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Review
. 2019 Nov 7;21(12):91.
doi: 10.1007/s11906-019-0996-x.

Cost-Effectiveness and Challenges of Implementing Intensive Blood Pressure Goals and Team-Based Care

Catherine G Derington  1   2 , Jordan B King  3   4 , Kelsey B Bryant  5 , Blake T McGee  6 , Andrew E Moran  5 , William S Weintraub  7 , Brandon K Bellows  5 , Adam P Bress  8
Affiliations
Review

Cost-Effectiveness and Challenges of Implementing Intensive Blood Pressure Goals and Team-Based Care

Catherine G Derington et al. Curr Hypertens Rep. .

Abstract

Purpose of review: Review the effectiveness, cost-effectiveness, and implementation challenges of intensive blood pressure (BP) control and team-based care initiatives.

Recent findings: Intensive BP control is an effective and cost-effective intervention; yet, implementation in routine clinical practice is challenging. Several models of team-based care for hypertension management have been shown to be more effective than usual care to control BP. Additional research is needed to determine the cost-effectiveness of team-based care models relative to one another and as they relate to implementing intensive BP goals. As a focus of healthcare shifts to value (i.e., cost, effectiveness, and patient preferences), formal cost-effectiveness analyses will inform which team-based initiatives hold the highest value in different healthcare settings with different populations and needs. Several challenges, including clinical inertia, financial investment, and billing restrictions for pharmacist-delivered services, will need to be addressed in order to improve public health through intensive BP control and team-based care.

Keywords: Blood pressure; Cost-effectiveness; Hypertension; Nurses; Patient care team; Pharmacists.

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