Relative to other types of health communication research (acute care physician patient communication, communication campaigns, compliance episodes, etc.), investigations of patient communication following the diagnosis of cancer are infrequent. Theoretically driven, empirical research is desperately needed in such postdiagnostic communication processes as survivorship, quality of life, palliative and hospice care, and loss, bereavement, and grief for those millions of people who have been diagnosed with the second leading cause of death in our nation. An organizational model of patient communication is needed that identifies and describes salient issues and processes involved when cancer patients attempt to negotiate the difficult courses of action following the diagnosis of cancer. The cancer survivorship and agency model (CSAM) proposes both general and specific strategies that serve as options for patients seeking to take greater control of the decision-making process related to their treatment and care of cancer. Although seemingly practical in its offering, CSAM is intended to serve as a heuristic springboard for theoretically based, applied communication research focusing exclusively on post diagnostic cancer processes.

A global economy requires business organizations to cultivate their international holdings by respecting the national differences of their host countries and coordinating efforts for rapid innovation. In this essay we first review relevant literature in the areas of communication and innovation and explore how efforts toward innovative practices are directly related to globalism and business strategy. We then focus on issues associated with national culture, corporate culture, and professional culture that are relevant to strategies for researching business communication in global contexts. Finally, we suggest directions for future work.Prior to the dawning of the new millennium, much was written about innovation, culture, globalism, and strategy. Commentaries on organizational vision, effectiveness, direction, and mission usually noted the necessity to innovate and expand beyond normal limits and borders. Inherent within discussions of innovation and globalism are issues relating to national and organizational culture, and to a lesser extent the professional cultures of members of innovative, globalized business firms. What are the

This article examines the many assertions made in the health communication literature about the importance of communication as an essential process in promoting effective health care. If these assertions are true, then researchers should be able to demonstrate the ways in which communication influences the accomplishment of health care goals—how communication influences health outcomes. The links between health communication and health outcomes are examined, as well as the health outcomes literature. The authors propose a conceptual model of the role of communication in achieving advantageous outcomes in health care and health promotion based on the systems transformation model. The model can serve as a template for both guiding research on communication and health outcomes and for directing the health communication activities of interdependent participants in the modern health care system to promote desired health outcomes in health care/health promotion efforts.

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