MAPPED: America's pharmacy deserts - is YOUR area affected? (2024)

  • READ MORE:America's pharmacy deserts: Rite Aid, CVS will shut 1,500 stores

By Alexa Lardieri U.S. Deputy Health Editor Dailymail.Com

Published: | Updated:

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The mass closure of pharmacies across the United States is leaving hundreds of thousands of Americans without access to life-saving medications and basic medical care, a new analysis has revealed.

New national data from two industry bodies shows western states like Alaska and Californiahave about 12 pharmacies per 100,000 residents, while eastern and southern states likeNew York and WestVirginiahave nearly 30 drugstores per 100,000 people.

Experts have blamed the increasing popularity of online drug services and financial hardship for many closures of brick and mortar operations.

However, shuttering pharmacies affects more than just prescriptions.Many Americans rely on these for vital healthcare services like routine vaccinations and diabetes monitoring.

Conducted by the Associated Press, the analysislooked at pharmacy locations down to the zip code level.

It found about two-thirds of the retail pharmacies in states with limited access were owned by large corporate chains, whereas independently-owned pharmacies are more likely to be in cities with larger populations.

Based on data from the National Council for Prescription Drug Programs and the American Community Survey, western states have some of the fewest locations per 100,000 people, including Alaska, Oregon and California.

The analysis also found eastern and southern states had the most access, with West Virginia, New York and Arkansas ranking among the top.

Closures among top pharmaceutical chains have been on the rise, with major players like CVS and Rite Aid shuttering hundreds of locations.

According to CVS, 85 percent of Americans live within five miles of one of their pharmacies, of which the company has more than 9,000 locations.

Not only do the stores allow customers to buy medications and fill their prescriptions, but some locations also provide vaccinations and basic medical care.

Dr Prakash Patel, a pharmacist who owns Bert’s Pharmacy in Elizabeth, New Jersey, told AP sometimes the pharmacy is a sick customer’s 'first stop.'

He said: 'There is no easy access to a doctor’s office. You need an appointment. They have limited hours. So any time any child or adult - whoever is sick - where are they going to go first? To the pharmacy.'

Additionally,Megan Undeberg, a community pharmacy expert at Washington State University, said pharmacists at rural drugstores often see and care for people more than doctors do, meaning they may be able to spot signs of dangerous medical conditions like Alzheimer's and Parkinson's disease.

She told the publication: 'You’re the smoking cessation counselor, you’re the suicide prevention counselor. You know just about everything about everyone, but it’s confidential.'

In November, CVS announced it had closed 564 of the 900 locations it had slated to shut down.

Another pharmacy giant, Rite Aid, boasts more than 1,700 locations across 16 states, employing more than 6,000 pharmacists and provides pharmacy, vaccination and basic medical care services.

In October, Rite Aid announced as part of its bankruptcy process it planned to close hundreds of underperforming stores.

Read More Analysis reveals nearly 500 rural hospitals that serve millions of Americans are at risk of closing... is YOURS on the chopping block?

Walgreens also provides similar services at its stores and within pharmacies at Duane Reade, which it acquired in 2010.

Last summer, the company announced it was planning to close approximately 150 locations in the US, as well as 300 stores in the UK.

Dr Dima Qato, a University of Southern California associate professor who studies pharmacy access, told AP when companies look to shut down stores, they often target lower-income and minority neighborhoods.

Dr Qato, who is a pharmacist, added: 'They tend to close in these neighborhoods regardless of whether or not there is another pharmacy nearby.

According to additional data, more than 7,000 pharmacies have closed since 2019, but the researcher behind it, Lucas Berenbrok of the University of Pittsburgh, said that number is 'conservative.'

Of those, about half were independent drugstores.

A 2023 study published in the journal JAMA found pharmacy deserts can lead to decreased medication adherence and detrimental outcomes, costing people and the healthcare system money.

Pharmacies, both chain and independent often close because they are no longer profitable, are underperforming or the population in the surrounding area is dwindling.

However, rampant theft and crime has also played a more recent role in the closures.

In September 2023, a CVS store manager was shot and killed by a customer accused of shoplifting in Arizona and photos of chain drugstores in major cities like Washington, DC and New York show barren shelves after people have ransacked goods.

CapitalOne Research estimated stores lost nearly $87billion to retail theft in 2022 and projected by 2025, it will cost companies more than $115billion.

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MAPPED: America's pharmacy deserts - is YOUR area affected? (2024)

FAQs

How to identify pharmacy deserts? ›

If most people in an urban neighborhood live more than a mile away from the nearest pharmacy, it's a desert. If that neighborhood is low income and few households own a car, then that threshold drops to half a mile, said Qato.

What are the effects of pharmacy deserts? ›

Consequences of the Pharmacy Desert

Difficult access such as longer travel time or distance may contribute to a patient's nonadherence, leading to poor health outcomes and increased medical care costs from increased hospitalizations or emergency department visits.

