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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