Actively Recruiting
Eligibility of Patients Referred to Emergency Departments by Their General Practitioners for Care in Walk-in Clinics: A Single-Center Study in le-de-France
Led by Centre Hospitalier de Gonesse · Updated on 2025-08-14
80
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are studying patients who are sent to the emergency department by their general practitioners to find out how many could instead be treated in walk-in clinics. These clinics offer quick, basic medical care without appointments and can perform simple tests like blood work and X-rays. The goal is to improve patient flow and reduce emergency room overcrowding in the le-de-France region. The study observes adult patients referred to the emergency department with a letter from their general practitioner during weekdays from 9 a.m. to 8 p.m. These patients have medical or traumatic reasons for their visit and are stable when arriving and during care. Patients needing intensive hospital care or who have life-threatening conditions are not included. Participants will be monitored during their emergency department visit to assess whether their care could have been managed in a walk-in clinic. The main measure is the proportion of patients referred by general practitioners who could have been treated in such clinics. The study helps understand how emergency services can be better used and runs until August 2025.
CONDITIONS
Brief Title
Eligibility of Patients Referred to Emergency Departments by Their General Practitioners for Care in Walk-in Clinics: A Single-Center Study in Île-de-France
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 18 years or older
- Patient referred to the emergency department with a referral letter from a general practitioner
- Emergency department visit during study hours (Monday to Friday, 9 a.m. to 8 p.m.)
- Consultation in the selected adult emergency service
- Medical or traumatic reason justifying the emergency department visit
- Patient stable at arrival and during emergency department care
You will not qualify if you...
- Patients under 18 years old
- No referral letter or proof of general practitioner referral
- Emergency department visit outside study hours (weekends, nights)
- Patients requiring intensive hospital care such as intravenous treatments or heavy imaging exams
- Diagnoses with immediate life- or function-threatening conditions like myocardial infarction, stroke, or severe infection
- Hospitalization decided during or after emergency department visit
- Clinical instability at or during emergency department visit
- Patients referred for non-medical reasons such as social issues or lack of medical follow-up
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - During emergency department visit
Participants undergo evaluation to determine the appropriateness of emergency department referral compared to walk-in clinic care.
1 visit (in-person)
Duration - Up to 30 minutes
Participants who undergo routine emergency department care are observed to assess outcomes related to their referral and care setting.
Assessment during emergency department visit
Trial Site Locations
Total: 1 location
1
Centre Hospitalier de Gonesse
Gonesse, France, France
Actively Recruiting
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
0
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