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Physician-nurse team approaches to improve blood pressure control
Suzanne M Norby1, Robert J Stroebel, Vincent J Canzanello
1Division of Hypertension, Mayo Clinic, Rochester, MN 55095, USA.
Insights
Physician-nurse teams can improve hypertension control rates. Implementing these new approaches can reduce long-term health problems and societal costs associated with uncontrolled high blood pressure.
Area of Science:
- Cardiology
- Public Health
- Nursing
Background:
- Hypertension is a chronic, asymptomatic condition leading to severe health issues like heart disease, kidney failure, and stroke.
- Despite guidelines, hypertension control rates remain low, posing a significant public health challenge.
- Both patient and provider factors contribute to inadequate blood pressure management.
Purpose of the Study:
- To review unique physician-nurse team approaches for enhancing hypertension management.
- To explore the implementation of these models in both specialized and primary care settings.
Main Methods:
- Review of existing literature and practice models focusing on interdisciplinary team-based care for hypertension.
- Analysis of physician-nurse collaboration strategies aimed at improving patient outcomes.
Main Results:
- Physician-nurse teams offer a novel strategy to improve blood pressure control.
- Implementation in diverse clinical settings demonstrates potential for sustainable improvements.
Conclusions:
- Innovative team-based care models are crucial for addressing the public health issue of uncontrolled hypertension.
- Improved hypertension control can decrease target organ damage, reduce mortality, and lower societal costs.
Abstract:
Hypertension is an asymptomatic chronic disease that contributes to the development of serious health problems including coronary artery disease, chronic renal failure, and stroke. Despite published guidelines addressing goals for the treatment of hypertension, control rates (defined as a blood pressure <140/90 mm Hg) have not increased in recent years, and uncontrolled hypertension remains a serious public health issue. Both patient- and provider-related factors contribute to these poor control rates, and new approaches to the management of hypertension must be sought. In this review, we describe unique physician-nurse team approaches to improve the control of hypertension both in a subspecialty hypertension practice and in a primary care clinic setting. By implementing practice models that result in sustainable improvements in blood pressure control rates, the morbidity and mortality resulting from target organ damage and ensuing costs to society may be expected to decline as well.
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