Abstract: Background　Developing a scale for evaluating the core functions of primary care is of great significance for the development of primary care practice，and evaluation，management and promotion of population health. Objective　To report the process of item development for the Chinese version of Assessment Survey of Primary Care（ASPC） adaptable to China's health care system based on the theoretical framework and connotative elements of the core functions of primary care. Methods　We carried out this study from January to October 2018. We first conducted a literature review to collect items related to the evaluation of core functions of primary care from eligible scale studies to form the original item pool. We then carried out individual interviews with informants（5 community health centers' directors，10 general practitioners and 20 patients） for understanding their opinions on the original item pool. An initial version of the scale was born after summarizing，streamlining，and localizing the original item pool according to their opinions. A pilot study of 373 patients was conducted and the exploratory factor analysis and Cronbach's α were used to further modify and improve the items and construct a test version of the Chinese version of ASPC. Results　A total of 25 studies were included with 18 relevant scales and 201 items selected. According to the interviews with informants，the original items were summarized and condensed into 34 items，which formed the initial version of the scale. And in accordance with the pilot study，these items were revised to 41 items to form the test version of the scale，and were expected to measure the six domains of primary care：first-contact care，accessibility，continuity of doctor-patient relationships，comprehensiveness，coordination，and patient-centered care. Conclusion　Using a complete and standardized methodological procedure，we developed the Chinese version of ASPC with 41 items based on China's social culture and health care system that could be used for appropriately assessing the core functions of primary care in China.

Key words: General practice, Core function, Item development

摘要： 背景　构建全科医疗核心特征功能测量量表对于推动基层全科医疗发展、管理、评估和促进人群健康具有重要意义。目的　根据全科医疗核心特征功能的理论框架和内涵要素，编制符合我国社会文化和医疗卫生体系的全科医疗核心特征功能量表条目。方法　2018年1—10月，首先采用文献综述的方法汇总搜索文献中关于全科医疗核心特征功能相关量表条目，形成条目池。根据对5名社区中心主任、10名全科医生和20名患者进行一对一知情人访谈的结果，对条目进行归纳整理、精简、本土化制定和补充，形成初始版量表。通过373例患者样本测试，运用探索性因子分析和Cronbach's α系数等方法，结合患者问卷调查过程中的反馈结果，增补完善条目，形成测试版量表。结果　本文通过文献检索共筛选出25篇文献中18个相关量表中的201个条目纳入研究，采取知情人深度访谈后将条目归纳整理、精简成初始版量表34个条目，经过问卷调查法对条目进行调适，最终编制形成测试版量表41个条目。41个条目用于测量全科医疗核心特征功能的6个维度，分别是：首诊/第一线照护、服务可及性、医患关系连续性、综合性服务、协调性服务和以患者为中心的照护。结论　本文经过一系列完整规范的量表条目编制程序，编制出符合我国社会文化和医疗卫生体系的全科医疗核心特征功能测量量表条目41条。

关键词: 全科医疗, 特征功能, 条目编制