introduction: the family physician program is one of the most important plans for increasing the equitable access and affordable health services. this study aimed to examine the performance of urban family physicians and associated factors in the third year of its implementation. method: a cross-sectional study was conducted on all family physicians (31 persons) working in the private and publi...

background: who suggest that family physician is the core in the world efforts for quality improvement, cost ef­fectiveness, and equity in the health care systems. this study evaluates the impact of the program on accessibility of the services, case finding, patient referral, feedback process and insurance coverage in the rural health units. methods: this study was quasi experimental. it compar...

background: except in emergency cases, all patients should be seen first by a primary healthcare physician who decides whether a referral to secondary care is necessary. the present study examined the reasons for patient self-referral to specialists. methods: a random sample of 1036 individuals was selected from people attending public outpatient clinics and specialists’ offices in the private ...

health care system is organized to achieve more efficiency as well as developing public equity and providing access to the first, second and third levels of services. family physician is in the first line of the health care system; in other words, family physician is the health system’s goalkeeper. according to classification of health services, gaining access to specialized services becomes po...

introduction: the profits of executable referral system process are including: decrease the staff and equipment and saving in expenses and tools, appropriate division of sources for the best use of them and prevention of put patients to unreasonable expenses. in this course, the purpose of present study was to determine the effective factors on executable amount of referral system process in pu...