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Urgent Care vs Emergency Room Knowing Where to Go

After Hours Urgent Care Home visit Bulk billed
Person deciding between urgent care and the emergency room for a health concern.
Key Takeaways
  • Emergency rooms (ERs) should only be used in life-threatening situations.
  • Urgent Care is the right place when you have problems that are not life-threatening but still cannot wait for your regular GP.
  • Waiting time is usually much shorter at an urgent care facility than at an ER for non-urgent cases.
  • Regarding the costs: ER visits at public hospitals and Medicare UCCs are free of charge for those holding a Medicare card.
  • The after-hours doctor & Telehealth present convenient ways to access urgent care, bringing medical assistance to your doorstep.
  • If you are unsure, first call for advice. If it is an emergency, dial 000. If you are unsure, call HealthDirect.

Understanding Urgent Care in Australia

Every home has experienced it at least once: a disease or misfortune happening right after the doctor's clinic has closed. A fundamental question arises at the exact time of terror: Where should I go for help? Do I have to take my case to a hospital emergency department (ED) fully equipped with all the resources? Or would it be sufficient to go to an urgent care service only?

Choosing the right decision is about saving time and receiving the proper care for your condition at the right place and time. If you make the right choice, it can be a significant time-saving factor, and hospital emergency departments (EDs) can still be available for people who are really in danger of losing their lives.

13CURE provides an integrated urgent care service model that serves as a vital alternative to hospital attendance.

This information will help you understand the healthcare system in Australia by describing the roles of urgent care and the ER. Therefore, you can decide with confidence when it is essential.

Where to go in urgent care can best be understood as the necessary medium between one's usual GP and the hospital's emergency room. Urgent care is the closest medical help when one falls ill or gets injured. Still, it's not a life-threatening condition, and even though one cannot wait for a regular GP visit, the condition is such that it can be handled within this branch of medicine. Besides urgent care in Australia at the Medicare Urgent Care Clinics (UCCs), after-hours GP clinics and home visiting doctor services are also included as the channels to obtain the same care. The professionals appointed here are qualified doctors and nurses experienced in handling routine medical issues that can be superficially addressed, such as minor fractures, MDI, fever, infections, and rashes. A short-term goal for the providers within these organisations is to turn into a long-term reality of solving all the patients demand for fast, efficient and effective medical care to avoid a lengthy wait in the emergency department.

What Happens in an Emergency Room

An emergency room (ER), known in Australia as an emergency department (ED), is a critical facility in any hospital where urgent, essential, and complex procedures are performed for patients facing severe and life-threatening conditions. ERs operate around the clock daily and are staffed by highly trained doctors and nurses ready to respond to emergencies at any moment. Upon arrival, a first aider will connect you with a triage nurse who will determine your urgency and direct you to the department to which you should be sent. Moreover, patients in the waiting room who register at the reception desk first will be served not based on their arrival time but on the urgency of their health condition's severity, which means that those with the most serious conditions will be attended to first.

Key Differences Between Urgent Care and Emergency Rooms

Both provide essential care, but serve different patient needs. Here are their key differences.

Type of Medical Concern

The primary factor that differentiates is the extent of your condition.

Urgent Care

Such establishments are good for issues that are not the cause of death but ought to be solved in a few days without the necessity of waiting for hours. Hence, one can figure out minor fractures, mild sprains, cuts that need sewing, minor burns caused by the kitchen, simple infections, rashes, or a fever that does not cause the patient any severe distress. The place is fast, efficient, and designed for a quick solution.

Emergency Room

If this option were chosen, it should be only if the time is minimal and the danger is severe. An excruciating and tight chest area, difficulty in breathing, a stroke, which can be the side of the body that is suddenly weak or the inability to understand, bleeding heavily, hitting the head very hard, losing consciousness and in the case of a severe allergic reaction, swelling or shortness of breath, for instance. Therefore, you should call the emergency services 000 immediately or get to a hospital immediately.

Waiting Times and Accessibility

Wait times differ between urgent care and the ER.

  • Urgent Care: These clinics handle less severe cases, so waits are usually short. Most patients are treated and released quickly.
  • The Emergency Room: The triage system implies that if you have a non-urgent problem, you might have to wait for a long time, sometimes for hours, if you decide to visit the ER. In 2023-24, less than 55% of all emergency department visits were completed within 4 hours, according to the Australian Institute of Health and Welfare (AIHW), indicating that emergency services are under considerable pressure.

One of the primary reasons patients choose our service is the significantly shorter wait times than the ER.

Cost and Medicare Coverage

Another key factor is the cost and whether Medicare covers your visit.

  • Urgent Care: A fully bulk-billed service is a Medicare Urgent Care Clinic, where no additional costs apply to the patient, provided a valid Medicare card is presented. Many other after-hours services, like the doctor who visits you at home or Telehealth, are also usually bulk-billed, but it is always better to be informed when booking.
  • Emergency Room: Public hospital ER visits are free with a valid Medicare card.

Location and Availability

  • Urgent Care: Medicare UCCs and after-hours clinics exist in many communities. They offer extended hours but rarely run 24/7.
  • Emergency Room: ERs in public hospitals are open 24/7, every day of the year.

