摘要：During the Congress of the World Health Organization in Ottawa, Canada (1986), the structuring role of cultural differences was highlighted in the context of health system orientations. This event constituted an important step towards the way in which patients are being taken care of and participate in the promotion of health. Accordingly, researchers consider the socio-cultural factors as being crucial when taken into account within the complex field of human and social activity that comprises the health care field. But culture has long been considered, and still is today, as being marginal in prominent health establishments, despite numerous reports being conducted on the subject in psychology, sociology or anthropology. This paper addresses the role of culture in the field of “Health Communication” notably in claiming the development of a multidisciplinary perspective, reconciling the macro and micro approaches, between the local and the global. In this article, we propose to answer the following question: How can we manage the reconciliation between the macro and micro approaches, and thus fully integrate the cultural dimension into better understanding the phenomena studied in Health Communication, both at the interpersonal level (patient-physician encounter) and in the larger context of social interaction? Answering this question will require exploring the empirical and theoretical contributions of different fields.
