At first, these could be meso- and macro level factors.
For professor Nohria and me, contextual intelligence means the ability to understand the macro level factors that are at play at a given time.
As further research, new criteria can be added considering the developed contextualized framework (e.g., macro level factors), and non-significant criteria can be excluded.
According to Fig. 5, the five main influences on hub port selection were identified as "macro level factors," "strategic changes in the liner shipping industry," "port-related factors," "stakeholder influence," and "liner service design factors".
It is unclear how these more macro level factors may function differently (if at all) between MSM and non-MSM.
A qualitative study in Latin American hospitals has identified barriers to change at level of individual providers, hospitals policies and macro level factors; and suggests that interventions must attempt to bring about sustainable change at all levels [ 31].
The Clinical Adoption Framework [ 28] contextualizes the IS Success Model [ 12] into healthcare and extends it by providing meso and macro level factors that can influence the adoption of clinical information systems.
In particular, we were able to extend the CA Framework to EMRs in physician office settings by identifying specific micro, meso and macro level factors that influence EMR adoption and its effect.
Preventive programmes targeting adolescents have been shown to be more effective if they take an integral approach that includes several stakeholders at the level of the broader environment (e.g. teachers, health personnel, parents), and ideally also includes action to influence macro level factors such as policies that facilitate the implementation of programs and promote health [ 3, 4].
Legislation is another macro-level factor that helped the Gambia recently outlaw FGM, she pointed out. .
Individual characteristics may be more important than macro-level factors (Ghignoni and Verashchagina 2014).
