survey of referal system influenced factors from the perspective of referrings of isfahan educatinal hospitals

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 public hospitals of isfahan city from the point of view of people, until can surmount it by obtain to this purpose, and health system can use from these profits. methods: in this descriptive– analytic and measurable study, people who refer to public hospitals of isfahan province were studied in 2008.five hospitals affiliated to falavarjan, shahin shahr, shahreza and nayyyn health centers and five public hospitals in isfahan city selected by clustering method and 400 patients referred to selected hospitals selected by simple sampling method. data collected by a self-administrated questionnaire which validity was confirmed by experts and its reliability was 85 percent. results: awareness and satisfaction was higher in urban population and motivation in non-urban communities.51.9% of people covered by tammin ejtemai insurance and 89.09% of those who covered by khadamat darman insurance have refered for first level of services.mean of knowledge of client from referral system in studied hospitals was not different significantly.mean of client satisfaction and motivation of the referral system in studied hospitals was different significantly (p<0.05). conclusion: the most important factors in referral system in realization of its process from the perspective of urban population were awareness and satisfaction and from the perspective of rural population was motivation. so investing in promotion of these factors can be sure that the system will work more useful.  so by investment for improvement of these factors, we can be sure that this system will perform more useful than the other time.