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observed. Of these 2.630 (9,5%) were made by foreigners. The risk for ACSC-EAs as a whole decreases with the increase of EL, while income of country seemed to have a weaker association. The same pattern was found for ACSC-EAs for ''Influenza and Pneumonia'', ''Dehydration and Gastroenteritis'', ''Pyelonephritis and Other Kidney and Urinary Tract Infections'', ''Perforated/Bleeding Ulcer'', ''Convulsions''. Neither country income nor EL showed a significant effect on the ACSC-EAs risk for ''Cellulitis'', ''ENT Infections'', ''Dental Conditions'', ''Angina'' and ''Other Vaccine Preventable Conditions''. Conclusions:The EL seems to be a better determinant of the access and use of the PHCs than the income of the origin country, probably indicating that the personal empowerment represented by education is more useful in orienting in PHCs than social background. Key messages:Reducing admissions in Emergency Department is an important challenge for Primary Health Care Services.Educational level provides a better orientation in use of PHCs than income of country of origin.