USA

Contextualization in the interpretation and evaluation of discourse in medical encounters focuses on three levels: (a) the practice setting itself; (b) the professional, institutional, political, and sociocultural contexts; and (c) the ethnic, racial, educational, class, and/or gender standpoints of participants (Sharf, 1993). Calls for contextualization have resonated with those who study health information dissemination aswell. For example, communi cation campaigns require the collaboration of a variety of professionals with different levels and areas of expertise. Institutions ranging from private foundations to governmental agencies to local advocacy groups affect the agenda, priorities, and the form and content of health messages. The political and sociocultural dynamics of the broader society also undergird the process, and may include concerns such as the economic forces of poverty, job loss, and underinsurance or lack of insurance.