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Hypertension Control: A Team Effort
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Team-based care is essential to treating and controlling the millions of patients with high blood pressure in the United States.

Hypertension is a significant health and economic burden in the United States. Like many other chronic diseases and risk factors, effective prevention isn’t easy. Fortunately, team-based care is a proven way to treat and control high blood pressure for more than 67 million Americans.

Team-based care incorporates a multidisciplinary team to improve the quality of blood pressure treatment and control for patients. Each team should include the patient, the patient’s primary care provider, and a variety of other health professionals such as nurses, pharmacists, dieticians, social workers, and community health workers. Team members support primary care provider activities and share a variety of patient responsibilities, such as:

  • Facilitating communication and care coordination among team members
  • Supporting the use of evidence-based guidelines by team members
  • Establishing structured ways to monitor progress and schedule additional visits as needed
  • Educating patients about blood pressure medication, supporting patients in following their treatment plan, and providing patients with self-management tools and resources
A review of 77 studies led by the Community Preventive Services Task Force found that this approach led to an increase in the proportion of patients with controlled blood pressure, a decrease in systolic and diastolic blood pressure, and an improvement in patient outcomes for diabetes and blood lipids.

Based on its review, the Community Preventive Services Task Force made the team-based approach to blood pressure control an official recommendation. Team-based care is also central to other national prevention initiatives including Million Hearts and Healthy People 2020.

Healthcare and public health organizations should explore implementing a multi-disciplinary team-based approach to improve the effectiveness of hypertension care for patients. The team-based approach includes attention to various aspects of hypertension care, such as: medication management, patient follow-up, helping patients adhere to their blood pressure control plans, monitoring blood pressure routinely, taking medications as prescribed, reducing sodium in the diet, and increasing physical activity.