<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2072-9294</journal-id>
<journal-title><![CDATA[Journal of the Selva Andina Research Society]]></journal-title>
<abbrev-journal-title><![CDATA[J. Selva Andina Res. Soc.]]></abbrev-journal-title>
<issn>2072-9294</issn>
<publisher>
<publisher-name><![CDATA[Órgano oficial de la:SELVA ANDINA RESEARCH SOCIETY]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2072-92942025000200165</article-id>
<article-id pub-id-type="doi">10.36610/j.jsars.20252333</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Model of contracting with the indirect treatment paraclinical units of the social security organization]]></article-title>
<article-title xml:lang="es"><![CDATA[Modelo de contratación con las unidades paraclínicas de tratamiento indirecto de la organización de la seguridad social]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salehi Darabi]]></surname>
<given-names><![CDATA[Sina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jafari]]></surname>
<given-names><![CDATA[Mehrnoosh]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mojtaba Hosseini]]></surname>
<given-names><![CDATA[Seyed]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alimohammadzadeh]]></surname>
<given-names><![CDATA[Khalil]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maher]]></surname>
<given-names><![CDATA[Ali]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Islamic Azad University North Tehran Branch Department of Health Services Management]]></institution>
<addr-line><![CDATA[Tehran ]]></addr-line>
<country>Iran</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Islamic Azad University Faculty of Management Health Care Management Department]]></institution>
<addr-line><![CDATA[Tehran ]]></addr-line>
<country>Iran</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Islamic Azad University Department of Health Services Management Health Economics Policy Research Center TeMS]]></institution>
<addr-line><![CDATA[Tehran ]]></addr-line>
<country>Iran</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Shahid Beheshti University of Medical Sciences School of Management and Medical Education ]]></institution>
<addr-line><![CDATA[Tehran ]]></addr-line>
<country>Iran</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>16</volume>
<numero>2</numero>
<fpage>165</fpage>
<lpage>174</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S2072-92942025000200165&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S2072-92942025000200165&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S2072-92942025000200165&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Este estudio tuvo como objetivo desarrollar un modelo para la contratación con las unidades paraclínicas de tratamiento indirecto de la organización de la seguridad social. Empleando un diseño exploratorio mixto, la investigación se llevó a cabo en dos etapas consecutivas: cualitativa y cuantitativa. Los datos se recopilaron mediante cuestionarios desarrollados por los investigadores basados en el modelo conceptual y se analizaron utilizando el software AMOS. El análisis temático de las entrevistas identificó 176 códigos primarios, que se refinaron en 78 códigos iniciales, agrupados en 26 temas principales y 10 factores. Estos factores incluyeron elementos demográficos, consideraciones económicas, culturización, especialización, condiciones físicas, alfabetización y experiencia del personal, gestión del rendimiento, marketing, satisfacción del cliente e influencias externas. Los 10 factores influyeron significativamente en los criterios de contratación de las unidades paraclínicas de tratamiento indirecto de la organización de la seguridad social. Los resultados de la prueba de Friedman indicaron que los factores demográficos tuvieron el mayor impacto, seguidos de los factores externos, los factores económicos, la satisfacción del cliente, el marketing, la alfabetización y experiencia del personal, la culturalización, la especialización, los factores físicos y la gestión del rendimiento. El modelo propuesto demostró ser una herramienta eficaz para la contratación de las unidades paraclínicas de tratamiento indirecto de la organización de la seguridad social, ofreciendo un enfoque estructurado para mejorar la eficiencia y la eficacia en la prestación de servicios.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Contracting]]></kwd>
<kwd lng="en"><![CDATA[indirect treatment]]></kwd>
<kwd lng="en"><![CDATA[paraclinical units]]></kwd>
<kwd lng="en"><![CDATA[social security organization]]></kwd>
<kwd lng="es"><![CDATA[Contratación]]></kwd>
<kwd lng="es"><![CDATA[tratamiento indirecto]]></kwd>
<kwd lng="es"><![CDATA[unidades paraclínicas]]></kwd>
<kwd lng="es"><![CDATA[organización de la seguridad social]]></kwd>
</kwd-group>
</article-meta>
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