| BG | GR | SP | UK | NO | NL |
---|---|---|---|---|---|---|
Social environmental influences on diabetes self-management | + | + | + | + | + | + |
Social inequalities impact on resources for SM | Â | Â | Â | + | + | + |
Public stigma and impact of portrayal of behavioural dispositions | + | + | Â | + | + | Â |
Media and the portrayal of stigma | + | + | + | + | + | Â |
Diabetogenic food environment | + | + | Â | + | + | Â |
Inability of policy to regulate processes and environments related to chronic illness management | + | + | + | + | + | + |
Lack of governments capacity to regulate the food supply chain | + | Â | Â | + | + | Â |
Growing responsibility of localities stakeholders in a context of financial uncertainty | Â | Â | + | + | + | + |
Challenges associated with the coordination, funding, and implementation of local commissioning of services | Â | Â | Â | + | + | + |
Extending the scope of voluntary and community groups and private provider involvement in SMS | Â | Â | Â | + | + | Â |
Few welfare resources and impact of austerity on local supply and demand for SMS | + | + | Â | + | Â | Â |
Bio-medical tendencies and incentives in primary care | + | + | + | + | + | + |
Gap between SMS policy and implementation within health services | + | + | + | + | + | Â |
Inconsistent support for shift in healthcare provision towards better SMS | Â | + | + | + | Â | Â |
Prevention/ public health interventions have a role in SMS | + | + | + | + | + | + |
Insufficient policy level commitment to implementing SMS policies | + | + | + | + | + | Â |
Lack of incentives for SMS | Â | + | Â | + | Â | Â |
Insufficient SMS tools and infrastructure in the health service | + | + | + | + | + | + |
Drugs companies interests as barrier to implementing SMS | + | + | + | + | + | Â |
Professionals interests as barrier to implementing SMS | + | Â | + | + | Â | Â |
Growing involvement of patient groups | Â | Â | + | Â | + | + |
Financial crisis as an opportunity for changes in the healthcare system | Â | + | + | + | Â | Â |
System level crisis as a dominant policy concern | + | + | Â | Â | Â | Â |
Drug companies providing SMS in the absence of state capacity | + | + | + | Â | Â | Â |