Aim–Study was contucted to identify the patients reasons who categorised IV & V in triage system for accessing hospital emergency department (ED) rather than primary health care clinic (PHCC).

Method–This cross sectional study using researcher administer questionnaire by patients who categorized  withIV and V  in the  triage  system and present to  the emergency department  in Imam Abdulrahman Bin Faisal Hospital (IABFH).Result–There were 227(58.7%) males and 160(41.3%) females. Significantly high proportion of the patients (P<0.001) visited the hospital emergency in case of any medical problem and they did not try to visit primary health care clinics first. Difficulty in getting an appointment and waitng period werethe most common reasons for avoiding primary health clinic. Conclusion–This study concludes that Perception of urgency play very important role while increase the awareness of primary health clinic services to the community might minimize the numbers of  patients who visit ED.