Impacto de la Adopción de Dispensación en la Clínica por Parte de Prácticas Urológicas en el Uso de Medicamentos...

Área de la Ciencia:

• Oncology; Urology; Health Services Research

Sus antecedentes:

• Advanced prostate cancer treatment is shifting towards oral specialty drugs.; Urology practices are increasingly involved in managing these therapies.; Some urology groups offer in-office dispensing for direct patient medication delivery.

Objetivo del estudio:

• To examine the characteristics of urology groups that adopt in-office dispensing.; To assess the impact of in-office dispensing on oral specialty drug utilization in advanced prostate cancer care.

Principales métodos:

• Retrospective cohort study of men with advanced prostate cancer in Traditional Medicare (2011-2019).; Comparison of urology groups with and without in-office dispensing.; Multivariable logistic regression and difference-in-differences analysis.

Principales resultados:

• Large practice size, increasing patient volume, lower social vulnerability, reduced competition, and radiation vault ownership were associated with in-office dispensing adoption.; Markets with adopting urology groups saw a significant increase of 46 oral specialty drug prescriptions per 1000 men.

Conclusiones:

• In-office dispensing by independent urology groups is linked to increased use of oral specialty drugs for advanced prostate cancer.; This model can enhance medication access and potentially improve treatment adherence for patients.