TY - BOOK AU - Weintraub, William S TI - Cost-Effectiveness and Challenges of Implementing Intensive Blood Pressure Goals and Team-Based Care. [Review] SN - 1522-6417 PY - 2019/// KW - *Antihypertensive Agents/tu [Therapeutic Use] KW - *Hypertension/dt [Drug Therapy] KW - Antihypertensive Agents/ec [Economics] KW - Blood Pressure/de [Drug Effects] KW - Cardiovascular Diseases/et [Etiology] KW - Cardiovascular Diseases/mo [Mortality] KW - Cost-Benefit Analysis KW - Goals KW - Humans KW - Hypertension/co [Complications] KW - Hypertension/ec [Economics] KW - Patient Care Team KW - Randomized Controlled Trials as Topic KW - Risk Factors KW - MedStar Heart & Vascular Institute KW - Journal Article KW - Review N2 - 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 UR - https://dx.doi.org/10.1007/s11906-019-0996-x ER -