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Summary

Widespread pharmacy access to COVID-19 testing could reach 94% of the US population. Strategic pharmacy selection can significantly improve testing accessibility, reaching millions more people.

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Area of Science:

  • Public Health
  • Health Services Research
  • Epidemiology

Background:

  • Rapid diagnostic testing for COVID-19 is crucial for public health interventions like social distancing and contact tracing.
  • Current access to COVID-19 testing remains inadequate in many US communities.
  • Pharmacies present an underutilized resource with the potential to expand testing coverage.

Approach:

  • A facility location optimization model was employed, integrating willingness-to-travel data from the US National Household Travel Survey.
  • The model assessed the potential reach of COVID-19 testing if made available across all US pharmacies.
  • Analysis included comparing optimized pharmacy selection with random selection based on population density.

Key Points:

  • Expanding COVID-19 testing to all US pharmacies could make testing accessible to an estimated 94% of the population.
  • Independent pharmacies are vital for ensuring adequate testing coverage in less populated states.
  • Optimized selection of just 1,000 pharmacies can increase access by an estimated 29 million people compared to population-density-based selection.

Conclusions:

  • Leveraging pharmacies for COVID-19 testing can substantially improve access nationwide.
  • Judicious selection of testing sites, even with limited numbers, can enhance logistical efficiency and broaden reach.
  • Pharmacy-based testing is a scalable solution to enhance public health preparedness for infectious diseases.