Nevertheless, despite referral guidelines and the requirement that referrals be turned back if appropriate steps have not been completed in primary care, many patients still seek care directly at emergency rooms - and almost all hospital referrals are accepted. This may be related to the fact that most EBAIS only offer appointments in the morning and early afternoon, and only on weekdays. In 2010,44% of all public consultations were held in emergency services, out of which 60% were not actual emergencies.