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Background  Primary care patients are often cited as a cause of Emergency Department overcrowding (ED). The aim of this study was to evaluate a physician led redirection procedure of selected patients towards an out of hours general practice (OHGP) in an Emergency Department with 55,000 admissions per year.    Methods  Observational monocentric study over a period of 2 months. Every patient redirected to the OHGP was included and subsequently contacted by telephone to answer a standardized questionnaire, in order to measure:   Redirection rate over the entire period and during weekdays or weekends/holiday    Rate of redirected patients who went to the OHGP    Rate of redirected patients who consulted in an ED in the next 72 h for the same reason    Redirected patients’ satisfaction rateResults  During the study period 9551 patients presented to the ED, of which 288 were redirected towards the OHGP (3%). The redirection rate was 1.9% during weekdays and 5.7% during weekends/holiday ( p  < 0.001). Of the redirected patients, 77% answered the telephone interview.  Ninety percent of these patients consulted the OHGP. The main reasons for not consulting were: unduly long wait, opening hours not suitable, too costly. The rate of redirected patients who consulted in an ED in the following 72 h for the same reason was 4.1%. The satisfaction rate was 79.6% among interviewed patients.    Conclusions  A physician led procedure to redirect selected patients from the ED towards an OHGP results in a low redirection rate, unlikely to have a significant effect on ED patient flow. However, the procedure is safe and well accepted by a majority of patients.

bmc emergency medicine

Safety and efficiency of a redirection procedure toward an out of hours general practice before admission to an emergency department, an observational study