Abstract: Background　Community general practitioners（GPs） with interests in learning ultrasound techniques need a tool with applicability in settings and academic disciplines to help them learn the techniques quickly，effectively，and efficiently. Objective　To develop a set of simple guide specifications applicable for community GPs to screen for diseases of two external organs of human body（thyroid and carotid） using the portable ultrasound device in a standardized way. Methods　We conducted this study in October 2019. By using in-depth，semi-structured interviews，we formulated the framework of specifications for community GPs to screen for thyroid and carotid diseases using the portable ultrasound device，and used it to develop the draft of the specifications by use of literature review，then revised it according to the review of GPs participating in the development，and revised it again according to the results of expert consultation to produce the final version. Results　Two set of specifications were developed，one for thyroid screening，and the other for carotid screening. The community GPs were anxious about the data collection and assessment required by the specifications. The community sonographers believed that they could perform practices well according to the specifications，but they thought that whether it is a paid service or not would directly affect GPs' enthusiasm in the delivery and long-term delivery of such services. Conclusion　The feedbacks for the development indicated that the first revised version of the specifications met the goals of development，and the final version is applicable. In the opinion of community GPs and sonographers involved in the development，the technical difficulty in delivery such services and performance measurement are closely associated with the application of the specifications. In addition，time consuming and missed diagnosis in the delivery are also issues to be considered. In short，to help GPs develop their interests in learning ultrasound techniques，one key is to select suitable body parts to be screened by GPs with settings，time consuming，technical difficulty，and risk in the implementation taken into account，and there is also a need to consider performance subsidy and ways for integrating the implementation of these services with the family doctor system.

Key words: Community health services, General practitioners, Ultrasonography, Thyroid, Carotid artery, Service specifications

摘要： 背景　社区全科医生对学习超声技术有一定兴趣，但需要结合全科医生的社区工作场景和学科背景为其开发能帮助其快速、有效、高效学习的工具。目的　开发一套简易的、适合社区全科医生使用的、用于指导规范使用便携式超声初筛式探查体表两个器官（甲状腺和颈动脉）的超声探查服务规范。方法　于2019年10月，通过个人深度访谈，形成探查流程，指导后续服务规范范围的框定；根据前一步确定的社区全科医生执行超声探查的流程，查阅相关文献，进行内容梳理，形成社区全科医生使用便携式超声技术探查甲状腺及颈动脉服务规范初稿；交参与前一轮流程开发的全科医生审核，形成审核后版本；组织项目组成员召开小组会议专题研讨，针对服务规范进行分块审核并修订，形成终稿。结果　形成社区全科医生使用便携式超声技术探查甲状腺及颈动脉服务规范各一份，社区全科医生对于规范中规定的需要进行的数据采集和判断工作感到焦虑，社区超声医师对社区全科医生执行服务规范中的内容有信心，但认为该服务能否收费会直接影响全科医生参与和持续参与的积极性。结论　从修订意见反馈数量来看，第一轮文本基本达到制定目的，最终文本有应用价值。从服务规范修订过程中社区全科医生和社区超声医师的反馈来看，技术难度和工作绩效是未来落地执行的关键。执行过程中的时间消耗和漏筛带来的风险也是需要考虑的问题。总之，满足和推进社区全科医生对超声技术的兴趣，首先，选择适合全科医生开展超声探查的部位是关键，需要考虑社区执业场景、技术操作时间、难度和风险；其次，进一步推行时，需要考虑绩效补贴及如何与家庭医生制度工作相结合。

关键词: 社区卫生服务, 全科医生, 超声探查, 甲状腺, 颈动脉, 服务规范