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clinic-locations.jpgIn December 2008, Cure CVS released a report which found CVS is far more likely to locate MinuteClinics in predominantly white and affluent communities, rather than low income areas or areas with majority residents of color. A new study from the University of Pennsylvania corroborates these findings.

The study, published Monday in the Archives of Internal Medicine, looked at 930 retail clinics at CVS pharmacies, Walgreens and Wal-Mart stores and found that most clinics were located in areas with fewer residents of color, lower poverty rates, and higher median incomes than areas without retail clinics. Dr. Craig Pollack of the University of Pennsylvania School of Medicine, quoted by Reuters, said in a statement that the clinics "are significantly less likely to be located in poor or underserved neighborhoods."

Of the 930 clinics included in the survey, according to the Associated Press, only 123 were located in areas defined by the federal government as "medically underserved." Areas with clinics had lower percentages of black and Hispanic residents, lower rates of poverty, higher rates of home ownership and higher median incomes. Affluent neighborhoods, on the other hand, were more likely to have in-store clinics, despite those areas' generally greater access to medical care, according to the AP.

These findings are particularly disappointing in light of the fact that in-store clinics have been touted as an affordable health care option for the poor and uninsured. CVS currently has over 500 MinuteClinics in its stores, but in several regions of the country the company has chosen to locate clinics away from urban centers where low-income people and people of color are concentrated. Read more about this issue here.

Retail clinics serve wealthier neighborhoods-study [Reuters, 5/25/09]
Study: Few retail clinics in poor neighborhoods [Associated Press, 5/25/09]

minute-clinic.jpgIn-store health clinics have been lauded as a market-driven solution to America's failing health care system whose benefits include providing accessible health services to the uninsured. Considering that there are some 46 million people without health insurance in America, in-store clinics should be booming.

But according to a new study from the Center for Studying Health System Change, only 2.3% of Americans have ever used a retail clinic as of 2007, a rate described by the study's authors as "modest." And while the retail clinic industry has yet to reach all American markets, it's now growing at a much slower rate than at its beginning, the study states.

That slowed growth rate "would likely disproportionately affect underserved Americans who lack affordable alternatives for primary care," the study goes on to explain, but retail clinics are already failing to reach the uninsured. Only 500,000 uninsured families used a retail clinic in 2007, according to the CSHSC' study - a fraction of the 46 million people who are uninsured.

Unfortunately, these figures make sense when it comes to CVS's clinics: as we discuss in our report, the retail pharmacy chain is far more likely to allocate its MinuteClinics in predominantly white, affluent communities - where residents are more likely to have access to health insurance. Residents of predominantly non-white, lower income communities - those most likely to lack insurance coverage - have far less access to the clinics.

What does this mean for CVS's MinuteClinics? Wouldn't providing equal access across neighborhoods of all income ranges increase the clinics' popularity? And if so, wouldn't that help the company and patients?

Despite the Hype, Patients' Use of Retail Clinics Is 'Modest' [Wall Street Journal Health Blog]



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