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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 is trying to understand if some people sent to A&E (Emergency Department) by their family doctor (GP) could actually be cared for in a walk-in clinic. Walk-in clinics offer quick, basic medical help without needing an appointment, and can do simple tests like blood tests or X-rays. By figuring out which patients don't need the full services of a hospital A&E, the study hopes to make A&E less crowded and help people get the right care faster in the Île-de-France area. It's about making our healthcare system work more smoothly for everyone.

At a glance

Status
Recruiting
Sponsor
Centre Hospitalier de Gonesse
Enrolment target
80
Start
28 Jul 2025
Estimated completion
30 Aug 2025

What is this study about?

Imagine you see your family doctor, and they think you need to go to A&E. This study is looking into whether some of those A&E visits could be handled differently. Specifically, it wants to see if walk-in clinics could be a good option for certain patients sent to A&E by their GP.

Walk-in clinics are places where you can go for quick medical help without an appointment. They can deal with many common health problems and can even do simple tests, like taking blood or an X-ray, if needed. They are often a quicker and less overwhelming alternative to a busy hospital A&E department.

By understanding which patients might be better suited for a walk-in clinic, the study hopes to achieve a few important things. Firstly, it could help reduce the number of people in crowded A&E departments, meaning those with serious emergencies get seen faster. Secondly, it could mean you get the care you need more quickly and conveniently in a walk-in clinic. Ultimately, this research is about making sure people get the right care in the right place, making our health services more efficient, especially in the Île-de-France region.

Key takeaways

  • The study aims to see if some A&E visits could be handled by walk-in clinics.
  • It could help reduce A&E overcrowding and make care faster.
  • Participation involves no extra steps for patients, just reviewing existing data.
  • The goal is to improve how healthcare is delivered in the Île-de-France region.
  • No direct risks or benefits for individual patients, but potential wider healthcare improvements.

Who may be eligible?

To be part of this study, you would need to be 18 years or older and have been sent to A&E by your family doctor (GP) with a referral letter. The visit to A&E must take place during certain hours – Monday to Friday, between 9 am and 8 pm – and be for a medical or injury-related reason. You also need to be stable when you arrive and throughout your time at A&E.

However, you wouldn't be able to join if you are under 18. Also, if you didn't have a referral letter from your GP, or if your A&E visit was outside the study's specific hours (like on weekends or at night), you wouldn't be included. Importantly, if your condition is very serious and you need things like strong IV treatments, major scans (like a CT or MRI) during your visit, or if you have a life-threatening problem like a heart attack, stroke, or severe infection, you wouldn't be eligible. The study is not for people who need to be admitted to hospital or who are unstable. Finally, if you're at A&E for non-medical reasons, such as social issues, you wouldn't be included.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you 18 years old or older?
  2. Did your family doctor (GP) send you to A&E with a letter?
  3. Is your A&E visit between Monday and Friday, 9 am to 8 pm?
  4. Is your health condition stable?
  5. Are you NOT needing immediate life-saving care or major hospital treatments (like strong IVs or big scans)?
Answer every question to see your result.

What does participation involve?

This study is not asking patients to do anything extra. It's an observational study, which means researchers are simply looking at information from patients who are already going to A&E as usual. There are no special visits, extra tests, or new medications involved for you. Researchers will just be reviewing the information related to your A&E visit, to understand if your needs could have been met by a walk-in clinic instead. Your usual A&E care will not change.

Potential risks and benefits

There are no direct risks to you if you participate in this study, as you would simply be receiving your standard A&E care. You wouldn't be asked to do anything differently. While there are no direct benefits specifically for you, your anonymised information will help researchers understand how to improve emergency and walk-in clinic services, potentially making healthcare better and more efficient for everyone in the future. You always have the right to ask questions or decline to have your information used in the study.

Locations (1)

  • Centre Hospitalier de Gonesse
    Verified postcode
    Gonesse, France· Recruiting

Common questions

What is a walk-in clinic?

A walk-in clinic is a place where you can get basic medical care and sometimes simple tests without needing an appointment, often quicker than A&E.

Will this study change how I'm treated at A&E?

No, this study will not change the care you receive at A&E. Researchers are just observing and collecting information from your standard visit.

Who is running this study?

This study is being done by researchers in the Île-de-France region to improve how emergency and primary care services work together.

Do I have to do anything if I'm in this study?

No, you don't need to do anything. Your information will be looked at as part of your normal A&E visit. You won't have extra appointments or tests.

Will my personal details be kept private?

Yes, if your information is used, it will be made anonymous, meaning your name and personal details will not be connected to the study data.

How to find out more

Always speak to your GP or specialist before deciding to take part in a study.

Interested in taking part?

Register your interest

Share your details and the research team for "Eligibility of Patients Referred to Emergency Departments by…" will contact you if you may be eligible. Always speak to your GP before agreeing to take part.

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