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市場調查報告書

快速門診市場 2017年:醫療變數

Retail Clinics 2017: The Game-Changer in Healthcare

出版商 Kalorama Information 商品編碼 191135
出版日期 內容資訊 英文 200 Pages
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快速門診市場 2017年:醫療變數 Retail Clinics 2017: The Game-Changer in Healthcare
出版日期: 2017年04月17日 內容資訊: 英文 200 Pages
簡介

美國快速門診銷售2010年達5億1,800萬美元年率擴大20.3%、2016年預計達14億美元。至2020年預計將持續擴大。

本報告針對美國快速門診市場調查分析、提供市場發展動向、消費者調查結果、市場規模、佔有率、販售動向與主要企業檔案。

第1章 摘要整理

第2章 市場發展

  • 快速門診店面持續成長
  • 樂觀消費者反應
  • 昂貴的治療成本
  • 快速門診歷史
  • 販售推計、預測
  • 快速門診目標顧客
  • 保險
  • 管理式健保制度組織反應
  • 快速門診店舖:藥局、大型商店、日常用品店
  • 系統與調度
  • 資金、擴大、其他

第3章 KALORAMA INFORMATION 快速門診消費者調查

  • 曾經看過快速門診嗎?
  • 有家庭醫師嗎?
  • 前往快速門診的頻率?
  • 快速門診讓人滿意的地方?
  • 看完後有瞭解自身疾病嗎?
  • 其他調查結果
  • 職業
  • 所得
  • 地區
  • 人種/民族

第4章 快速門診市場規模、市場佔有率分析

  • 市場飽和
  • 快速門診服務販售預測
  • 患者單人收益、1日患者數量
  • 市場預測
  • 主要企業競爭立場
  • 快速門診市場參與企業立場
  • Minute Clinic
  • Walgreens Boots Alliance
  • The Little Clinic
  • RediClinic and Walgreens
  • 其他快速門診廠牌

第5章 快速門診IVD & 疫苗販售

  • 對供應商而言的市場快速門診
  • POC檢查
  • POC檢查產業
  • 主要企業競爭立場
  • 便利診所販售預測
  • 販售:種類分類
  • 產業
  • 主要企業競爭立場
  • 疫苗
  • 販售:種類分類
  • 產業
  • 快速門診店舖
  • 藥局:市場佔有率分析

第6章 矚目動向

  • 醫師不足
  • 國民意識
  • 一般醫療供應商競爭
  • 規制
  • 服務合理化

第7章 企業檔案

  • Aurora Quick Care
  • MinuteClinic
  • RediClinic
  • The Little Clinic
  • Walgreens Boots Alliance

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目錄
Product Code: KLI15319529

Retail Clinics: 2,200 Locations and Growing

Few things in healthcare can be as potentially disruptive as retail clinics, and for that reason so much attention is focused on them. By their very existence, they could threaten and/or complement at least five parts of the healthcare system - hospitals, doctor's offices, government and private insurance payors, pharmaceutical and device markers (particularly makers of POC test devices). They are brought up in discussions of healthcare reform and repeal, in cost-cutting for governments or better preventive care. They are seen as the answer in some quarters and controversial in others. And they have grown, from a few hundred store locations a decade ago, to thousands. If projections are correct, they will continue to grow and change the way healthcare is delivered. There are several ways this will happen, all of which are a focus of this report, Retail Clinics 2017:

  • They upend the normal healthcare delivery environment by providing healthcare services where the consumers are, in retail environments, as opposed to the normal status of relying on patients to go to the healthcare provider.
  • They are a lower cost solution than the emergency room and can be used both to compete for insurance company business with high-cost ERs and also be used by healthcare organizations to reduce the traffic at the ER.
  • They could help or hurt physician practice. On one hand, they offer better hours on average and do provide treatment for routine services like colds and flus. On the other hand, they they do refer patients - even to the point of suggesting the patient obtain a primary care doctor - and don't provide all services.
  • They are already a source of focus in the in vitro diagnostics industry, as major IVDs develop testing units for both retail and urgent care clinics.
  • They are building consumer awareness and reputation in each additional year of their existence, which is now more than 15 years, with favorable waiting times and hours. As our report indicates, high satisfaction ratings are routinely earned.
  • They are in the forefront of electronic medical records and technology in healthcare, introducing EMR, billing innovation and virtual waiting room technology that physician offices are only slowly adapting to.

