Implementing Semi-Automated Medication Dispensing for People with HIV : A Community-Based Alternative to Traditional Pharmacy Pickups
Hernández-Sánchez, Diana (Universitat Autònoma de Barcelona. Departament de Medicina)
Saz, Jorge (Projecte dels NOMS Hispanosida-BCN Checkpoint (Barcelona))
García Gimenez, Ignacio (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Puig, Jordi (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Rivero, Ángel (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Valero Valdelvira, Patricia (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
López Martínez, María Isabel (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Muñoz, Rafael (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Quiñones Ribas, Carles (Hospital Universitari de Girona Doctor Josep Trueta)
Davins Riu, Meritxell (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Negredo Puigmal, Eugènia (Institut Germans Trias i Pujol. Fundació Lluita Contra les Infeccions)

Data:	2026
Resum:	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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Electronic pharmacy ; Out-patient dispensing ; Automated lockers ; Mobile application ; HIV infection ; Patient-centered care ; Community health ; Treatment adherence
Publicat a:	Healthcare, Vol. 14, Num. 4 (February 2026) , p. 429, ISSN 2227-9032

DOI: 10.3390/healthcare14040429

12 p, 509.3 KB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
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