When to Choose Urgent Care

Surely, the first point for turning to an urgent care centre is when your condition is pressing but not life-threatening. A few signs that such a decision would be proper may include such cases as:

  • When your usual GP is closed.
  • You cannot wait until the next day when your health is such.
  • If you are injured mildly, e.g, with a sprain, a broken bone (if only slightly), or a cut requiring stitches.
  • So, you or a child needs immediate care if you or they have a commonly occurring condition, such as a high fever, a bad cough, or a painful infection.

Choosing urgent care also means avoiding hospital waiting room environments, which is crucial for immunocompromised patients.

When to Go to the Emergency Room

When an emergency room is required, the time factor cannot help but be very important.

If you feel something is wrong or serious, do not hesitate to find out. Your safety is the most important thing. If you are scared to death by a situation, do not wait for it to disappear.

When a life is at stake, one should not think twice but do it immediately: contact Triple Zero (000) and ask for ambulance service. Time is of the essence.

If you experience any of the following symptoms, make sure you get to the ER as soon as possible:

Procedure
  • Chest pain, pressure, or tightness
  • Very harsh breathing
  • Sudden weakness, numbness, paralysis, or difficulty in speaking
  • Collapse or loss of consciousness
  • Heavy, uncontrolled bleeding or severe injury

It is only general information. In case of an emergency, calling 000 should be your first reaction.

How After-Hours Doctors Bridge the Gap

After-hours doctors, who also do telehealth and home visits, are a significant part of the urgent care network in Australia. They physically bridge the gap between clinic and ER visits by providing medical care at your place.

It would probably be fair to say that these doctors are suitable for situations where a parent with a sick child, older adults, or people with limited mobility find it hard to get to the clinic. The doctor's after-hours service can perform the check-up, give a prescription, and assure you without the need to leave your home.

Comparing Telehealth, Urgent Care, and Emergency Departments

Telehealth - Instant Advice at Home

Telehealth is the fastest and most convenient way to contact a doctor. It is a perfect match for the initial consultation, during which the telehealth doctor can remotely assess the patient's symptoms, advise, and provide a prescription or referral. Moreover, a telehealth doctor can virtually decide the urgency of a situation and whether the patient can manage the condition at home or needs to be at an urgent care centre or the emergency department.

Urgent Care Centres - Fast Access for Non-Critical Issues

When you encounter a situation that is not threatening your life but still needs immediate help, then urgent care clinics, including Medicare UCCs, are the ones to whom you can turn. To explain, severely bleeding cuts may need to be mended with the help of a doctor, an X-ray may be necessary for a sprain of the wrist, or a fever that requires a proper check-up. First, you will be assessed by a clinician who will formulate a definite care plan. If the moment is profound or the time is critical, please immediately call Triple Zero (000).

Emergency Departments - Critical Response and Intensive Care

Emergency departments are especially and solely devoted to the most severe and life-threatening cases. At the same time, these departments are equipped and supported by highly skilled professionals and specialists who provide critical care beyond operation, intensive monitoring, or anything else you cannot get anywhere.

Financial considerations are also relevant when comparing the cost of emergency visits vs bulk-billed care.

How 13CURE Helps You Make the Right Choice

One of the services that 13CURE is known for is medical deputising services. We are your regular GP's reliable partners. When their clinic is closed, we bring the care to you. Our team, as the first point of contact, helps to classify your condition when you make a call and thus decides the right level of care. Apart from providing telehealth and home visits, we have an adaptable urgent care solution that allows direct contact between doctors and patients regardless of the location. To support the continuity of care, a detailed report of your session is sent to your regular GP so that they can be updated on your progress.

Cost transparency and Medicare coverage

Unexpectedly high bills are not liked by anyone. So here is a brief and precise version:

  • Emergency departments at public hospitals - Free for those with a Medicare card.
  • Medicare Urgent Care Clinics (UCCs) only offer bulk billing, meaning patients have no out-of-pocket expenses.
  • After-hours GPs (telehealth or home visits) are mostly bulk-billed however, there is a provider and time variation. You should also check if it is your provider when making an appointment.

This is just a detailed guide. Prices and policies may also vary therefore, you should not rely entirely on them and always confirm your visit with the clinic.

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Frequently Asked Questions

Life comes first. When it is less than a minute, and it is a life-threatening situation only, then you must go to the ED. For example, chest pain, severe trouble breathing, and sudden weakness

If you need quick help but a hospital is not required, and you are not willing to wait in a queue, an after-hours GP is the right option.

Yes, at Medicare Urgent Care Clinics. If you have a valid Medicare card, UCC visits are bulk-billed, so you pay $0. Other after-hours options like telehealth or home visits may also be bulk-billed, depending on the provider and the time. The best move is to check the clinic's billing when you book.

Absolutely! A primary role of a telehealth doctor is to evaluate the symptoms and then provide the most appropriate advice. If they decide that your case is an emergency, they will recommend that you go to the nearest emergency department or, if required, assist you in the ambulance dispatch.

Need a doctor after hours

Our team is available 24/7 for bulk billed home visits across Australia.

Dr. Muhammad Mohsin

Written By

Dr. Muhammad Mohsin, General Practitioner

MBBS, AMC

Dr. Muhammad Mohsin completed his studies from University of Health Sciences, Lahore Pakistan in 2008. He came to Australia in 2012 and has woked as a resident and GP in various hospitals and medical centres across Australia. He has a particular interest in men's health, travels medicine, chronic disease management, and general family medicine.

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