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 .
The Baltimore Partnership to Educate and Achieve Control of Hypertension (The BPTEACH Trial): a randomized trial of the effect of education on improving blood pressure control in a largely African American population.
Hypertension is a major risk factor for developing cardiovascular disease and is more prevalent in African Americans compared with Caucasians . African Americans are often underrepresented in clinical trials . This study was composed of a largely urban African American cohort of hypertensive patients . This was a prospect i ve , 4-arm , r and omized controlled trial design ed to evaluate the comparative effectiveness of both physician and patient education ( PPE ) , patient education only ( PAE ) , and physician education only ( PHE ) vs usual care ( UC ) . Hypertension specialists gave a series of didactic lectures to the physicians , while a nurse educator performed the patient education . The mean adjusted difference in systolic blood pressure ( SBP ) from baseline in the PPE group was an average reduction of 12 mm Hg ( 95 % confidence interval [ CI ] , -4.5 to -19.4 ) at 6-months , followed by average reductions of 4.6 mm Hg ( 6.9 to -16.12 ) in the PAE group , 4.1 mm Hg ( 3.4 to -11.7 ) in the PHE group , and 2.6 mm Hg ( 3 to -8.2 ) in the UC group . The PPE group achieved a significantly better reduction in SBP compared with the UC group . Additional research should be conducted to evaluate whether the use of certified hypertension educators in collaboration with physicians will result in a similar blood pressure reduction
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 .