This document summarizes the different levels of influence on a patient's health: Individual, family, community, national, and international. At the individual level, a patient's health is shaped by their personal needs, experiences, habits, and beliefs. Familial relationships and social norms within communities also impact health. Nationally, factors like healthcare policies, media, and lifestyle affect patients. Globally, issues like immigration, pandemics, and medical tourism transcend national borders and influence health outcomes.

2. Christian Vohtz, Denmark

3. Karolina Kłoda, Poland

4. VikeshSharma, UK

5. Marie Barrais, France

6. Mario Malnar, Croatia

7. Anna Maria Pedro Pijoan, Spain

8. ElodieBrunel, BelgiumFacilitator: Grzegorz Margas, Poland

10. Individual Patient My health/needs/feelings Experiences Education Habits/culture Religion/spiritual Social status Healtmeasured by opinion Political Choice of doctor Doctor Bio-psycho-social WHO definition Life experiences Clinicalexposure Religion/beliefes Workingconditions

11. Family Patient Emotionalsupport () Financial support Structure Duties Heritage Life advice Doctor Also a patient Genetics Relationship dynamics Family study

12. Community Patient Religion Political Socialnorms Tribal Language Traditionalmedicine Rumors/myths/elders Patient groups Doctor Communication Localsupportorganization Respectedfigure Image Peer support Reputation Vulnerablepatients Occupationalillness Multidisciplinary team Nurse Pharmacy Socialworker Localhealthstructures

13. National Patient Expectations+rights Taxes Legal Media Advertising Life style Pharmaceutical Nationalpatientgroups Voluntarysector Doctor Pharmaceutical influence Nationalhealth policy Type of healthcarefunding Doctor motivation Consultations Healthseekingbehaviour Nationalguidelines EBM Epidemiology Preventativeprograms Conflictsbetweenprimary, secondary and privatehealthcare Education system

14. International Patient Immigration Differentexpectations Beliefes Culture Medicaltourism A better life Money Shelter Peace Access to healthknowledge Doctor WONCA Pandemics Travel medicine Sharedknowledge and practice Access to knowledge Transferableskills Challenges of alternativemedicine Foreigndoctors and mobility Co-opeartion and influence on policies Disasters and emergencies