Abstract
January 2008
CONVENIENT CARE CLINICS USA 2007
(HEALTH CARE, WALK-IN, CASH-ONLY, RETAIL, ELECTIVE, STAY-WELL, GET-WELL,
ASSESSMENT, TEST)
The speed of growth of the US convenient care clinic sector has
astounded the most optimistic experts. Convenient care clinic operators,
consulted by Diagonal Reports, are very confident about its future and
forecast that the number of clinics could double each year. It is expected
there could be up to to 6,000 convenient care clinics throughout the
USA by 2012 while a decade ago this sector did not even exist.
Clinics can draw on a huge potential pool of users. Convenient care clinics
attract almost the entire population irrespective of their age, gender,
income or insurance status. They are used by the insured, uninsured,
under-insured and paid by self-pay consumers and third party payees. There
is also strong confidence in its profitability. Experts insist that the
“longer-established clinics” are profitable, and that the startups
--in business one to two years-- will be profitable within 12 months as soon
as they recoup their set up costs.
The concept of the convenient care clinic is new to the US and the many terms
in circulation reflect the fact that the model is still being developed. Terms
used to describe clinics include:
- Store-based health clinics
- Retail health clinics
- Retail-based clinics (RBCs)
- Walk-in health clinics in retail stores
- Urgent care
(not true emergency rooms)
“Get well” and “stay well” services
These clinics repackage medical services previously available in
traditional physicians' office. The core of the original clinic concept was a
limited range of “get well” medical services, such as allergy
or flu relief. These “get well” services remain the top
services in terms of revenue generated, consumer demand and profitability. As
the clinics increased in numbers, the original limited menu has now
diversified as “stay well” services - that is, preventative
medical care for well or healthy people, such as vaccinations and flu
shots - have been added.
“For the well”
Further services are being added. Health or medical services management
(for example, physical screenings, tests for for obesity, diabetes) required
by insurers, employers and schools are now being made available in convenient
care clinics.
Nurse practitioners or physician assistants originally operated these
clinics in shopping or commercial centers but new operators - including
licensed physicians, who want to reduce red-tape, insurers, health management
organisations (HMOs) and hospitals - are now setting up clinics in hospital or
ambulatory care settings. Further integration with the healthcare system is
inevitable.
The offer of simple, relatively inexpensive products and services that are not
state-of-the-art but rather "good enough" in the eyes of users is transforming
the delivery of primary healthcare in the US. Convenient care clinics offer
people what they most require - convenience. Users cut out the delay in
getting a doctor' s appointment and/or avoid the lengthy wait in the
hospital emergency room. A clinic expert summarised the benefits,
“The convenience factor cannot be underestimated. You can be seen, and
be taken care of without making an extra stop.”
This cost effective, convenient, and local healthcare is the counterpart of
developments that have been taking place since the 1980' s in a range of
consumer services industries. The essentials of the model are “no
frills” made possible by low costs, and overheads. This model, first
made famous in air travel, but is also popular in the automotive aftermarket
(eg, “pit stop”), professional beauty ( eg, “shampoo
only” salons) and dental practice (teeth whitening clinics) market
worldwide.
This new report THE CONVENIENT CARE CLINICS MARKET USA 2007 examines the
future of the fast developing convenient care clinic sector, including
clinic models, profitability and obstacles to growth.
Table of Contents
- TABLE OF CONTENTS
- REPORT STRUCTURE
- SECTION 1 SUMMARY
- TABLE 1 Convenience Care market data at a glance
- Definitions
- Report covers
- SECTION 2 HISTORY, CONTROVERSIES
- An arena where giants meet
- History of new concept
- From few to more services
- A longer historical trajectory
- Terms of the debate
- The pro points of view
- The anti points of view
- “No frills” model of consumer services
- SECTION 3 MARKET SIZE AND STRUCTURE
- TABLE 2 Convenient care market - units (2006-2012)
- Sector sizes (2007-2012)
- Accurate up-to-date counts difficult?
- Is the sector profitable?
- Staffing arrangements and regulations
- Concepts (ownership/settings)
- GRAPH % Retail vz other location?
- Some of the many terms for a new concept
- SECTION 4 CONVENIENT CARE AND SERVICE MENUS
- The main service categories
- The “get well” menu (sample)
- The “stay well” menu (sample)
- The “for the well” menu (sample)
- MD-managed clinic - sample menu
- Not a one size fits all
- Ranking services (revenues/demand)?
