Determining Patient’s Reference System Status In Mehrizcity Rural Family Physician Plan
Easy and low-coast access of patients to centers providing treatment services is among advantages of developed
countries and one of goals of health system modification. Countries for reaching this position have made many efforts and
attention to family physician plan and reference system is among these measurements. Then, the present study was
conducted with the aim of determining the patients' reference system status in Mehriz city rural family physician plan.
The study was an applied study and of descriptive-analytical type which was conducted in cross-sectional method. Also, in
respect of administration, this study was performed by survey method. The study setting was healthcare center of Khormiz
village which was one of executors of family physician national plan in city level and study population included all health
records and documents of referred patients in 2015. The present records were 458 records that based on organ table 243
records were examined with accessible sampling method. For collecting data, scholar -made checklists derived from private
aims were used. The obtained data were analyzed using applied – analytical software SPSS V.20.
Findings showed that in 85% of studied records, reference was necessary and the patient referral was due to the patient
request and in 15% of records, reference was not necessary. In 85% of records, the way of selecting specialist physician has
been by the physician and in 15% it has been by the patient. In respect of referred specialization, the highest frequency was
related to internal diseases, orthopedic and gynecology. 93.8% of records didn’t have any feedback and just 6.2% had
feedback. 93.8% of records didn’t have illness follow-up by physician and his aid and only 6.2% had follow-up. In 87% of
records, all required contents were completed and recorded and in 13% of them contents were incomplete and imperfect. In
respect of the patients' age, the highest frequency was in age group of 31 to 40 years old. 46.5% of patients were men and
53.5% were women. The highest frequency of patients (61.7%) was from lower Khormiz region.
Therefore, by suitable and optimal implementing of reference system and family physician plan, replication increase, access
and coverage of services, cost reduction, priority of health looking services, formation of health record, services quality
control and satisfaction of services receivers and providers are realized through recognizing people status in home, family
and society. And then, removing shortages of this health system has a high significance and requires administrative
Keywords- Health System, Reference System, Rural Family Physician Plan, Mehriz