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Table 1 Micro, Meso, and Macro level influences on decision making

From: Macro- and meso-level contextual influences on health care inequities among American Indian elders

Micro Level

Meso Level

Macro Level

• Personal and family decision making about insurance and health care

• Use of insurance and health care by patients

• Institutional (e.g., hospital, clinic, health insurer) policies and practices

• Insurance outreach, enrollment, and reimbursement

• Clinic processes

• Budget constraints

• Social norms and values

• Policies, laws, and regulations

• Health care systems and structures

• Budget allocation processes