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 .
Comparison of quality-of-hypertension-care indicators for groups treated by physician versus groups treated by physician-nurse team.
PURPOSE To determine whether the type of health care provider ( i.e. , physician versus physician-nurse team ) affected the quality of hypertension care given to two groups of r and omly selected adult women . DATA SOURCES Three indicators measured the quality of hypertension care : blood pressure control level , knowledge of hypertension , and discussion about blood pressure medications with the health care provider(s ) .  Blood pressure readings were taken with a 24-hr ambulatory blood pressure monitor , and demographic data from survey results taken at orientation and research er-collected data on posttreatment knowledge of hypertension and cognitive representations of hypertension were gathered . Chi-square and t tests were used to analyze the data . CONCLUSIONS The group whose care was managed by a physician-nurse team demonstrated lower means for 24-hr systolic blood pressure and diastolic blood pressure ( systolic : M = 132 , SD = 14.9 ; diastolic : M = 75 , SD = 11.3 ) than the group whose care was managed only by one or more physicians ( systolic : M = 136 , SD = 13.4 ; diastolic : M = 79 , SD = 11.24 ) . Also , the group whose care was managed by a physician-nurse team revealed significantly higher scores for discussion of blood pressure medication than the group whose care was managed only by one or more physicians . There were no group differences for knowledge of hypertension . IMPLICATION S FOR PRACTICE Nurses qualified to assist with meeting the needs of hypertension clients in primary care setting s can positively affect clients ' knowledge about blood pressure medication and --perhaps as a result of this knowledge -- how well the clients control their blood pressure
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 .