Table 1 Detailed modifications in the translation and adaptation process

1

Change orders of the ten dimensions

Person-centeredness (items 1–5)

Community-centeredness (items 6–9)

Clinical Integration (items 10–16)

Organizational integration (items 17–20)

System integration (items 21–23)

Professional integration (items 24–30)

Technical competence (items 31–40)

Cultural competence (items 41–48)

Making the questions more easily asked, understood, and completed by Chinese.

2

Item 6: Within this clinic, it is important to work with community-based service organizations to improve delivery of care.

insert “e.g. neighborhood committee” at the end of “community-based service organizations”.

Cite an example.

3

Item 10: Within this clinic, written plans and schedules are used to coordinate care for patients.

Insert “(e.g. patient referrals and expert consultation)” at the end of the question.

Cite examples of coordinating care for patients.

4

Item 11: Within this clinic, written plans and schedules are used for patient referrals, transfers, and follow-up with care providers outside the clinic (e.g. hospital, cardiologist, etc.).

Delete “transfers”.

It is not the health institutes’ responsibility for transferring patients except in an emergency.

5

Item 15: Within this clinic, there is a multidisciplinary team (e.g. psychologist, dietitian etc.).

Delete “psychologist, dietitian” and insert “general practitioners and public health physicians”.

General practitioners and public health physicians are required members of multidisciplinary teams of CHS in China.

6

Item 25: This clinic coordinates with other organizations in the region to eliminate unnecessary duplication of administrative services.

Insert “(e.g. repeated registration)” at the end of the question.

Cite an example.

7

Item 26: This clinic coordinates the use of its technology and equipment with other organizations in the region to provide better care for patients.

Insert “(e.g. borrow or rent)” at the end of “coordinates”.

Cite an example.

8

Item 27: This clinic coordinates the use of its

staff/personnel with other organizations in the

region to provide better care for patients.

Insert “(e.g. expert consultation)” at the end of “coordinates”.

Cite an example.

9

Items 28/29/30

Insert one most recent specific health regulation for each item.

Cite an example.