care is essential to treating and controlling the millions of patients with
high blood pressure in the United States.
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
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.
about blood pressure medication, supporting patients in following their
treatment plan, and providing patients with self-management tools and resources
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.
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.