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Physician Engagement in EMS Transport Refusal Rates
Sponsor: Wake Forest University Health Sciences
Summary
The primary goal of this study is to find out if patients who speak with an EMS physician over the phone are less likely to refuse care compare to patients who do not speak with an EMS physician.
Official title: The Role of Direct Physician Engagement in EMS Transport Refusal Rates: A Prospective Study
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
250
Start Date
2026-04
Completion Date
2026-11
Last Updated
2026-03-31
Healthy Volunteers
No
Conditions
Interventions
Physician Consultation
Every other month will be randomized to either Physician Consultation or Standard of Care. During the months designated for Physician Consultation, direct communication between the patient and a designated physician by phone will be implemented when a patient refuses transport in cases where the EMS clinician feels that physician consultation is warranted for further guidance. The physician will attempt to address patient concerns and provide additional medical advice.
Standard of Care
Every other month will be randomized to either Physician Consultation or Standard of Care. During the months designated for Standard of Care, physician intervention will not be provided. For safety reasons, if physicians or EMS MEDIC clinicians feel that speaking with the patient is important to provide additional clinical benefit, they may do so without hesitation and can override the designated intervention month.
Locations (1)
Atrium Health Carolinas Medical Center
Charlotte, North Carolina, United States