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Multidisciplinary approaches to the management of high blood pressure

Houle, Sherilyn K.D.a; Chatterley, Trishb; Tsuyuki, Ross T.c

Current Opinion in Cardiology: July 2014 - Volume 29 - Issue 4 - p 344–353
doi: 10.1097/HCO.0000000000000071
HYPERTENSION: Edited by Andreas Wielgosz

Purpose of review Studies on collaborative and multidisciplinary approaches to the management of hypertension published in the past 2 years are summarized. Expanding scopes of practice for nonphysician health professionals, a need to build capacity in the healthcare system, and a movement toward multidisciplinary care warrant an examination of the evidence in this area.

Recent findings Multidisciplinary care for hypertension management, across the majority of studies identified, resulted in improved blood pressure (BP) outcomes and the timeliness of achieving treatment targets. Interventions involving therapeutic decision-making by nonphysician health professionals consistently resulted in significant BP improvements compared with usual care, whereas more passive approaches, such as education and lifestyle monitoring programs, were unable to significantly benefit participants’ BP.

Summary Our findings support recent efforts to integrate collaborative care approaches into chronic disease management, with the strongest evidence for pharmacist care. Expanding scopes of practice and clinical decision-making protocols for nurses, pharmacists, dietitians, and physiotherapists have the potential to further improve hypertension care.

aSchool of Pharmacy, University of Waterloo

bJohn W. Scott Health Sciences Library, University of Alberta

cEPICORE Centre/COMPRIS, Brain and Aging Research Building, University of Alberta, Edmonton, Alberta, Canada

Correspondence to Ross T. Tsuyuki, EPICORE Centre/COMPRIS, 3rd Floor, Brain and Aging Research Building, University of Alberta, Edmonton, AB T6G 2M8, Canada. Tel: +1 780 492 8526; e-mail:

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