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

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