“…The original PCAT developed by Barbara Starfield at the Johns Hopkins Primary Care Policy Center is the most widely used instrument in China, including Guangdong [28,29,30,31,32,33,34,35,36,37,38], Shanghai [28,33,39], Hunan [40] and Tibet [41]. The original English PCAT adult version includes seven domains: First Contact (accessibility and utilization), Continuity, Coordination (information and referral systems), Comprehensiveness (service availability and service provided), Community Orientation, Family Centeredness and Cultural Competency.…”