Access to community pharmacies: A nationwide geographic information systems cross-sectional analysis

被引:200
作者
Berenbrok, Lucas A. [1 ]
Tang, Shangbin [2 ]
Gabriel, Nico [2 ]
Guo, Jingchuan [3 ]
Sharareh, Nasser [4 ]
Patel, Nimish [2 ]
Dickson, Sean [5 ]
Hernandez, Inmaculada [2 ]
机构
[1] Univ Pittsburgh, Sch Pharm, Dept Pharm & Therapeut, Pittsburgh, PA USA
[2] Univ Calif San Diego, Div Clin Pharm, Skaggs Sch Pharm & Pharmaceut Sci, 9500 Gilman Dr,Room 2244, San Diego, CA 92093 USA
[3] Univ Florida, Coll Pharm, Dept Pharmaceut Outcomes & Policy, Gainesville, FL USA
[4] Univ Utah, Sch Med, Dept Populat Hlth Sci, Salt Lake City, UT USA
[5] West Hlth Policy Ctr, Washington, DC USA
关键词
D O I
10.1016/j.japh.2022.07.003
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background: Pharmacy accessibility is key for the emerging role of community pharmacists as providers of patient-centered, medication management services in addition to traditional dispensing roles. Objective: To quantify population access to community pharmacies across the United States. Methods: We obtained addresses for pharmacy locations in the United States from the National Council for Prescription Drug Programs and geocoded each. For a 1% sample of a U.S. synthetic population, we calculated the driving distance to the closest pharmacy using ArcGIS. We estimated the proportion of population living within 1, 2, 5, and 10 miles of a community pharmacy. We quantified the role of chain vs regional franchises or independently owned pharmacies in providing access across degrees of urbanicity. Results: We identified 61,715 pharmacies, including 37,954 (61.5%) chains, 23,521 (38.1%) regional franchises or independently owned pharmacies, and 240 (0.4%) government pharmacies. In large metropolitan areas, 62.8% of the pharmacies were chains; however, in rural areas, 76.5% of pharmacies were franchises or independent pharmacies. Across the overall U.S. population, 48.1% lived within 1 mile of any pharmacy, 73.1% within 2 miles, 88.9% within 5 miles, and 96.5% within 10 miles. Across the United States, 8.3% of counties had at least 50% of residents with a distance greater than 10 miles. These low-access counties were concentrated in Alaska, South Dakota, North Dakota, and Montana. Conclusions: Community pharmacies may serve as accessible locations for patient-centered, medication management services that enhance the health and wellness of communities. Although chain pharmacies represent the majority of pharmacy locations across the country, access to community pharmacies in rural areas predominantly relies on regional franchises and independently owned pharmacies. (c) 2022 American Pharmacists Association (R). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
引用
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页码:1816 / +
页数:9
相关论文
共 25 条
[1]  
[Anonymous], 2020, The complexities of physician supply and demand: projections from 2018 to 2033
[2]  
Berenbrok L A., 2021, Report
[3]   Evaluation of Frequency of Encounters With Primary Care Physicians vs Visits to Community Pharmacies Among Medicare Beneficiaries [J].
Berenbrok, Lucas A. ;
Gabriel, Nico ;
Coley, Kim C. ;
Hernandez, Inmaculada .
JAMA NETWORK OPEN, 2020, 3 (07)
[4]   Computing travel time when the exact address is unknown: a comparison of point and polygon ZIP code approximation methods [J].
Berke, Ethan M. ;
Shi, Xun .
INTERNATIONAL JOURNAL OF HEALTH GEOGRAPHICS, 2009, 8
[5]  
Centers for Disease Control and Prevention, FED RET PHARM PROGR
[6]  
Economic Research Service U.S. Department of agriculture, 2020, RUR URB CONT COD
[7]   The pharmacist's role in SARS-CoV-2 diagnostic testing [J].
Goode, Jean-Venable R. ;
Page, Alexis ;
Burns, Anne ;
Bernard, Shaina ;
Wheawill, Stephanie ;
Gatewood, Sharon B. S. .
JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION, 2020, 60 (06) :E19-E32
[8]   Fewer Pharmacies In Black And Hispanic/Latino Neighborhoods Compared With White Or Diverse Neighborhoods, 2007-15 [J].
Guadamuz, Jenny S. ;
Wilder, Jocelyn R. ;
Mouslim, Morgane C. ;
Zenk, Shannon N. ;
Alexander, G. Caleb ;
Qato, Dima Mazen .
HEALTH AFFAIRS, 2021, 40 (05) :802-811
[9]   Assessment of Pharmacy Closures in the United States From 2009 Through 2015 [J].
Guadamuz, Jenny S. ;
Alexander, G. Caleb ;
Zenk, Shannon N. ;
Qato, Dima M. .
JAMA INTERNAL MEDICINE, 2020, 180 (01) :157-160
[10]  
KHN, RUR COMM AR LOS THEI