Which patients sent to the emergency department by their GP could be treated in walk-in clinics in Île-de-France
Official 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
Run by Centre Hospitalier de Gonesse · NCT07122869 · Data updated 2026-11-12
This study will see if adults sent to the emergency department by their GP could instead be safely treated in a walk-in clinic during weekday daytime hours.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 80 (estimated) |
| Sponsor | Centre Hospitalier de Gonesse Academic / other |
| Locations | 1 site (Gonesse, France) |
| Status | Recruiting |
| Started | July 28, 2025 |
| Main results expected | August 30, 2025 |
| Study ends | August 30, 2025 |
| Registry record updated | August 14, 2025 |
| Trial ID | NCT07122869 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) who present to the Gonesse ED with a GP referral during Monday–Friday 9 a.m.–8 p.m. who are clinically stable and do not require IV therapies, heavy imaging, or hospital admission.
✕Probably not a fit
Patients under 18, those arriving outside study hours, clinically unstable patients, or those needing IV treatment, CT/MRI, or inpatient admission are unlikely to benefit from redirection to a walk-in clinic.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Researchers will review adult patients who arrive at the Centre Hospitalier de Gonesse emergency department with a referral letter from a general practitioner during weekdays between 9 a.m. and 8 p.m. Using predefined clinical criteria and details of vital signs, treatments, and imaging performed, the team will determine which visits could have been managed in a walk-in clinic rather than the full ED. The observational single-center analysis excludes pediatric cases, clinically unstable patients, those needing intravenous therapies, heavy imaging (CT/MRI), or hospitalization. The aim is to quantify potentially avoidable ED visits and identify common referral reasons that could be redirected to primary-care settings.
Why it matters
Potential benefit: If successful, the findings could help reduce ED overcrowding and provide faster, more appropriate care by redirecting suitable GP-referred patients to walk-in clinics.
How similar studies have gone: Previous efforts to redirect nonurgent ED visits to walk-in or primary-care settings have shown mixed but generally modest success in reducing ED load, and fewer studies have focused specifically on GP-referred patients.
Who can join: the full rules
Show full inclusion / exclusion criteria
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)
Where it's running
-
Centre Hospitalier de Gonesse
Gonesse, France, France Recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.