I think four out of the six mechanics in our shop have one. Mine is a nice backlit Misco one that does automatic temperature compensation.
Why use a refractometer instead of a hydrometer (disc or ball type tester)?
Consistancy, accuracy (within +/-1* for a refractometer vs +/- 8* for a hydrometer), the ability to measure both propylene glycol and ethylene glycol, and most refractometers will also do state of charge tests for battery acid.
In addition, in a good refractometer you don't need to do temperature compensation to get a valid reading, which is something that is very important for they hydrometer style testers to get accurate readings.