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Preventive Care

What Choosing the Right Care Is, and Why It Matters

Choosing the Right Care: what it is, why it matters, and what published guidance actually asks of you.

Dr Priya Raghunathan, DClinPsy Clinical psychologist 4 min read 5 views
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Stethoscope — Preventive Care
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Using the right service gets you seen faster, often costs less, and keeps emergency capacity for emergencies.

Key takeaways

  • 911 and the emergency room: life-threatening emergencies
  • Urgent care: urgent but not life-threatening problems, usually without an appointment
  • Most useful single change: Ask a pharmacist about minor illness; no appointment needed.
  • Commonest mistake: Going to the emergency room for problems urgent care or your doctor can handle.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

The short answer

Choosing the right service for the problem you have.

Where it fits

This is part of Preventive Care. The published position is set out below, along with what it means day to day.

The numbers, in one place

Published figures for Choosing the Right Care
MeasureFigure
911 and the emergency roomlife-threatening emergencies
Urgent careurgent but not life-threatening problems, usually without an appointment
Nurse lines and telehealthadvice when you are unsure; many insurers and health systems offer them 24 hours
Primary care providernew non-urgent symptoms, long-term conditions, preventive care
Poison Control1-800-222-1222, free and 24 hours

What that means in practice

The practical version:

  • Ask a pharmacist about minor illness; no appointment needed
  • Call your doctor's after-hours line or a nurse line when you are unsure
  • Establish care with a primary care provider before you need one
  • Check which urgent care centers your insurance covers before you need one

What gets people into trouble

And the things that tend to go wrong:

  • Going to the emergency room for problems urgent care or your doctor can handle
  • Delaying 911 when symptoms are life-threatening
  • Avoiding the emergency room over cost when symptoms are serious; ERs must evaluate you regardless of ability to pay

Where to go next

When to speak to a doctor

Call 911 for chest pain or tightness lasting more than a few minutes, sudden weakness or numbness on one side, facial drooping, difficulty speaking, severe breathlessness, heavy bleeding, seizures that do not stop, unconsciousness, or a rash that does not fade under pressure. Use the FAST test for stroke. For a possible poisoning in someone who is awake and breathing, call Poison Control at 1-800-222-1222.

Where this comes from

  • MedlinePlus — When to use the emergency room - adult
  • CMS — Emergency Medical Treatment & Labor Act (EMTALA)

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarized or generalized beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to your doctor, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 911.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

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Dr Priya Raghunathan

Clinical psychologist writing on sleep, stress and mood. Insists that every technique we publish has been tried by someone with a job, a commute and no spare hour in the morning.

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