J Anal Res Clin Med. 2016;4(4): 182-195.
doi: 10.15171/jarcm.2016.032
  Abstract View: 1434
  PDF Download: 662


Nine years of publications on strengths and weaknesses of Family Physician Program in rural area of Iran: A systematic review

Saber Azami-Aghdash 1, Jafar-Sadegh Tabrizi 2*, Mohammad Mohseni 3, Mohammad Naghavi-Behzad 4, Amin Daemi 3, Mohammad Saadati 2

1 Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran
2 Tabriz Health Services Management Research Center, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
3 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
4 Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran


Introduction: One of the most important duties of a family physician is to provide primary health care. This is completely considered in the Family Physician Program for a target population. The aim of this study was to systematically review the Family Physician and Referral System strength and weakness in rural area of Iran. Methods: In this systematic review, Scientific Information Database (SID), Science Direct, and PubMed databases were searched and Google search engine was employed using key words such as family medicine, family physician, and referral system for the period of January 2005 to June 2013, both in English and Persian. For identifying duplicated references, Endnote Software was used and for summarizing results of fully assessed articles extraction table was employed. Results: Strengths and weaknesses of Family Physician Program and referral system in rural areas of Iran were extracted from 28 studies. In total, 115 weaknesses (3.96 per study) and 103 strengths (3.55 per study) were obtained. Content analysis was used and 218 items were summarized into 29 items. Strengths of Family Physician Program were: access of villagers to health services, filling health document for clients, improving services for pregnant mothers, and family planning; while its obvious weaknesses included repeated unnecessary referral of clients as well as lack of providing job stability. Conclusion: Results of studies conducted in Iran showed that Family Physician and Referral System in rural area of Iran could not be successful enough and has many shortcomings. Therefore, a growing body of effective changes must be made for a better performance and to obtain better outcomes.
Keywords: Family physician, Referral System, Strength, Weakness, Rural Areas, Urban Area
First Name
Last Name
Email Address
Security code

Abstract View: 1434

Your browser does not support the canvas element.

PDF Download: 662

Your browser does not support the canvas element.

Submitted: 10 Oct 2016
Accepted: 31 Oct 2016
ePublished: 24 Dec 2016
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)