Introduction: The family Practitioner and referral system is one of the main programs of the 4th social and economical development plans in health sector. Client satisfaction is a basic index in payment mechanism and performance monitoring process in family practitioner program . This study aimed to determine factors effective in the satisfaction of insured rural population of Sabzevar University of Medical Sciences.

  Methods: This cross-sectional study was conducted in rural population of Sabzevar in 2011. Data were collected by a valid and reliable questionnaire and were analyzed using independent t-test, ANOVA, Pearson Correlation coefficient and simple linear regression.

  Results: In the 8 aspects surveyed (care and reverence, safety and welfare, trust and belief in performance, waiting time, usefulness of actions, payment costs, paramedical unit performance and on time accessibility), the highest and the lowest levels of satisfaction were observed in payment costs, trust and belief in family practitioner performance, respectively. The correlation between sex, age, job, and marital status, and satisfaction rate was not significant. However, the relationship between residence, education, type of center and satisfaction of family practitioner was significant. Based on linear regression model, there was a significant correlation between patient satisfaction with family practitioner, residence, education, and the type of the center rendering services.

  Discussion: The results show that higher level of education, place of residence, and delivery from urban health centers may lead to more client satisfaction.