I know! I don't get that either. I try to not think badly about them, maybe their area doesn't have that access.
I grew up where we had the doc's home phone numbers. I can remember the doc coming to my house when there was snow on the ground and he had his kids in the car with it running. He gave me a shot for a fever or something.
In my town we call the local hospital and they page which every doc is on call that day. All our docs participate in this. The pediatricians do their own group so they are dealing with kid stuff though.
So if I felt I needed to speak to a doc I'd simply do that.
BUT BUT BUT if a child is having an allergic reaction they need to be seen, not talked to the doc about.
IF IF IF a child is having trouble breathing they need to be seen. No need to ask us, we're ALL going to say take them to the ER.
The only reason's I would bother the doc at home is if the person had had a procedure done that day and something didn't seem right. Perhaps they had a tooth pulled and they have a knot forming on their jaw. Is a stitch coming out, the wound was starting to seep some fluids.
Something that only THAT particular doc could answer. He could say go to the ER too but he might say that what was happening was normal and to just put ice on it.