Estonian hospitals redirect minor cases to ease ER strain

Estonian hospitals are introducing changes to ease pressure on emergency rooms. From Wednesday, patients with minor complaints may be redirected to their GP or a pharmacy instead of being seen in A&E. The move aims to reduce unnecessary visits and free up resources for more urgent cases. The new system will see triage staff assess patients before deciding where they should go. Those with milder symptoms, such as viral illnesses or routine needs, will be directed to primary care or pharmacies. North Estonia Medical Centre (PERH) confirmed it will gradually implement the change, while East Tallinn Central Hospital (ITK) plans to hire extra triage nurses to support the process.

ITK’s ER chief, Raivo Rohtla, explained that emergency departments currently handle too many cases that could be managed by GPs. Meanwhile, West Tallinn Central Hospital (LTK) will keep its existing system, as it deals with a high number of ambulance arrivals. LTK nursing director Aleksei Gaidajenko noted that, under their current triage model, the hospital already sees few low-priority patients.

PERH ER chief Marit Mürk reassured the public that the shift will not affect those with serious conditions. The focus remains on ensuring that emergency care is available for patients who truly need it, particularly during weekday hours when GP services are open. The changes come into effect this week, with hospitals adjusting workflows to streamline patient care. By redirecting less urgent cases, emergency departments hope to reduce waiting times and improve efficiency. Patients with severe symptoms or injuries will continue to receive immediate attention in A&E.