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 .
Efficacy of telephone and mail intervention in patient compliance with antihypertensive drugs in hypertension. ETECUM‐HTA study
Objective . To study the efficacy of telephone and mail intervention in therapeutic compliance among patients with mild to moderate hypertension . Design . A prospect i ve controlled multicenter clinical trial . Setting . Eighty‐five primary care centers in Spain , with a duration of 6 months . Patients . A total of 636 patients with newly diagnosed or uncontrolled hypertension were included . Interventions . The patients were r and omized and distributed between the following groups : ( i ) control ( CG ) – under routine clinical management ; ( ii ) mail intervention ( MIG ) – received a mailed message reinforcing compliance and reminding of the visits ( 15 days , 2 and 4 months ) ; ( iii ) telephone intervention ( TIG ) – received a telephone call at 15 days , then at 7 and 15 weeks . Main outcome measure . Five visits were scheduled , with the measurement of blood pressure and counting of tablets . Compliers were defined as subjects showing 80–110 % drug consumption . Calculations were made of mean percentage compliance ( MPC ) and compliers , mean blood pressure and percentage controlled subjects . Results . Five hundred and thirty‐eight patients completed the study ( 261 males ) ; 85.5 % were compliers ( CI = 82.5–88.5 ; n = 460 ) . The MPC was 95.1±19.6 % ( CI = 93.28–96.92 ) . The CG consisted of 182 individuals , MIG = 172 and TIG = 184 . Compliers represented 69.2 % of the CG ( CI 62.5–75.9 % ) , 91.3 % ( CI = 87.1–95.5 ) of the MIG ( p = 0.0001 ) and 96.2 % of the TIG ( CI 93.5–98.9 % ) ; the final MPC was 89.6%±15 in CG , 96.6%±12 in MIG and 99.1±26.8 in TIG ( p = 0.0001 ) . The percentage of controlled subjects was 47.2 % in CG ( CI = 40–54.4 ) , 61.3 % in MIG ( CI = 54.1–68.5 % ) and 63.3 % in TIG ( CI = 56.4–70.2 % ) ( p<0.05 ) . Conclusions . TIG and MIG are effective measures for improving patient compliance in hypertension
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 .