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Cost-Effectiveness and Challenges of Implementing Intensive Blood Pressure Goals and Team-Based Care. [Review]

MedStar author(s):

Citation: Current Hypertension Reports. 21(12):91, 2019 11 07.PMID: 31701259Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Antihypertensive Agents/tu [Therapeutic Use] | *Hypertension/dt [Drug Therapy] | Antihypertensive Agents/ec [Economics] | Blood Pressure/de [Drug Effects] | Cardiovascular Diseases/et [Etiology] | Cardiovascular Diseases/mo [Mortality] | Cost-Benefit Analysis | Goals | Humans | Hypertension/co [Complications] | Hypertension/ec [Economics] | Patient Care Team | Randomized Controlled Trials as Topic | Risk FactorsYear: 2019 ISSN:

1522-6417

Name of journal: Current hypertension reportsAbstract: 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.All authors: Bellows BK, Bress AP, Bryant KB, Derington CG, King JB, McGee BT, Moran AE, Weintraub WSOriginally published: Current Hypertension Reports. 21(12):91, 2019 Nov 07.Fiscal year: FY2020Digital Object Identifier:

https://dx.doi.org/10.1007/s11906-019-0996-x

Date added to catalog: 2019-11-19

Holdings ( 1 )
Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	31701259	Available		31701259

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.

English