	□	□	□	□
7. Woman aged 60 with deteriorating vision	□	□	□	□
8. Woman aged 60 with polyuria	□	□	□	□
9. Woman aged 60 with acute symptoms of paralysis/paresis	□	□	□	□
10. Man aged 70 with joint pain	□	□	□	□
11. Woman aged 75 with moderate memory problems	□	□	□	□
12. Man aged 35 with sprained ankle	□	□	□	□
13. Man aged 28 with a first convulsion	□	□	□	□
14. Anxious man aged 45	□	□	□	□
15. Physically abused child aged 13	□	□	□	□
16. Couple with relationship problems	□	□	□	□
17. Woman aged 50 with psycho-social problems	□	□	□	□
18. Man aged 32 with sexual problems	□	□	□	□
19. Man aged 52 with alcohol addiction problems
Treatment of diseases:
To what extent are you involved in the treatment and follow-up of patients in your practice population with the following diagnoses (“practice population” means: people who normally apply to you for primary medical care)?	(Almost)	Usually	Occasionally	Seldom/always never
1. Chronic bronchitis/COPD	□	□	□	□
2. Hordeolum (Stye)	□	□	□	□
3. Peptic ulcer	□	□	□	□
4. Herniated disc lesion	□	□	□	□
5. Congestive heart failure	□	□	□	□
6. Pneumonia	□	□	□	□
7. Peritonsillar abscess	□	□	□	□
8. Parkinson’s disease	□	□	□	□
9. Uncomplicated diabetes (type II)	□	□	□	□
10. Rheumatoid arthritis	□	□	□	□
11. Depression	□	□	□	□
12. Myocardial infarction	□	□	□	□
Technical procedures: To what extent are the following activities carried out in your practice population by you, or your staff, and not by a medical specialist? (Practice population means: people normally applying to you for primary medical care). For example, if fundoscopy is almost always done by you, tick that box.	Always/almost	Usually	Occasionally	Seldom/always never
1. Wedge resection of ingrown toenail	□	□	□	□
2. Removal of sebaceous cyst from the hairy scalp	□	□	□	□
3. Wound suturing	□	□	□	□
4. Excision of warts	□	□	□	□
5. Insertion of IUD	□	□	□	□
6. Fundoscopy	□	□	□	□
7 Joint injection	□	□	□	□
8. Strapping an ankle	□	□	□	□
9. Cryotherapy (warts)	□	□	□	□
10.Setting up an intravenous infusion	□	□	□	□
Prevention:
When do you, or your staff, measure blood pressure? (More than one answer possible)	□ In connection with relevant clinical conditions
When do you, or your staff, measure blood cholesterol level? (More than one answer possible)	□ On request
To what extent are you involved in health education as regards the following topics: (More than one answer possible)	□ Routinely in office contacts with adults (regardless of the reason for visit)
(1) Smoking	□ In adults invited for this purpose
(2) Diet	□ In connection with relevant clinical conditions
(3) Problematic use of alcohol	□ On request
	□ Routinely in office contacts with adults (regardless of the reason for visit)
	□ In adults invited for this purpose
	□ No such measures
	Not involved In connection with In group sessions or normal patient contacts special programmes
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