What People Get Wrong About Choosing the Right Care
Choosing the Right Care: what people commonly get wrong, set against what published US guidance says.
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.
What the guidance actually says
The numbers first, since the corrections only mean something against them.
| Measure | Figure |
|---|---|
| 911 and the emergency room | life-threatening emergencies |
| Urgent care | urgent but not life-threatening problems, usually without an appointment |
| Nurse lines and telehealth | advice when you are unsure; many insurers and health systems offer them 24 hours |
| Primary care provider | new non-urgent symptoms, long-term conditions, preventive care |
| Poison Control | 1-800-222-1222, free and 24 hours |
Where people go wrong
What people tend to think, set against what is actually published.
- 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
What to do instead
- 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
The part that is genuinely uncertain
Guidance changes, and it changes because evidence does. The figures above reflect current US guidance from the bodies named at the foot of this page; where those bodies revise their position, theirs is the account to follow rather than this one.
Related topics
- The Evidence on Using a Nurse Line or Urgent Care, Without the Hype (Using Health Services)
- Surprise Medical Bills: Sorting the Evidence From the Noise (Health Insurance and Costs)
- Sexual Health Services: What Published Guidance Supports (Sexual Health)
- Finding Substance Use Treatment: What Published Guidance Supports (Substance Use and Recovery)
Where to go next
- Choosing the Right Care: What Published Guidance Supports
- What Choosing the Right Care Is, and Why It Matters
- Choosing the Right Care — the reference entry
- Preventive Care: The Complete Guide
- The Evidence on Health Literacy, Without the Hype
- The Evidence on Occupational Health, Without the Hype
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.
