Team-based care increased the proportion of people with controlled BP  and reduced both systolic and diastolic BP , especially when pharmacists and nurses were part of the team .
CONTEXT Uncontrolled hypertension remains a widely prevalent cardiovascular risk factor in the U.S. team-based care , established by adding new staff or changing the roles of existing staff such as nurses and pharmacists to work with a primary care provider and the patient .
Team-based care has the potential to improve the quality of hypertension management .
The goal of this Community Guide systematic review was to examine the effectiveness of team-based care in improving blood pressure ( BP ) outcomes .
Disease management to promote blood pressure control among African Americans.
African Americans have a higher prevalence of hypertension and poorer cardiovascular and renal outcomes than white Americans . The objective of this study was to determine whether a telephonic nurse disease management ( DM ) program design ed for African Americans is more effective than a home monitoring program alone to increase blood pressure ( BP ) control among African Americans enrolled in a national health plan . A prospect i ve r and omized controlled study ( March 2006-December 2007 ) was conducted , with 12 months of follow-up on each subject . A total of 5932 health plan members were r and omly selected from the population of self-identified African Americans , age 23 and older , in health maintenance organization plans , with hypertension ; 954 accepted , 638 completed initial assessment , and 485 completed follow-up assessment . The intervention consisted of telephonic nurse DM ( intervention group ) including educational material s , lifestyle and diet counseling , and home BP monitor vs. home BP monitor alone ( control group ) . Measurements included proportion with BP < 120/80 , mean systolic BP , mean diastolic BP , and frequency of BP self-monitoring . Results revealed that systolic BP was lower in the intervention group ( adjusted means 123.6 vs. 126.7 mm Hg , P = 0.03 ) ; there was no difference for diastolic BP . The intervention group was 50 % more likely to have BP in control ( odds ratio [ OR ] = 1.50 , 95 % confidence interval [ CI ] 0.997 - 2.27 , P = 0.052 ) and 46 % more likely to monitor BP at least weekly ( OR 1.46 , 95 % CI 1.07 - 2.00 , P = 0.02 ) than the control group . A nurse DM program tailored for African Americans was effective at decreasing systolic BP and increasing the frequency of self-monitoring of BP to a greater extent than home monitoring alone . Recruitment and program completion rates could be improved for maximal impact
Team-based care increased the proportion of people with controlled BP  and reduced both systolic and diastolic BP , especially when pharmacists and nurses were part of the team .
CONTEXT Uncontrolled hypertension remains a widely prevalent cardiovascular risk factor in the U.S. team-based care , established by adding new staff or changing the roles of existing staff such as nurses and pharmacists to work with a primary care provider and the patient .
Team-based care has the potential to improve the quality of hypertension management .
The goal of this Community Guide systematic review was to examine the effectiveness of team-based care in improving blood pressure ( BP ) outcomes .