What is a pharmacy desert? ›

An urban pharmacy desert is defined as a low-income community or neighborhood with no pharmacy within a half-mile for those with limited vehicle access.

What are the solutions to pharmacy deserts? ›

5 Ways to Improve Access in Pharmacy Deserts
  • Pharmacy Prescription Delivery. This is a logical option. ...
  • 2. Mail Order. With this option, it works exactly how it sounds; you mail medications to the patient's home instead of utilizing a driver or courier to deliver. ...
  • Prescription Drug Lockers. ...
  • Telepharmacy. ...
  • Physician Dispensing.

What are the social determinants of pharmacy deserts? ›

On average, communities that are pharmacy deserts have a higher proportion of people who have a high school education or less, have no health insurance, have low self-reported English ability, have an ambulatory disability, and identify as a racial or ethnic minority.

What are the three types of pharmacy? ›

9 types of pharmacies
  • Hospital pharmacy. Those who work in hospital pharmacies typically specialize in outpatient or inpatient pharmaceutical services. ...
  • Clinic pharmacy. ...
  • Industrial pharmacy. ...
  • Retail pharmacy. ...
  • Home care pharmacy. ...
  • Assisted living pharmacy. ...
  • Mail-order pharmacy. ...
  • Regulatory pharmacy.
Mar 3, 2023

What is the biggest problem in pharmacy? ›

Unreasonable workload expectations and staffing and scheduling issues ranked highest among negative experiences reported by pharmacy workers in 2023, according to a workplace and well-being report published March 18.

How does pharmacy affect health? ›

Pharmacists can be involved in disease prevention and control in many ways. For example, they can help develop institutional screening programs to check immunization status and identify undiagnosed medical conditions (e.g., hypertension, diabetes, hyperlipidemia, depression, substance abuse, behavioral health issues).

What is side effects in pharmacy? ›

What is a side effect? A side effect is an unwanted symptom caused by medical treatment. All medicines can cause side effects, including prescription, over-the-counter and complementary medicines.

What is considered a medical desert? ›

Results: The agreed definition highlight five major dimensions: 'Medical deserts are areas where population healthcare needs are unmet partially or totally due to lack of adequate access or improper quality of healthcare services caused by (i) insufficient human resources in health or (ii) facilities, (iii) long ...

Is pharmacy a dead field? ›

It is far from dead. If you look around carefully you'll see many pharmacies are making changes to their business model and doing quite well.

What are the eight specialty areas of pharmacy? ›

Specialization by specialty area
  • Ambulatory care.
  • Critical care pharmacy.
  • Nuclear pharmacy.
  • Nutrition support pharmacy.
  • Oncology pharmacy.
  • Pediatric pharmacy.
  • Pharmacotherapy.
  • Psychiatric pharmacy.

How do you handle a difficult situation in pharmacy? ›

Here are five effective strategies to handle difficult situations with pharmacy patients:
  1. Active Listening and Empathy. ...
  2. Stay Calm and Professional. ...
  3. Offer Clear Explanations. ...
  4. Problem-Solving and Compromise. ...
  5. Involve the Pharmacist or Manager if Necessary.
Aug 9, 2023

How can we improve the practice of pharmacy? ›

(6) Involving pharmacies and pharmacists in Universal Health Coverage Schemes to improve the affordability of medicines (7) Strengthening national medicines regulatory authorities to improve the quality, safety, and effectiveness of medicines (8) Training of pharmacists in clinical skills, vaccination, and minor ...

Why are solutions important in pharmacy? ›

Solutions have a wide variety of uses in the pharmaceutical industry. They are used therapeutically as vehicles for oral, parenteral, topical, otic, ophthalmic, and nasal products. They are also used as flavorings, buffers, preservatives, and suspending agents for a variety of liquid dosage forms.

How do you tell if a pharmacy has a drug in stock? ›

Contacting Your Pharmacy Directly

You can send them an email or call them directly to see what medication they have in stock, and you should be able to collect this the same day. For repeat prescriptions, they may take a little longer, particularly if it isn't your normal pharmacy.

What does a pharmacist work environment look like? ›

Work environment

Employers of pharmacists typically include hospitals, retail stores, nursing homes, assisted living facilities, universities, governmental facilities, mail services, and internet companies. They spend the majority of their workday on their feet, consulting with patients and physicians.

What are the different pharmacy scales? ›

  • Lab Balances. Analytical Balances Precision Balances Portable Balances.
  • Industrial Scales. Bench Scales Counting Scales Floor Scales Shipping Scales.
  • Moisture Analyzers. Moisture Analyzers.
  • Lab Instruments. Water Analysis Meters & Electrodes Pipettes.

How is a pharmaceutical warehouse classified? ›

Pharmaceutical warehouses are typically classified by the types of material they contain, such as raw materials, packaging materials, intermediate or bulk products, and finished products.

References

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