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NCT Number: NCT07122869

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

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.

Recruiting

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Key information

Conditions

Emergency Service, Hospital Disease Attributes Emergencies General Practitioners Health Services Accessibility Pathologic Processes Pathological Conditions, Signs and Symptoms Patient Admission Primary Health Care Walk-In Clinics

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Who can participate

Only the study team can determine whether someone qualifies for participation.

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)

Treatment and study plan

Primary outcomes

  1. Proportion of Patients Referred by General Practitioners to the Emergency Department Who Could Have Been Managed in a Walk-in Clinic

    Time frame: 30 min

Sponsors and collaborators

Lead sponsor

Centre Hospitalier de Gonesse

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Aug 14, 2025
Registry last updated
Aug 14, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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