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 .
Educational outreach in diabetes to encourage practice nurses to use primary care hypertension and hyperlipidaemia guidelines (EDEN): a randomized controlled trial.
OBJECTIVE To determine the effectiveness of specialist nurse delivered education in primary care to improve control of hypertension and hyperlipidaemia in patients with diabetes . DESIGN AND SETTING Practice -level r and omized controlled trial , Salford , Engl and . SUBJECTS From 44 practice s , 10 303 subjects presenting in general practice with raised blood pressure (= 140/80 mmHg ) , raised total cholesterol (= 5.0 mmol/l ) or both . INTERVENTIONS Practice s were r and omized to receive either the intervention for hyperlipidaemia or for hypertension ; practice s acted as control for the intervention not received . Specialist nurses arranged a schedule of visits with general practitioners and general practice nurses , reminding them of diabetes protocol s and clinical targets . They provided educational material s and protocol s used in secondary care for nurse and doctor interventions including stepping up pharmacotherapy when necessary . Practice s received a list of patients in their practice who were poorly controlled at their last annual review ; new and recalled patients were targeted . OUTCOME MEASURES At subsequent annual review , blood pressure and total cholesterol values were obtained from the Salford electronic diabetes register for patients from participating practice s. RESULTS Overall , specialist nurse-led educational outreach to primary care was associated with no improvement in patients achieving target after 1 year-odds ratio ( OR ) : 1.03 ( 95 % CI 0.95 - 1.11 ; P = 0.52 ) . Similar results were achieved with hyperlipidaemia OR : 1.04 ( 95 % CI 0.88 - 1.23 ; P = 0.62 ) and hypertension OR : 1.01 ( 95 % CI 0.80 - 1.27 ; P = 0.93 ) . CONCLUSION This study provides evidence that the use of specialist nurses to perform educational outreach to improve target adherence to patients with diabetes in primary care is not effective
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 .