Of course, there will be situations where the application of behavioural agreements will be inappropriate, for example when patients have engaged in extremely violent behaviour, and their immediate removal is necessary to protect employees and other service users from harm. Agreements should be time-limited; not be recommended for more than six months for a behavioral agreement. Agreements should be reviewed as planned (at least 3 months per month, then quarterly) to identify progress or barriers. This keeps him fresh and at the top of the patient and the collective spirit of the teams, instead of putting the agreement in the medical picture somewhere, then a year later, when the patient has long exceeded, exceeded the limits and exceeded what was agreed. Once the objectives have been achieved, the agreement can be withdrawn. The renegotiation should take place when expectations or objectives are not achieved to explore ways to resolve this issue and identify the changes that all parties must make to achieve the objective of the agreement. Detailed documentation of all stages of the resolution of the situation must be completed. Sometimes patients do not follow treatment or follow recommended dietary changes or personal habits. This poor adherence may be due to the fact that treatments take a long time, have side effects or change patients` habits, which is often difficult. Several interventions aim to change the relationship between patients and physicians in order to improve patients` adherence to treatment. One of these interventions is in the form of contracts between doctors and patients, where one or both parties commit to adopt a number of behaviours related to patient care. Contracts can be written or oral.
Most contracts exist between physicians and patients, but they can also occur between practitioners and caregivers, nurses and patients or a patient with himself. In this audit, we examined whether contracts between practitioners and patients actually improve treatment fidelity or health status. We also assessed the impact of contracts on other outcomes, including patient participation and satisfaction, healer behaviour and perspective, health status, damage, costs and ethical issues. In the area of smoking cessation (assessed in three studies), our results appear to be consistent with those of an examination that examines another behavioural intervention, namely competitions and incentives (Hey 2005): the studies were an understatement and variable quality. Moreover, neither incentives, competitions nor contracts appeared to improve long-term decommissioning rates. The only positive effect was reported during this audit (average number of smoked cigarettes at several times; Brockway disappeared in 1977, measured after 12 months. In general, adults. In the literature, contracts mainly concern adult patients, although adolescents (Morisky 2001); Wysocki 1989) and Kinder (Greenan-Fowler 1987; Sherman 1991) were also involved. The role of children is particularly delicate, as their decision-making capacity is limited and sometimes delegated to their caregivers and their right to access information implies specific requirements to ensure their understanding (Sanz 2003).