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

NCT07122869 — Recruiting, 80 participants, Centre Hospitalier de Gonesse

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Registry	NCT07122869
Status	Recruiting
Study type	Observational
Enrollment	80 (Estimated)
Sponsor	Centre Hospitalier de Gonesse (Other)
Conditions	Emergency Service, Hospital, Primary Health Care, General Practitioners, Walk-In Clinics, Patient Admission, Health Services Accessibility
Dates	start 2025-07-28, primary completion 2025-08-30 (estimated), completion 2025-08-30 (estimated), first posted 2025-08-14, last updated 2025-08-14
Locations	1 site in France

-Summary

This study aims to find out how many patients sent to the emergency department by their general practitioner could instead be treated in a walk-in clinic. Walk-in clinics provide quick, basic medical care without an appointment and can perform simple tests like blood work and X-rays. By identifying patients who don't need full hospital emergency care, this study hopes to improve patient flow and reduce overcrowding in emergency rooms in the Île-de-France region.

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+Outcome measures

Primary outcomes

Proportion of Patients Referred by General Practitioners to the Emergency Department Who Could Have Been Managed in a Walk-in Clinic [30 min]

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Age 18 years or older
* Patient referred to the emergency department (ED) with a letter from a general practitioner (GP)
* ED visit during the 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 ED visit
* Patient stable at arrival and during ED care

Exclusion Criteria:

* Patients under 18 years old (pediatric cases excluded)
* No referral letter or proof of GP referral
* ED visit outside study hours (weekends, nights)
* Patients requiring intensive hospital care defined by:
* Intravenous treatments (e.g., antibiotics, fluids)
* Heavy imaging exams (CT scan, MRI) during the visit
* Diagnoses with immediate life- or function-threatening conditions (e.g., myocardial infarction, stroke, severe infection)
* Hospitalization decided during or after ED visit
* Clinical instability at or during ED visit (abnormal vital signs, respiratory distress, etc.)
* Patients referred for non-medical reasons (social issues, lack of medical follow-up)

+Locations (1)

Facility	City	Country	Status
Centre Hospitalier de Gonesse	Gonesse, France	France	Recruiting