In order to show that tailored pediatric counselling by telephone can reduce the number of
unscheduled and medically unjustified physicians visits in emergency structures, a randomized
controlled study is conducted. It compares the proportion of cases which used the emergency
services or unscheduled consultation according to whether they received (or not) nurses'
telephone advices from the platform. Indeed, our hypothesis is that the presence of nurses
responding at the Reception and Control Calls Center inside the Emergency Medical Services
(in french : Service d'Aide Médicale d'Urgence SAMU) - whose role is to deliver appropriate
advice to people calling for benign pathologies they see as urgent and to answer questions
following specific recommendations - will reduce the number of unplanned and medically
unjustified consultations in medical emergency structures.
This platform was set-up in order to show it may be a solution in response to the growing
demand for pediatric care from the population, helping to reduce overcrowding in emergency
care facilities. Indeed, promoting home care or only if necessary scheduled consultation
reinforces the conduct to have when facing a pathology from their child. It will also help by
reducing unjustified use of emergency structures, improving not only the users' reception
conditions who actually require support in these structures with less waiting time, but also
the working conditions for employees who perform there.