The hypertension team: the role of the pharmacist, nurse, and teamwork in hypertension therapy.

The hypertension team: the role of the pharmacist, nurse, and teamwork in hypertension therapy.
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DOI:
10.1111/j.1751-7176.2011.00542.x
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发表时间:
2012-01
期刊:
Journal of clinical hypertension (Greenwich, Conn.)
影响因子:
--
通讯作者:
Green BB
Green BB
中科院分区:
其他
文献类型:
--
作者:
Carter BL;Bosworth HB;Green BB

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J Clin Hypertens(格林威治)。团队护理是以患者为中心的医疗之家的关键组成部分之一。研究一直表明,在患者管理中,药剂师或护士参与的团队可以显着改善血压控制。这些结果已在多项Meta分析和系统综述中得到证实。这些综述普遍发现,与常规护理相比,基于团队的护理可以使收缩压降低4-10 mm Hg。然而,这些审查也得出结论,许多研究有各种局限性,应进行更多的研究。目前的最新评论论文将突出更新的研究,其中许多研究是由美国国立卫生研究院资助的。较新的策略涉及电话和/或基于网络的管理,这是一个不断发展的领域,以改善大规模人群的血压控制。目前正在研究社交媒体和其他技术,以帮助药剂师或护士与患者沟通,以改善高血压管理。很少进行成本效益分析,但在考虑降低发病率和死亡率的潜力时,通常发现团队护理的成本有利。作者将建议进行额外的研究,以帮助评估最佳实施团队护理的策略,以改善血压管理。
J Clin Hypertens (Greenwich).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.
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