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 .
Description of pharmacist interventions during physician–pharmacist co-management of hypertension
Objective The aim of this study is to describe recommendations made by clinical pharmacists when co-managing hypertension with physicians . Setting Two family medicine clinics at a major teaching hospital in the mid-western United States . Method This report details the specific recommendations made by pharmacists during a prospect i ve r and omized controlled clinical trial . Patients with uncontrolled hypertension were enrolled in a 9-month intensive pharmacist – physician co-management study . Clinical pharmacists saw patients at baseline , 2 , 4 , 6 , and 8 month visits . Optional visits were allowed between required visits . Main outcome measure For this analysis , pharmacist recommendations were grouped . Physician acceptance of the pharmacists ’ recommendations was also evaluated . Results Data from 101 patients were included and analyzed in this study . Changes in drug therapy were recommended 267 times for these 101 patients . Most recommendations for a change in treatment involved adding a new antihypertensive medication ( 46.4 % ) or increasing a dose ( 33.3 % ) . The majority of pharmacist recommendations to modify drug therapy were made at the baseline visit ( 41.6 % ) , with 76.8 % of recommendations made by the 2 month visit . Physicians accepted and implemented 95.9 % of the 267 pharmacist recommendations to modify drug therapy . Pharmacists recommended no change in the treatment plan 361 times , most often because the patient ’s blood pressure ( BP ) had achieved the goal . Average BP decreased from 153.1 ± 10.0/84.9 ± 12.0 mmHg ( average ± SD ) at baseline to 124.2 ± 9.7/74.7 ± 9.6 mmHg ( P < 0.001 ) at the end of 9 months , with 89.1 % ( P < 0.001 ) of patients reaching their BP goal . Conclusion Pharmacist recommendations for alterations in drug therapy generally occurred early in the course of the study and were largely to intensify therapy through higher dosages or additional medications . Pharmacist – physician co-management of BP is effective at reducing BP and improving BP control rates
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 .