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 .
Economic analysis of a tailored behavioral intervention to improve blood pressure control for primary care patients.
BACKGROUND Few telemedicine programs have undergone cost analyses , impeding their implementation into practice . We report on the economic analysis of a nurse-administered intervention design ed to improve blood pressure control among hypertensive veterans . METHODS We r and omized hypertensive patients at the Durham Veterans Affairs Medical Center primary care clinic to behavioral ( n = 294 ) or nonbehavioral ( n = 294 ) interventions .  Behavioral intervention patients received tailored information bimonthly for 2 years via telephone . To calculate intervention cost , we microcosted the nurse 's labor cost and computer hardware and software costs , applied a direct-to-indirect cost ratio , and distributed the costs over an estimated cohort of patients . We analyzed data from the Veterans Affairs Decision Support System to assess whether the intervention impacted overall health care utilization and costs . We used life expectancy estimates from the literature to develop decision models to calculate cost per life-year saved . RESULTS The mean annual intervention cost was $ 112 ( range $ 61-$259 ) . During 2 years of follow-up , patients in the intervention group incurred $ 7,800 in inpatient costs and $ 9,741 in outpatient costs ; the nonintervention group incurred $ 6,866 in inpatient costs and $ 9,599 in outpatient costs . The total cost difference was not statistically significant ( P = .56 ) . Cost-effectiveness of the behavioral intervention ranged from $ 42,457 per life-year saved for normal-weight women to $ 87,300 per life-year saved for normal-weight men . CONCLUSIONS The study results suggest that a nurse-administered , tailored behavioral intervention can be implemented at nominal cost and be cost-effective ; however , there was no apparent lowering of health care utilization and costs during the 2 years of follow-up
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 .