Patient contracts for chronic medical conditions: Scoping review.

Objective: To describe how and why patient contracts are used for the management of chronic medical conditions.

Data Sources: A scoping review was conducted in the following databases: MEDLINE, Embase, AMED, PsycInfo, Cochrane Library, CINAHL, and Nursing & Allied Health. Literature from 1997 to 2017 was included.

Bridging the gap between family doctors and regional health authorities.

The communication between family doctors and regional health authorities has become more complex and fragmented over the last 2 decades. By using a novel approach, we developed a medical advisory committee structure for community physicians enshrined in the regional health authority bylaws. This has improved bilateral communication, policy making that affects patients in the community, linkages between programs and family doctors, and input into the institutional care of our patients.