The Hypertension Team: The Role of the Pharmacist, Nurse and Teamwork in Hypertension Therapy

Details

• Alternative Title:
  J Clin Hypertens (Greenwich)
• Personal Author:
  Carter, Barry L. ; Bosworth, Hayden B. ; Green, Beverly B.
• Description:
  Team-based care is one of the key components of the patient-centered medical home. Studies have consistently demonstrated that teams involving pharmacists or nurses in patient management can significantly improve blood pressure control. These findings have been demonstrated in several meta-analyses and systematic reviews. These reviews have generally found that team-based care can reduce systolic blood pressure by 4-10 mm Hg over usual care. However, these reviews have also concluded that many of the studies had various limitations and that additional research should be conducted. The present state of the art review paper will highlight newer studies, many of which were funded by the National Institutes of Health. Newer strategies involve telephone and/or web-based management which is an evolving area to improve blood pressure control in large populations. Social media and other technology is currently being investigated to assist pharmacists or nurses in communicating with patients to improve hypertension management. Few cost-effectiveness analyses have been performed but generally have found favorable costs for team-based care when considering the potential to reduce morbidity and mortality. The authors will suggest additional research that needs to be conducted to help evaluate strategies to best implement team-based care to improve blood pressure management.
• Subjects:
  Blood Pressure Determination Blood Pressure Monitoring, Ambulatory Cost-Benefit Analysis Disease Management Forecasting Humans Hypertension Models, Organizational Nurse's Practice Patterns Nurse's Role Nurses Outcome And Process Assessment (Health Care) Patient-Centered Care Patient Care Team Pharmaceutical Services Pharmacists Technology Assessment, Biomedical Telemedicine

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• Source:
  J Clin Hypertens (Greenwich). 14(1):51-65.
• Pubmed ID:
  22235824
• Pubmed Central ID:
  PMC3257828
• Document Type:
  Journal Article
• Funding:
  1R01 HL082711/HL/NHLBI NIH HHS/United States ; 1RC1HL100590-01/HL/NHLBI NIH HHS/United States ; 2R01HL075263/HL/NHLBI NIH HHS/United States ; 5U18HSO16094/PHS HHS/United States ; R01 HL075263/HL/NHLBI NIH HHS/United States ; R01 HL082711/HL/NHLBI NIH HHS/United States ; R01 HL082711-05/HL/NHLBI NIH HHS/United States ; R01 HL091841/HL/NHLBI NIH HHS/United States ; R01 HL091841-02/HL/NHLBI NIH HHS/United States ; R01CA121125/CA/NCI NIH HHS/United States ; U48 DP001911/DP/NCCDPHP CDC HHS/United States
• Volume:
  14
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f2adf1e267cd93c3812ec70ba436dc15906a79bc2a8e13fb0e303de53af8373a
• Download URL:
  https://stacks.cdc.gov/view/cdc/33294/cdc_33294_DS1.pdf
• File Type:
  [PDF - 373.49 KB ]