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 .
Effect of an intensive nurse-managed medical care programme on ambulatory blood pressure in hypertensive patients.
BACKGROUND Uncontrolled hypertension is a major primary healthcare problem . AIM To investigate whether blood pressure ( BP ) control in primary care could be improved by nurses taking responsibility for managing hypertensive patients . METHODS R and omized trial with two groups : usual or intensive care .  Patients diagnosed previously as hypertensive and with a systolic office BP greater than 140mmHg were r and omized to an intensive care programme managed by trained nurses or to usual care . The intensive care programme included a visit every 6 weeks to the general practitioner 's office , with st and ardized BP measurement , self-measurement training , risk factor checks and advice on BP reduction . The intervention lasted for 1 year . The primary endpoints were systolic BP obtained by 24-hour ambulatory BP monitoring after 1 year and the change compared with baseline . RESULTS Two hundred patients from 19 physicians were enrolled ( 102 in the intensive care group ) . Data on ambulatory BP were available from 140 patients .  Systolic BP declined from 134.4+/-14.0 to 126.3+/-10.4mmHg in the intensive care group and from 132.4+/-13.5 to 128.2+/-13.0mmHg in the usual care group . There was no statistically significant difference in values after 1 year ( p=0.332 ) . The reduction in systolic BP was significantly greater in the intensive care group ( 7.6 vs 3.3mmHg in the usual care group ; p=0.036 ) . Similar results were observed for diastolic BP and day- and night-time measurements . CONCLUSIONS An intensive medical care programme in the office setting managed by trained nurses can improve BP control effectively . Nurses could take more responsibility for managing hypertensive patients
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 .