This report is the most comprehensive look at retail clinics today from a market research firm that has covered retail clinics since 2007 in several reports. The report looks at the situation in the market today, including the amount of locations currently and projections for growth in locations. It also looks at vendor market share and sales that IVD companies and vaccine companies are making to retail clinics, and where those will be in the future.

More and More Clinic Locations

Drug store retail clinic locations have boomed in recent years. Many service providers have established retail clinics. Although many of these clinics may not achieve their expansion objectives, the significant opportunities currently offered by the expanding convenience clinic market suggest that the number of players will only grow and some of these will be successful, according to the report. Furthermore, a similar proliferation of treatment facilities spurred by strong customer demand has occurred in other segments of the health care marketplace, notably the aesthetics market.

A Growing Retail Clinics Market

In 2016, total U.S. retail clinic sales are estimated at more than $1.4 billion, an increase of 20.3% per year from $518 million in 2010. Through 2020, sales are expected to continue expanding. Strong historic growth has been driven by aggressive expansion, particularly by MinuteClinic, which is now owned by CVS. Other brands are expected to follow, according to this report.

Retail clinics by nature are designed to occupy small spaces and provide just basic care. Therefore, they do not use most of the sophisticated medical equipment found in hospitals or specialty centers such as advanced imaging devices. However, retail clinics are becoming relatively large users of point-of-care (POC) tests, clinical chemistry and immunoassay laboratory tests and vaccines. In 2015, combined sales of these three types of products to retail clinics reached $240 million, with vaccines accounting for a greater share than POC tests or laboratory tests. This reflects total annual growth of over 26% per year since 2010, when retail clinics accounted for about $75 million in purchases of these products. All three of these products will exhibit solid growth, with total sales of POC tests, clinical chemistry and immunoassay laboratory tests and vaccines to retail clinics accounting for over $618 million in 2020.

In this regard, patient flow and throughput are extremely important, since the differentiating factor of convenience clinics that has allowed them to compete so successfully against medical practices has been their accessibility. Low or no waiting times have been a key aspect of this. If the clinics become so popular that waiting times approach those of doctors' offices, their competitive advantage will be significantly reduced and many consumers could migrate back to their doctor's office for routine care. This scheduling problem is ultimately one of balancing supply and demand, and is made more challenging by the fact that many of the variables affecting these factors cannot be quickly adjusted. For example, the supply of services varies with the number of clinics in a particular area, their size and staffing levels; contingencies (additional clinics, temporary ramp up in staffing, etc.) cannot be easily established to handle temporary overflows.

On the demand side, advertising and promotion can be increased to address lagging consumer interest but if that interest proves too high for the supply of services, adjusting demand downward without creating ill will among future potential customers could be more challenging. Managing growth and ensuring appropriate availability of services will therefore be key, particularly for convenience clinic chains with ambitious expansion plans.

It should be noted, however, that as the retail clinic industry continues to develop, many smaller business that are not able to compete with larger chains are closing as consolidation within the industry accelerates. Facilities that have closed or been acquired include Access Health, AtlantiCare, Care Today, MedDirect, My Healthy Access, Now Medical Centers, PFS, Wellness Express Clinics and Target Clinic Medical Associates, among others.

Medical Community Response: Keep Watching

As this sector matures, reaction from the medical community will be an important factor influencing public opinion of retail clinic services. Negative reaction could severely impede growth in a number of ways: physician lobbying groups, which continue to be strong, could influence restrictive legislation; on a grass roots level, doctors could generate unfavorable impressions of the clinics with patients as well as the media; negative reaction from the leading medical organizations could affect the willingness of nurse practitioners and others to work for the clinics.

Such negativity among physicians could be inspired by impressions of low quality of care, lack of cooperation with the medical community and/or rising competition from the clinics. Lack of cooperation could take many forms, particularly an unwillingness or inability on the part of convenience clinics to share medical information about patients with primary care providers. Since information sharing within the medical community is considered essential to provide appropriate care, a doctor who is not able to obtain treatment or other details about a patient from a retail center is likely to develop a very negative opinion about that clinic. To avoid such problems, the vast majority of clinics has established policies advocating the sharing of medical information, including the obtaining of permission from patients, and has developed electronic systems that facilitate quick transmission of patient files.

Competition might be more difficult to address, however, especially as convenience clinics become increasingly popular. Ultimately, medical practices are businesses that rely upon a steady flow of customers (patients) for their success. Physicians are sensitive to this, and in the past have reacted to the emergence of competition in other forms. For example, as practitioners with less and less expertise in cosmetic procedures began acquiring new aesthetic devices in the 1980s and 1990s, the medical establishment continued to react: plastic surgeons objected to usage of the devices by dermatologists, who protested the entry of family doctors and ob/gyns into aesthetics, who in turn tried to prevent electrologists, aestheticians and other non-physicians from acquiring equipment. This chain reaction was caused by a direct threat to each group's business as device manufacturers ramped up promotion and competition ensued.

