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The Latest Research, Commentary, And News From Health Affairs

Wednesday, May 5, 2021

Dear John,

A new article explores the distribution of pharmacies by neighborhood in
cities across the United States.

Where Pharmacy Deserts Lie

Pharmacies are an essential part of the health care system and the
communities they serve. They not only dispense prescription medications,
but also offer diagnostic, preventive, and emergency services.  

Despite the critical role of pharmacies, previous research shows
independent pharmacies serving low-income, minority populations are more
likely to experience closures, resulting in pharmacy deserts.

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In the May issue, Jenny Guadamuz and coauthors investigated whether the
availability and geographic accessibility of pharmacies varied by
neighborhood racial and ethnic composition in the thirty most-populous
cities in the US.

They found that there are fewer pharmacies located in predominantly
Black and Hispanic/Latino neighborhoods
than
in majority White or diverse neighborhoods. In addition, they reported
that pharmacy closures are more common in majority Black and
Hispanic/Latino neighborhoods, and almost 40 percent of Black and
Hispanic/Latino neighborhoods are pharmacy deserts, compared to about a
quarter of neighborhoods with a majority White population or no majority
race or ethnicity.

Guadamuz will appear on A Health Podyssey

next week to discuss her research.

Today on Health Affairs Blog, we inaugurate a short series,
"Envisioning A Transformed Clinical Trials Enterprise For 2030,"
with a post from Marilyn Metcalf and Rob Weker, who say that health care
research needs to move further into local communities to benefit all
patients
.

Also, Francis Fullam and coauthors follow up their 2020 blog post about
modernizing and democratizing national patient experience surveys with
updated and expanded recommendations to better capture the experiences
of patients from varied racial/ethnic groups
.

Elevating Voices: Asian American and Pacific Islander American Heritage
Month: Michael Furukawa and coauthors penned a Health Affairs Blog post
in November 2019 using data from the AHRQ compendium to discuss
consolidation and health systems in 2018
.

As more health care providers are consolidated into integrated health
systems, they write that "it will be important to assess how the
presence of large, national systems affects cost of care, quality, and
access to care across diverse communities."

A pillar of the National Academy of Medicine's Vital Directions for
Health and Health Care: Priorities for 2021 initiative is optimizing
health and well-being for women and children. During this Maternal
Mental Health Awareness Week, revisit a recent paper by Elena
Fuentes-Afflick and coauthors in which they draw upon a life-course
framework to identify promising interventions to improve the health of
women and children
.

Your Daily Digest

Fewer Pharmacies In Black And Hispanic/Latino Neighborhoods Compared
With White Or Diverse Neighborhoods, 2007-15

Jenny S. Guadamuz, Jocelyn R. Wilder, Morgane C. Mouslim, Shannon N.
Zenk, G. Caleb Alexander, and Dima Mazen Qato

Transforming Clinical Trials: A New Vision For 2030

Marilyn Metcalf and Rob Weker

Listening To The Voice Of All Patients To Help Heal Health Disparities
In A Post-COVID-19 World

Francis Fullam, Robert Parrish, Nicole Cable, and Esther Burlingame

Consolidation And Health Systems In 2018: New Data From The AHRQ
Compendium

Michael Furukawa, Laura Kimmey, David J. Jones, Rachel M. Machta, Jing
Guo, and Eugene Rich

Optimizing Health And Well-Being For Women And Children

Elena Fuentes-Afflick, James M. Perrin, Kelle H. Moley, Ángela Díaz,
Marie C. McCormick, and Michael C. Lu

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