Systematic Review of Studies on the Implementation of the Family Physician Plan in the Iranian Health System in the Years 2001-2020

The complete implementation of the referral system and the elimination of its deficiencies is one of the important issues of health services in today's societies. One of the consequences of the incomplete implementation of the rural referral system is the costs that enter people's pockets and the system of a country. One of the main factors in completing the referral system, considering the large number of beneficiaries, politicians and executives in this plan, is how to communicate effectively among the many and different groups of this plan (doctors, insured, midwives, nurses, executive staff, staff The aim of this study is to measure the extent and manner of family doctor plan studies addressing communication components as an effective index in solving the challenges of the plan.

Research method The method of the present study was conducted in the form of a library review on 40 studies from 2001 to 2020. The research population is all the articles related to communication components in the family doctor project. In order to carry out information research by reading texts from the library, websites of selected related organizations and in order to search systematically based on keywords based on 1- family doctor plan 2- communication in family doctor plan 3- referral system 4- challenges and obstacles of the plan Family doctor 5-Health care 6-Rural family doctor plan strategies 7-Effective communication in the referral system was collected and evaluated and compared in the comparison table of the fields. Articles were systematically searched based on relevant keywords in authoritative and specialized databases in English and Farsi languages, Google scholar, along with national databases including SID, IRANDOC, ISC. From all the identified articles, according to the research strategy, the researcher evaluated the content of those articles that addressed the impact and importance of communication components in the rural family physician plan and the referral system in the discussion and conclusion section of the direct article.

In the document review of 230 articles related to the keywords considered by the researcher, it was observed that in 40 articles, the issue of communication components as an important indicator in solving the problems of the referral system in the family doctor plan was discussed in the discussions and conclusions. Was. 4 components, satisfaction measurement, lack of awareness (training, information, participation), human resource empowerment, improvement of health indicators, were communication components that were identified and discussed in the text of the articles and conclusions.

It is suggested to use the experiences of successful countries in the field of effective communication in the referral system, by creating an integrated communication system, to provide a communication model to solve the problems of the family doctor plan. It is necessary to study the impact of communication components as the main indicator and independent variable in solving the problems and challenges of the family doctor plan.