As of early 2017, this phenomenon has not occurred in any meaningful way in the emerging retail clinic sector; however, there have been some indications of wariness. In June 2006, a report issued by the American Medical Association expressed concerns about the impact that clinics would have on physicians' practices and on patient care, noting that the popularity of the clinics has prompted many physicians to consider extending their own hours and set aside time each day to accommodate walk-in patients with immediate needs. The following year, the AMA adopted a policy opposing the practice of insurers encouraging the use of retail clinics by waiving or reducing co-pays; in 2011, the organization began taking direct action against the practice by communicating directly with insurance companies on what it sees as the consequences of steering patients to retail clinics, which include decisions potentially made with limited information, and tests or procedures duplicated, leading to higher health care costs for a decreased level of quality

Positive Consumer Response to Retail Clinics

In general, consumer response to convenience clinics has been strong, spurring the proliferation of clinics through a growing scale and scope of outlets. Kalorama Information's retail clinic survey found that 54.6% of those adults who had used a retail clinic (about a quarter of the full survey) reported they were "very satisfied" with their visit; 36.3% said they were "satisfied." Only a small percentage, less than eight percent, reported they were "dissatisfied" or "very dissatisfied." Similarly, Wal-Mart has measured customer satisfaction at about 90%. The overall high satisfaction of customers bodes well for the future of retail clinics, suggesting that they meet a strong demand in the market place and are currently fulfilling patients' expectations.

Tweaking the Retail Clinic Business Model

The retail clinic concept has shown potential to provide affordable, accessible and quality medical care to consumers who otherwise would have to wait hours, days, or even weeks for care. They also provide an alternative to costly, time-consuming emergency room care for sicknesses that could have been prevented if basic health care services had been available. Rising rates of utilization, for these reasons, are leading to substantial profits for providers, which is, in turn, fuelling further expansion. This report covers these trends, and also has the following information:

  • New services added to retail clinic 'menus'
  • Sales of retail clinics, now and next five years
  • Market Share of major brands, now and projected
  • Brands that have embraced the retail clinics trend
  • Technologies such as waiting room innovations and EMR
  • Estimates of indirect spending by retail clinic customers visiting the store
  • Projections of IVD sales by type (POC, immunoassay)
  • Vaccine sales to retail clinics by type.
  • Store count and clinic growth projections
  • Projections by retail store brand
  • Profiles of companies in the industry
  • Healthcare trend, out of pocket spending and market drivers
  • Market challenges, such as cost-controls, physician resistance and RN shortages
  • Consumer attitudes towards retail clinics

Kalorama has covered healthcare markets with detailed market size and forecast estimates for nearly two decades. This report represents one of eight reports published by the firm on retail clinics, which they have covered from the concept beginning. Information for this report was gathered from a wide variety of published sources including company reports, catalogs, materials and public filings; government documents; trade journals; newspapers and business press; analysts' reports and other sources. Interviews with company representatives were conducted to capture the perspectives from industry participants' point of view and assess trends, and form the basis of the forecasting and competitive analysis.

In this report, retail clinics are defined as health care centers that provide basic and preventative care in a retail setting; excluded are crisis and acute care centers; urgent care centers; emergency facilities; and wellness centers. Dollar figures represent the U.S. market and are expressed in current dollars. Sales estimates are provided for the historic 2010 to 2015 period and forecasts are provided through 2020. The size of each market segment refers to manufacturers' revenues in U.S. dollars. Where full year data is important, estimates from 2016 or the most recent available year are utilized.

Table of Contents

ONE: EXECUTIVE SUMMARY

  • Scope and Methodology
  • The U.S. Healthcare Market - Environment for Retail Clinics
  • Retail Clinics History/Business Model
  • Retail Clinics Market
  • Kalorama Survey of Retail Clinic Customers

