Introduction: Emergency department (ED) use for healthcare that can be treated elsewhere is costly to the healthcare system. However, convenience settings such as urgent care centers (UCC) are generally inaccessible to low-income patients. Housing an UCC within a federally qualified health center (FQHC UCC) provides an accessible convenience setting for low-income patients. In 2014 a FQHC UCC opened two blocks from an ED in the same health system. Our goal was to compare characteristics, access to care, and utilization preferences for FQHC UCC and low-acuity ED patients through retrospective chart review and prospective surveying. Methods: We completed a retrospective chart review of all patients from March 1, 2018-March 1, 2019, and compared characteristics of low-acuity ED patients (N = 3,911) and FQHC UCC patients (N = 12,571). We also surveyed FQHC UCC patients (N = 201) and low-acuity ED patients (N = 198) from January-July 2019. Results: Half of FQHC UCC patients had private insurance. Of ED patients, 29% were aware of the FQHC UCC. Both groups had similar rates of primary care providers. The most common reason for choosing the ED was perceived severity, and for choosing a FQHC UCC was speed. Conclusion: These findings show similarities and differences between these two patient populations. Future research is needed to determine utilization patterns and in-depth reasons behind them. Interventions that help patients decide where to go for low-acuity care may create more utilization efficiency. [West J Emerg Med. 2020;21(6)162-171.] of services than most primary care offices. 9 UCCs also tend to have much lower average costs ($168) 10 than the ED ($978-$2,259). 10,11 However, these convenience settings are a topic of debate regarding their ability to replace EDs for care. One study found that 13.7-27.1% of all ED visits could be treated at an UCC or retail clinic, which would result in a cost savings of approximately $4.4 billion per year. 12 Others argue that patients who are more likely to use the ED for low-acuity conditions have little access to other types of care, including convenience settings. 13 Convenience settings generally do not
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