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 .
Evaluation of a hypertension medication therapy management program in patients with diabetes.
OBJECTIVE To evaluate the effect of a 9-month community pharmacy-based medication therapy management ( MTM ) program on quality of care in patients with diabetes and hypertension . DESIGN R and omized controlled trial . SETTING Tulsa , OK , between November 2005 and July 2007 . PATIENTS 52 patients with diabetes and hypertension who were enrolled in a managed care organization . INTERVENTION During monthly visits , intervention group participants received MTM services for hypertension and diabetes management . MAIN OUTCOME MEASURES Systolic blood pressure ( SBP ) , percentage at goal blood pressure ( < 130/80 mm Hg ) , and antihypertensive medication adherence . RESULTS The mean intervention group SBP decreased 17.32 mm Hg , whereas the mean control group SBP level increased 2.73 mm Hg ( P = 0.003 ) . The percentage of patients at goal blood pressure increased from 16.0 % to 48.0 % in the intervention group and decreased from 20.0 % to 6.67 % in the control group . Intervention group participants were 12.92 times more likely than control group participants to achieve goal blood pressure ( P = 0.021 ) . Although the mean adherence rate in the intervention group increased 7.0 % while remaining fairly constant in the control group ( -0.7 % ) , this group difference was not statistically significant . CONCLUSION A community pharmacy-based hypertension MTM program was effective in improving blood pressure control among managed care enrollees with diabetes and hypertension . Community pharmacists are strategically positioned to provide MTM services and effectively communicate with providers to improve quality of care for 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 .