- Examples revenues
- Variations in demand (seasonal and consumers)
- Driving market phase one
- Locations
- SECTION 5 BENCHMARK DATA (UNIT SIZES, PRICING)
- TABLE 1 Benchmark “typical” unit
- Geographical coverage?
- TABLE 2 Data business of market leader
- Turnover versus costs
- TABLE 3 Benchmarks a physician' s office “cash only”
- TABLE 4 Medspa benchmark data
- Opening days and hours
- TABLE 5 Convenient care - busy hours / days
- Night openings
- The traditional model responds
- Fees - comparison traditional vz convenient care
- TABLE 6 Fees per visit - examples (US$, 2007)
- Basis of price differences?
- Price rises in the pipeline?
- Price sensitivity and insurance status
- SECTION 6 CONSUMERS AND CONVENIENT CARE
- Profiles of consumers
- The missing age group
- The ' mom and kids' segment
- TABLE 1 US population distribution by age and gender (Census)
- Consumer segments and profitability
- Self-pay and third-party payees
- Convenient care and consumers' insurance status
- Industry averages vz. local distribution
- TABLE 2 Patient profiles market leader
- Patient profile
- TABLE 3 Consumer (%) distribution by insurance status - examples
- The underinsured
- TABLE 4 Health insurance status US population
- Insurance status
- Why choose over alternatives?
- Convenience
- Experts' quotes (selected)
- A wider changes in consumer behaviour?
- SECTION 7 BUSINESS FORMULAS AND COMPANIES (EXAMPLES AND names)
- Business concepts
- Potential competitors by type
- Names to watch
- The retailers
- TABLE 1 Retailers and clinics
- Retail Partners
- Comment
- Clinics and health care
- Priorities of different players
- Retailers
- Medical players
- Health assessment market
- SECTION 8 FUTURE OF THE CONVENIENT CARE MARKET
- Big issues
- Word of caution
- Problems and uncertainties
- Costs
- Costs and technology
- Technology concerns
- Next phase?
- Branding and marketing
- Future and staffing issues
- TABLE 1 Staffing requirement and availability
- Licensed and credentialed in the USA
- Staffing barriers
- Regulatory frameworks
- Treading on toes
- TABLE 2 Estimated size of test markets (drugs tests)
- Workplace drugs tests
- Workplace drugs tests
- TABLE 3 Estimated size of diabetes market
- Diabetes market (Type-2 Diabetes)
- The obesity market
- Taking market share or growing market?
- Clinics and MDs
- Awareness/access
- SECTION 9 PROFILES OF CLINICS
- DRAFT TABLE 1 Biggest players (units, formula)
- TABLE 2 Alphabetical list of operators identified and profiled (26 names)
- SECTION 10 SERVICES AND PRICES (2007)
- TABLE 1 Prices (2007)
- TABLE 2 CCC price lab/a la carte (MD-managed)
- TABLE 3 Prices occupational Health Services (MD-managed)
- TABLE 4 Prices urgent care (MD-managed)
- SECTION 11 ADDRESSES AND PROFILES OF ORGANIZATIONS (SELECTED)
- SECTION 12 REGULATIONS, and PROTOCOLS, ETC.
- Regulatory and voluntary code
- Convenient Care Association-CCA Quality and Safety Standards
- Agreement AAFP and the “big three”
- SECTION 13 APPENDIX HEALTH CARE SECTOR USA (SIZE)
- TABLE 1 National Health Expenditures USA
- Category
- TABLE 2 Health system data
- TABLE 3 Health system personnel (nurse practitioner managed)
- Registered nurses
- Registered nurses -employment settings
- Nurse Practitioners
- Physicians
- Licensed physicians
- TABLE 4 Health system personnel (physicians and surgeons)
- TABLE 5 Health system personnel (physicians practice size
- Visits to physicians' offices
- TABLE 6 Visits to physicians' offices - ordered at
- TABLE 7 Visits to physicians' offices - patient' s reason for
- Injury-related
- TABLE 8 Visits to physicians' offices- primary diagnosis group (selected)
- Most frequent illness diagnoses
- SECTION 14 GLOSSARY
- Symbols used in tables
- Glossary
- GSP formats
- INDEX OF COMPANIES, BRANDS, SELECTED PUBLICATIONS, AND ORGANIZATIONS
(REGULATORY, TRADE, PROFESSIONAL)
- DIAGONAL REPORTS STATEMENT
医薬品
その他のカテゴリ
FAQ