en عمومى General نامه به سردبیر Letter to Editor <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Tahoma;"><span style="line-height:2;">Health systems are responsible for improving people&rsquo;s health and protecting them against the financial costs of illness while respecting their dignity and status. In recent decades, the health systems of developing countries have put extensive reform programs on their agenda to meet the growing needs of patients.&nbsp;</span></span></span></div> Nurse practitioners, Primary health care, Consultation and referral 1 2 http://jccnc.iums.ac.ir/browse.php?a_code=A-10-562-2&slc_lang=en&sid=1 Masoumeh Rostami rostamimasomeh1361@gmail.com 100319475328460012373 100319475328460012373 Yes Department of Nursing, Asadabad School of Medical Sciences, Asadabad, Iran. Sasan Navkhasi sasan.navkhasi@gmail.com 100319475328460012374 100319475328460012374 No Department of Nursing, Asadabad School of Medical Sciences, Asadabad, Iran. Majid Barati barati32@umsha.ac.ir 100319475328460012375 100319475328460012375 No Department of Public Health, Asadabad School of Medical Sciences, Asadabad, Iran. Mohammad Hosein Sattari mo.ho.sattari@gmail.com 100319475328460012376 100319475328460012376 No Department of Nursing, Asadabad School of Medical Sciences, Asadabad, Iran.