When To Go To The Emergency Room or Urgent Care

When to go to the emergency room or the urgent care can save precious time and money.  Emergency rooms have access to the equipment and are staffed for life threatening emergencies such as chest pain, severe trauma, shock and head injuries.  Urgent care centers are an excellent option for conditions such as minor injuries, fractures, mile asthma or rashes.  If an urgent care is unable to handle the acuity of a condition, they will direct to the nearest emergency facility.

Having a plan ahead of time can help.  Know where the nearest emergency facility is and how to get there.  Doing some research on an urgent care ahead of time can help before illness or injury strikes.  Become familiar with the services that are offered, if it is staffed with physicians or mid-level providers, what are the hours of operation and what type of equipment is available.  Bookmark the website, keep the phone number handy and know where it is located.  Maybe a visit ahead of time to meet the staff and see how it operates can help in feeling comfortable in what to do in certain situations.

The National Association for Ambulatory Care provides the following information about emergency rooms and urgent care centers in their article, “Where do I go? The Emergency Room? Or an Urgent Care Center?”

When you have a life-threatening situation, such as chest pain, or a sudden and severe pain, the emergency department of the nearest hospital is the only option.  If you went to an urgent care clinic, they’d just send you on to the ER in an ambulance.  But if your condition is less serious, but still requires immediate attention, choosing an urgent care facility can save you loads of time and money, as well as keeping the emergency room free to handle more serious situations.

If you have a sprained ankle, or an ear infection, you may end up waiting for many hours in the emergency room and paying hundreds of dollars.  Most urgent care centers are open for extended hours, and will be able to accomodate you more quickly.

When you need to go to the Emergency Room:
If you have a serious condition – stroke, heart attack, severe bleeding, head injury or other major trauma – go straight to the nearest ER. Don’t take a chance with anything life-threatening. The ER is the best place for these and other critical conditions, including:

  • Chest pain
  • Difficulty breathing
  • Severe bleeding or head trauma
  • Loss of consciousness
  • Sudden loss of vision or blurred vision

When an Urgent Care Center can better meet your needs:

  • Minor burns or injuries
  • Sprains and strains
  • Coughs, colds, and sore throats
  • Ear infections
  • Allergic reactions (non life-threatening)
  • Fever or flu-like symptoms
  • Rash or other skin irritations
  • Mild asthma
  • Animal bites
  • Broken Bones

And when in doubt, call ahead.  If the urgent care clinic in question can’t accomodate your condition, they will advise you to go the nearest emergency facility.

Remember, urgent care clinics are also a resource for flu shots,  and physicals for sports or school.

Source: http://www.urgentcare.org/UrgentCareDefined/ERvsUrgentCare/tabid/253/Default.aspx


HSC Study Shows Urgent Care as More Convenient and Less Expensive Than Emergency Rooms

Study Shows Urgent Care as More Convenient and Less Expensive Than Emergency Rooms

A study recently completed by the Center For Studying Health System Change (HSC) discusses the potential impact of the growth of urgent care to improve access to care and reduce costly emergency room visits.   The study concentrates on six market areas that tend to have a high number of urgent cares with varying affiliations with hospital systems.

HSC Research Brief  – July 2013
Tracy Yee, Amanda E. Lechner, Ellyn R. Boukus

As the U.S. health care system grapples with strained hospital emergency department (ED) capacity in some areas, primary care clinician shortages and rising health care costs, urgent care centers have emerged as an alternative care setting that may help improve access and contain costs. Growing to 9,000 locations in recent years, urgent care centers provide walk-in care for illnesses and injuries that need immediate attention but don’t rise to the level of an emergency. Though their impact on overall health care access and costs remains unclear, hospitals and health plans are optimistic about the potential of urgent care centers to improve access and reduce ED visits, according to a new qualitative study by the Center for Studying Health System Change (HSC) for the National Institute for Health Care Reform.

Across the six communities studied—Detroit; Jacksonville, Fla.; Minneapolis; Phoenix; Raleigh-Durham, N.C.; and San Francisco—respondents indicated that growth of urgent care centers is driven heavily by consumer demand for convenient access to care. At the same time, hospitals view urgent care centers as a way to gain patients, while health plans see opportunities to contain costs by steering patients away from costly emergency department visits. Although some providers believe urgent care centers disrupt coordination and continuity of care, others believe these concerns may be overstated, given urgent care’s focus on episodic and simple conditions rather than chronic and complex cases. Looking ahead, health coverage expansions under national health reform may lead to greater capacity strains on both primary and emergency care, spurring even more growth of urgent care centers.

Click here to read the full story – http://www.hschange.org/CONTENT/1366/