care systems are constantly reforming in order to increase efficiency and
effectiveness, equity, and public access to health care services. Family
physicians and rural health insurance program performed in 2005 with the
following objectives: strengthening the referral system, increasing access to
health care services and reducing unnecessary costs in all urban and rural
areas with fewer than 20,000 inhabitants in Iran. This study was designed to
recognize the achievements and challenges of the implementation of family
present review article was conducted using the databases: Pub Med, Google
scholar, Google, SID, Iranmedex, Magiran with Keywords such as family
physicians, rural insurance, health center, health systems, health services,
family physician satisfaction and patient satisfaction that
68 articles related to the objective of study were extracted and assessed.
FINDINGS: The related studies in Iran showed
that health indices, further access to health services, reduction of
unnecessary costs, and patient satisfaction have been improved by implementing
the family physician program. But in spite of mentioned successes, there are
some problems in referral system, filing and registration of diagnostic and
treatment services and practice in culture in society that should be promoted.
CONCLUSION: This study showed that some of the goals of this program
were achieved and to reach the other goals need interventions at the national
and regional levels.