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September 14, 2026Heart Lung and CirculationOpen Access

Team-based care improves BP outcomes, with more team components linked to better results.

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Why the study?

The optimal models and components of multidisciplinary team-based care for hypertension management in primary care remain unclear despite substantial literature.

Does team-based care improve blood pressure outcomes in patients with hypertension in primary care?

Population

12 systematic reviews of team-based primary care interventions for hypertension since 2015

Comparison

Multidisciplinary, nurse-led, and pharmacist-led team-based care models

Design

Scoping review synthesizing systematic reviews following PRISMA-ScR guidelines

Key result

Among 12 systematic reviews, team-based care generally improved blood pressure outcomes, with a greater number of team components associated with better outcomes.

Authors

EHElizabeth HalcombKKKarla KuzminsETEmily de Tourettes

Discussion

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Overview

Supports multi-component team-based care for hypertension management; reinforces consensus from prior reviews on its effectiveness.

Key Points

  • To critically synthesize systematic reviews evaluating team-based care and clinician collaboration for hypertension management in primary care and identify existing knowledge gaps.
  • Followed PRISMA-ScR guidelines to search CINAHL and MEDLINE for English-language systematic reviews published since 2015.
  • Selected reviews that assessed trials of team-delivered primary care interventions measuring blood pressure outcomes.
  • Analyzed 12 reviews, comprising four (33.3%) multidisciplinary teams, three (25.0%) nurse-led teams, two (16.7%) pharmacist-led teams, and three (25.0%) examining specific teamwork components.
  • Most reviews demonstrated blood pressure reductions across team types, with a higher number of teamwork components linked to greater outcome improvements.

Study Design

Type

Systematic Review (n=12)

Structured PICO

Does team-based care improve blood pressure outcomes in patients with hypertension in primary care?

P
Population
12 systematic reviews evaluating team-based primary care interventions for hypertension management.
I
Intervention
Team-based care models (multidisciplinary, nurse-led, or pharmacist-led) for hypertension management in primary care.
O
Outcome
Blood pressure and other outcomes.surrogate

Team-based care in primary care, regardless of specific composition, generally improves blood pressure outcomes in hypertension management, though optimal models and components remain unclear.

Limitations

  • Specific intervention components that contribute to successful outcomes require further investigation
  • Dose of teamwork required requires further investigation
  • Nature of task-sharing requires further investigation
  • Cost-effectiveness of team-based models requires further investigation
  • Lack of clear reporting of the nature of teamwork, task-sharing and intervention delivery in studies
  • Specific intervention components contributing to successful outcomes require further investigation
  • Dose of teamwork required is unclear
  • Cost-effectiveness requires further investigation
  • Unclear reporting of teamwork and intervention delivery in primary studies

Cite This Study

Halcomb et al. (2026) conducted a systematic review in Hypertension (n=12). Team-based care was evaluated on Blood pressure. Among 12 systematic reviews, team-based care generally improved blood pressure outcomes, with a greater number of team components associated with better outcomes.

synapsesocial.com/papers/6aa7afef79e9260bc85aac83https://doi.org/10.1016/j.hlc.2026.05.020
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