Emergency medical assistance system
emergency physician
general practitioner
medical consultation
medical regulation

How to Cite

TAZAROURTE, K., Piednoir, A., Foudi, H., Foudi, L., & Cesareo, E. (2021). ANALYSE qUALITATIVE DU CONSEIL MÉDICAL DONNÉ PAR LES MÉDECINS GÉNÉRALISTES ET URGENTISTES DU SERVICE D’AIDE MÉDICALE URGENTE. Mediterranean Journal of Emergency Medicine, (23), 15-20. Retrieved from


Introduction: The role of medical regulation of the Emergency Medical Assistance system in France (SAMU) in reducing the use of health care services is suggested due to the possibility of giving medical consultation to applicants. Depending on the type of initial call, a phone consultation is given by a general physician or an emergency physician. This work’s aim was to characterize the consultation activity of medical regulation within a regional reception and dispatching center for emergency calls (CRRA) and the impact of such consultation on the use of health care services.

Materials and method: The study is prospective, monocentric, describing the type of medical consultation given by general practitioners or emergency physicians along with follow up within 48 hours from these consultations.

Results: Among medical regulation records randomly captured from CRRA over a period of one week, and after matching the records, general practitioners mainly gave simple therapeutic consultation (69% vs. 22% for the emergency physicians, p < 0.001), while emergency physicians advised the use of medical consultation. A follow up after 48 hours showed that medical consultations were rather followed with a majority of patients satisfied with a simple therapeutic advice. No medical complications related to consultation had been detected.

Discussion: This preliminary study confirms the significant number of calls to SAMU seeking medical consultation and the crucial role of general practitioners in a SAMU medical regulation, to limit the use of health care services.



Hildebrandt DE, Westfall JM. Reasons for after-hours calls. J Fam Pract 2002; 51:567-9.

Jiwa M, Mathers N, Campbell M. The effect of GP telephone triage on numbers seeking same-day appointments. Br J Gen Pract 2002; 52:390-1.

Pinnock H, McKenzie L, Price D, Sheikh A. Cost-effectiveness of telephone or surgery asthma reviews: economic analysis of a randomised controlled trial. Br J Gen Pract 2005; 55:119-24.

Stuart A, Rogers S, Modell M. Evaluation of a direct doctor-patient telephone advice line in general practice. Br J Gen Pract 2000; 50:305-6.

Stevenson M, Marsh J, Roderick E. Can patients predict which consultations can be dealt with by telephone? Br J Gen Pract 1998; 48:1771-2.

McKinstry B, Walker J, Campbell C, Heaney D, Wyke S. Telephone consultations to manage requests for same-day appointments: a randomised controlled trial in two practices. Br J Gen Pract 2002; 52:306-10.

Dufour D, Paon JC, Marshall B, Marcou A, Belgaïd A, Le Roux P. Paediatric emergency department telephone calls. A survey at Le Havre hospital. Arch Pediatr 2003; 10:s257-9.

Bunn F, Byrne G, Kendall S. The effects of telephone consultation and triage on healthcare use and patient satisfaction: a systematic review. Br J Gen Pract 2005; 55:956-61.

Richards DA, Meakins J, Tawfik J, Godfrey L, Dutton E, Richardson G, et al. Nurse telephone triage for same day appointments in general practice: multiple interrupted time series trial of effect on workload and costs. BMJ 2002; 325:1214-21.

Lattimer V, George S, Thompson F, Thomas E, Mullee M, Turnbull J et al. Safety and effectiveness of nurse telephone consultation in out of hours primary care: randomised controlled trial. The South wiltshire out of hours project (SWOOP) Group. BMJ 1998; 317:1054-9.