Table 2.

Additional factors in the three domains of the sociotype that relate specifically to chronic disease management as in diabesity.

Individual Health Relationships Environment
Macro-level: Health care system, health benefits Significant other and family Access to health centers, mobility
Meso-level: Health insurance, relations with health maintenance organization (HMO), pharmacists Community primary care case manager and medical team Facilities for chronic care: clinics, dialysis centers, day-care
Micro-level: Patient care process, health literacy, treatment, and side-effects: adapting, adjusting to a new reality Case manager
Hospital specialist
Medical team and health professionals
Financial circumstances
Physical status, nutrition, activity, self-management Continuity and coordination of care Housing facilities (daily living)
Access to care, personal hygiene facilities, etc.
Mental health, personality type, health beliefs, taking responsibility for treatment options Patient self-management support groups Ability to continue working
Coping and compliance strategies, denial
Dependency, loss of control
Complications and side-effects
Eyesight
Peripheral vascular disease (amputations)
Kidneys (dialysis)
Impotence
Friends
Pets
Carers
Cultural acceptability of illness
Health literacy
Alternative medicine
Information technology
RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2012 April; 3(2): e0010. ISSN: 2076-9172
Published online 2012 April 30. doi: 10.5041/RMMJ.10077.