“…Appropriateness was the most interesting individual relational communication characteristic in this study because, unlike the other three characteristics, it has not been emphasized as a central relational communication characteristic in international health communication research. In earlier studies related to Finnish speech culture, the features of appropriateness were seen primarily as cultural norms manifest primarily in nonverbal communication, communication content, and personal characterizations produced by individuals (e.g., Wilkins, 2005Wilkins, , 2009)-and not in features of relational communication in relationships, as in this study. The same connection was also apparent in Finnish health care instructions and instruments concerning quality of care (e.g., Töyry, 2001).…”