Team-Based Care and Improved Blood Pressure Control: A Community Guide Systematic Review

Authors: Krista K. Proia, MPH, Anilkrishna B. Thota, MBBS, MPH, Gibril J. Njie, MPH, Ramona K.C. Finnie, DrPH, David P. Hopkins, MD, MPH, Qaiser Mukhtar, PhD, Nicolaas P. Pronk, PhD, MA, Donald Zeigler, PhD, Thomas E. Kottke, MD, Kimberly J. Rask, MD, PhD, Daniel T. Lackland, DrPH, Joy F. Brooks, MHA, Lynne T. Braun, PhD, CNP, FAHA, Tonya Cooksey, MS, RD, and the Community Preventive Services Task Force
Year: 2014
State: NatDoc: National Document
Website link:
Publicly Available: Yes
Certification: CHW role scope of practice, Competencies
Evidence Generation: Documentation of how CHWs can work within care teams, Evidence-based interventions
Policy: National guidance especially in new policy areas
Sustainable Financing: Documentation of how CHWs can work within care teams, Evidence-based interventions, ROI and bundled payment successes/challenges
Workforce Development: Chronic Disease, National endorsement/stance on CHWs

The goal of this Community Guide systematic review was to examine the effectiveness of team-based care in improving blood pressure (BP) outcomes. Results suggest that team-based care is effective in improving BP outcomes. From the update, the proportion of patients with controlled BP improved (median increase ¼ 12 percentage points); systolic BP decreased (median reduction ¼ 5.4 mmHg); and diastolic BP also decreased (median reduction ¼ 1.8 mmHg). 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. Implementation of this multidisciplinary approach will require health system–level organizational changes and could be an important element of the medical home.

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