TWO: MARKET DEVELOPMENTS

  • Consistent Retail Clinic Store Growth
    • Table 2-1:Retail Clinic Chains, No of Stores 2009, 2011, 2017 and Forecasted 2021
  • Positive Consumer Reaction
  • Retail Clinics and Reducing Low Acuity ER Visits
  • Legacy Healthcare Relationships Are Key
  • Chronic Care Patients Still a Moving Target for Clinics.
  • JAMA Waiting Times Survey a Boon to Retail Clinics
  • If You Can't Beat Them... Hospitals Enter Retail Clinic
  • High Cost of Care
    • Figure 2-1: National Health Expenditures (NHE) and NHE as a Percent of GDP, 1980 - 2015
    • Figure 2-2:Average Annual Health Insurance Premiums and Worker Contributions for Family Coverage, 2005 - 2015
    • Figure 2-3:Unnecessary Deaths Resulting From Variations in Health Care Quality, by Condition
    • Table 2-2:
    • U.S. Health Care Coverage of the Non Elderly, 2014
    • Inconsistent Quality of Care
    • Retail Clinic Driver - Delays to Treatment
  • The History of Retail Clinics
  • Tweaking the Retail Clinic Business Model
  • Nurse Practitioner Labor Supply and Regulation
    • Table 2-3: Scope of Practice Laws for Non-Physician Medical Practitioners
  • Sales Estimate and Forecast
  • Retail Clinic Target Customers
  • Table 2-4: Characteristics of Retail Outlets, 2016
  • Insurance
  • Reaction from Managed Care Organizations
  • Outlets for Retail Clinics: Drugstores, Boxstores, Groceries
  • Table 2-4: Characteristics of Retail Outlets, 2016
  • Systems and Scheduling
  • Funding and Expansion

THREE: 2017 KALORAMA INFORMATION RETAIL CLINIC CONSUMER SURVEY

  • Have You Visited a Retail Clinic?
  • Do You Have a Regular Physician?
  • How Often Have You Visited The Retail Clinic?
  • Where You Satisfied with Your Retail Clinic Visit?
  • Did You Know the Ailment You Had?
  • Other Survey Results
  • Work
  • Income
  • Region
  • Race/Ethnicity

FOUR: RETAIL CLINIC MARKET SIZE AND MARKET SHARE ANALYSIS

  • Market Situation
  • Retail Clinic Services Sales Forecast
  • Revenue Per Patient, Patients Per Day
  • Table 4-1:Retail Clinics Market, 2010 - 2021
  • Market Forecast
  • Competitive Positions of Key Players
  • Table 4-2:
  • Position of Retail Clinic Market Players, 2016
  • Minute Clinic
  • Walgreens Boots Alliance
  • The Little Clinic
  • RediClinic and Walgreens
  • Other Retail Clinic Brands

FIVE: IVD & VACCINE SALES TO RETAIL CLINICS

  • Retail Clinics as Markets for Suppliers
  • Table 5-1:Estimated Supplier Revenues From to Retail Clinics
  • Point of Care Tests
  • The POC Testing Industry
  • Table 5-2:Retail Clinic Point-of-Care Diagnostics Market (Cholesterol Tests Diabetes Tests, Strep, Influenza & Pneumonia Tests, Pregnancy, Other Tests)
  • Competitive Positions of Key Players
  • Convenience Clinic Sales Forecasts
  • Clinical Chemistry and Immunoassays
  • Table 5-3:Clinical Chemistry and Immunoassay Sales to Retail Clinics, 2010-2021
  • Sales by Type
  • Table 5-4:Retail Clinic Clinical Chemistry and Immunoassay Sales by Type (Tests for Strep, Tests for TB, Other Tests)
  • The Industry
  • Competitive Positions of Key Players
  • Vaccines
  • Table: 5-6US Vaccine Sales to Convenience Clinics, 2010-2020
  • Sales by Type
  • Table 5-7:Vaccine Sales to Retail Clinics by Type (Flu, HPV, MMR, Pneumonia, Td/Tdap/Dtap, Other)
  • The Industry
  • Outlets for Retail Clinics
  • Table 5-8:Drug Store Revenues, 2016
  • Drug Store - Market Share Analysis

SIX: TRENDS TO WATCH

  • Physician Shortages
  • Public Awareness
  • Competition with Primary Care Providers
  • Regulation
    • Overview
    • Regulation of Convenience Clinics
    • Pending Legislation
  • Streamlining of Services

SEVEN COMPANY PROFILES

  • Aurora Quick Care
    • History and Lines of Business
    • Financial Information
    • Convenience Clinics
  • MinuteClinic
    • History and Lines of Business
    • Financial Information
    • Convenience Clinics
  • RediClinic
    • History and Lines of Business
    • Financial Information
    • Convenience Clinics
  • The Little Clinic
    • History and Lines of Business
    • Financial Information
    • Convenience Clinics
  • Walgreens Boots Alliance
    • History and Lines of Business
    • Financial Information
    • Convenience Clinics
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