Model of contracting with the indirect treatment paraclinical units of the social security organization

Abstract

This study aimed to develop a model for contracting with the indirect treatment paraclinical units of the social security organization. Using a mixed exploratory design, the research was conducted in two consecutive stages: qualitative and quantitative. Data were collected through questionnaires developed by the researchers based on the conceptual model and analyzed using AMOS software. Thematic analysis of the interviews identified 176 primary codes, which were refined into 78 initial codes, grouped into 26 main themes and 10 factors. These factors included demographics, economic considerations, acculturation, specialization, physical conditions, staff literacy and experience, performance management, marketing, customer satisfaction, and external influences. The 10 factors significantly influenced the contracting criteria of the indirect treatment paraclinical units of the social security organization. The results of the Friedman test indicated that demographic factors had the greatest impact, followed by external factors, economic factors, customer satisfaction, marketing, staff literacy and experience, cultural background, specialization, physical factors, and performance management. The proposed model proved to be an effective tool for contracting indirect treatment paraclinical units within the social security organization, offering a structured approach to improving the efficiency and effectiveness of service delivery.

Keywords: Contracting; indirect treatment; paraclinical units; social security organization