Urgent Care vs. the Emergency Room: What’s the Difference?

Do you know the best place to go when you’re sick? A Michigan Medicine emergency department physician offers tips to choose the right care.

7:00 AM

Author | Kevin Joy

Knowing where to go after an illness or accident can sometimes be tricky, especially when your primary care doctor is booked — or when you need help after hours.

MORE FROM MICHIGAN: Sign up for our weekly newsletter

Do you head to an urgent care clinic? Or is the situation severe enough to go to the emergency department?

Each option has its place, says Brad Uren, M.D., an assistant professor of emergency medicine at Michigan Medicine.

Choosing one requires self-evaluation. A sinus infection, after all, needn't prompt a trip to the hospital.

"There's an important distinction between a minor injury or complaint and a major injury that requires a whole medical team working together," says Uren.

He spoke about the two types of care and how to pick the right one.

Choosing between urgent care and the hospital

Urgent care can fill in for your regular doctor: The stand-alone clinics, which often are open evenings and weekends, "provide the sorts of routine injury treatment and acute medical care that a primary physician would typically perform in their office," Uren says. That includes treating cold and flu cases, earaches, sprained ankles and minor cuts that require stitches. Urgent care clinics usually lack an operating room but may offer X-rays and simple lab tests.

Hospitals are ready for almost anything: Although equipped to treat minor injuries or sickness, emergency departments are best suited for the bigger stuff. "They can generally respond to just about any emergency within the capabilities of that hospital — 24/7," Uren says. Among these offerings: radiology labs, ultrasounds, CAT scans and MRIs, operating rooms and access to doctors of varying expertise across medical disciplines. Beds are available if a patient needs to stay over.

SEE ALSO: 10 Safety Tips for Fall Yardwork

Wait times will vary: Urgent care clinics might be sparsely staffed (with only a doctor and a nurse practitioner or physician assistant clocked in), but the lower acuity, or sickness, of patients means that most can be seen quickly. An emergency department admits patients using a system known as triage, which gives priority to serious cases. "If you're in need of immediate, lifesaving care, you will absolutely receive it," Uren says. A stroke patient, for example, would take priority over someone with a sore throat.

Costs will differ, too: Most people face a higher copay for emergency room visits compared with an urgent care consultation. So, beyond the prospect of a longer wait in a hospital, those with illnesses that aren't life-threatening might choose the latter setting for fiscal reasons. "In many cases, insurance companies have stratified copays that make emergency department visits more expensive," says Uren. "It is worth considering if your concern can be addressed at a lower, and cheaper, level of care."

Urgent care clinics know their limits: Although patients should try to pick the most suitable place for treatment on the first try, a severely ill person will be quickly and appropriately sent to an emergency department if he or she checks in at urgent care. But that lost time can be deadly when dealing with severe trauma, shortness of breath or loss of consciousness — scenarios ideally suited to hospitals. Says Uren: "In emergencies, every minute counts."


More Articles About: Health Management Urgent Care Trauma Health Care Delivery, Policy and Economics Emergency & Trauma Care
Health Lab word mark overlaying blue cells
Health Lab

Explore a variety of health care news & stories by visiting the Health Lab home page for more articles.

Media Contact Public Relations

Department of Communication at Michigan Medicine

[email protected]

734-764-2220

Stay Informed

Want top health & research news weekly? Sign up for Health Lab’s newsletters today!

Subscribe
Featured News & Stories prescription pad drawn
Health Lab
Reducing dose of popular blood thinners may limit risk of future bleeding
For people taking the popular blood thinners rivaroxaban (brand name Xarelto) and apixaban (brand name Eliquis), after having a blood clot, a reduced dose may limit the future risk of bleeding as well as hospital visits, a Michigan Medicine-led study suggests.
out the window woman staring
Health Lab
1 in 3 older adults still experience loneliness and isolation
Rates of loneliness and social isolation in older people have declined from pandemic highs, but are still a problem especially for those with mental or physical health issues or disabilities.
patient looking at paper with provider in scrubs blue in clinic
Health Lab
How race impacts patients’ response to cancer immunotherapy
The first large scale analysis finds immune checkpoint inhibitors are equally effective in Black and white patients, with Black patients having fewer side effects.
On left, a young boy in a wheelchair has his doctor standing to his left and his parent is standing to his right in a show of support. On the right side of the image, the boy is now an adult and is wondering about the cost of his care and if his questions will be answered.
Health Lab
Changing the definition of cerebral palsy
Cerebral palsy is defined as a childhood disorder, which fails to recognize adults living with the condition and the lack of care they receive once they age out of pediatric clinics.
floating AI-type images in red and blues and yellow on blue background
Health Lab
Racial differences in medical testing could introduce bias to AI models
Black patients are less likely than white patients to receive certain medical tests that doctors use to diagnose severe disease, impacting artificial intelligence data. But researchers have found a way to correct the bias in these data sets.
family of four sitting on couch in living room looking at an ipad laughing
Health Lab
Grandparents help grandkids in many ways – but the reverse may be true too
A poll shows the many ways (childcare, nutrition, major expenses) that grandparents help their grandchildren, but also suggests a link to older adults’ sense of isolation and their mental health.