What is this study trying to find out about emergency department visits?

This study aims to find out how many patients referred to the emergency department by their general practitioners could be treated instead in walk-in clinics. Walk-in clinics provide quicker, basic care and simple tests without appointments. It is sponsored by the Centre Hospitalier de Gonesse to help improve emergency service use and reduce overcrowding.

Who may be eligible for this emergency department clinical trial?

Adults aged 18 or older who have been referred to the emergency department by a general practitioner with a referral letter during weekday hours may be eligible. The visit must be for a medical or traumatic reason, and the patient should be stable without needing intensive hospital care. Please review eligibility criteria for more details.

Is there any cost to participate in this emergency department clinical trial?

Study-related care, including all trial visits, is provided at no cost. However, personal travel expenses and other costs may vary and are not guaranteed to be covered. Participants should plan accordingly for any additional expenses.

Actively Recruiting

Age: 18Years +

All Genders

ID07122869

Study to Identify Which Adults Referred by General Practitioners to Emergency Departments Could Be Treated in Walk-in Clinics in le-de-France

Led by Centre Hospitalier de Gonesse · Updated on 2025-08-14

Participants Needed

Research Sites

N/A

Total Duration

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

Age: 18Years +

All Genders

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

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