ec0ec87da19f1486300c6f8696a641ef 327019.pdf 289d64a756b2975da191a15c3e5f88411587e46b 327019.pdf f4f3dca4b88ced616b06b1559a90ef8346bf56923276766609afaaab7614c724 327019.pdf Title: Implementing Semi-Automated Medication Dispensing for People with HIV: A Community-Based Alternative to Traditional Pharmacy Pickups Subject: Introduction: Maintaining adherence and access to antiretroviral treatment is basic for good management of people with HIV (PWH), while enhancing patient satisfaction. With the aim of shifting from drug-centered into patient-centered care and integrating care interventions into community settings, here we share an outpatient hospital pharmaceutical care implementation model for PWH. This model involves the delivery of medication through a community center, BCN-Checkpoint, using a proprietary app and coordinated with automated locker systems. Methods: During the pre-implementation phase the circuit was defined and seven steps were considered critical for successful implementation: (1) assignation of teams and roles; (2) adaptation of the self-developed app; (3) development of a patient journey map; (4) locker installation and system integration with data from the electronic records; (5) staff training; (6) review of data protection regulations; (7) simulation tests. A two-phase simulation—with fictitious users and with real ones—validated the system. The implementation phase included an initial pilot study, in which 46 patients were included in the project. Results: System uptake was high, with strong adherence to the dispensing pathway; only five discontinuations due to personal preferences or availability of alternative dispensing pathways. Several barriers to implementation emerged, primarily categorized into technical issues, process and operational challenges, coordination, and user-related difficulties. However, a communitarian setting, flexible attention times and protocols, and the strong intersectoral collaboration between specialists are believed to increase patient retention and overall satisfaction. Conclusions: The implementation of an outpatient dispensing hospital medication model using an app and automated locker systems is feasible, considering detail to procedures, timely adaptations, and staff training. Keywords: electronic pharmacy; out-patient dispensing; automated lockers; mobile application; HIV infection; patient-centered care; community health; treatment adherence Author: Diana Hernández-Sánchez, Jorge Saz, Ignacio García Gimenez, Jordi Puig, Angel Rivero, Patricia Valero, Maria Isabel Martinez, Rafael Muñoz, Carles Quiñones, Meritxell Davins Riu and Eugenia Negredo Creator: LaTeX with hyperref Producer: pdfTeX-1.40.25; modified using OpenPDF 1.4.2 CreationDate: Mon Feb 9 07:25:17 2026 CET ModDate: Mon Feb 9 07:28:19 2026 CET Custom Metadata: yes Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 12 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 521559 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- URRWVB+URWPalladioL-Roma Type 1 Custom yes yes yes 92 0 HGJSOG+URWPalladioL-Ital Type 1 Custom yes yes yes 93 0 MIKRSI+VnURWPalladioL Type 1 Custom yes yes yes 94 0 ZOJKRT+URWPalladioL-Bold Type 1 Custom yes yes yes 95 0 CFPAJJ+PalatinoLinotype TrueType WinAnsi yes yes no 142 0 CFPAJH+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 143 0 CFPBFK+Aptos TrueType WinAnsi yes yes no 144 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2026-04-16 03:59:38 CEST RepresentationInformation: 327019.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2026-04-15 10:17:46 CEST Size: 521559 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 292 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: true CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Item: Title: Methods Children: Item: Title: Pre-Implementation Phase Item: Title: Implementation Phase Item: Title: Results Children: Item: Title: Pre-Implementation Stage: Establishment of an Implementation Protocol Item: Title: Implementation Stage Children: Item: Title: Pilot Implementation: Descriptive Statistics Item: Title: Barriers and Facilitators Item: Title: Discussion Item: Title: Conclusions Item: Title: References Info: Title: Implementing Semi-Automated Medication Dispensing for People with HIV: A Community-Based Alternative to Traditional Pharmacy Pickups Author: Diana Hernández-Sánchez, Jorge Saz, Ignacio García Gimenez, Jordi Puig, Angel Rivero, Patricia Valero, Maria Isabel Martinez, Rafael Muñoz, Carles Quiñones, Meritxell Davins Riu and Eugenia Negredo Subject: Introduction: Maintaining adherence and access to antiretroviral treatment is basic for good management of people with HIV (PWH), while enhancing patient satisfaction. With the aim of shifting from drug-centered into patient-centered care and integrating care interventions into community settings, here we share an outpatient hospital pharmaceutical care implementation model for PWH. This model involves the delivery of medication through a community center, BCN-Checkpoint, using a proprietary app and coordinated with automated locker systems. Methods: During the pre-implementation phase the circuit was defined and seven steps were considered critical for successful implementation: (1) assignation of teams and roles; (2) adaptation of the self-developed app; (3) development of a patient journey map; (4) locker installation and system integration with data from the electronic records; (5) staff training; (6) review of data protection regulations; (7) simulation tests. A two-phase simulation—with fictitious users and with real ones—validated the system. The implementation phase included an initial pilot study, in which 46 patients were included in the project. Results: System uptake was high, with strong adherence to the dispensing pathway; only five discontinuations due to personal preferences or availability of alternative dispensing pathways. Several barriers to implementation emerged, primarily categorized into technical issues, process and operational challenges, coordination, and user-related difficulties. However, a communitarian setting, flexible attention times and protocols, and the strong intersectoral collaboration between specialists are believed to increase patient retention and overall satisfaction. Conclusions: The implementation of an outpatient dispensing hospital medication model using an app and automated locker systems is feasible, considering detail to procedures, timely adaptations, and staff training. 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