Team-based care

Non-physician health care workers trained to deliver high-quality routine care help clinics run smoothly and treat more patients.

Right: Participants in “Law & Health Security: Strengthening Nigeria’s Legal Preparedness”. Credit – Resolve to Save Lives

Team-based care for hypertension control
Caption to follow

Challenge

Over a billion people live with high blood pressure, but there aren’t enough physicians or nurses for the life-long routine care needed to help keep everyone’s high blood pressure controlled.

Solution

Under team-based care, health care workers such as nurses, community health workers, and pharmacists train to work together to provide quality blood pressure care in non-specialty clinics.

Impact

Health care workers trained to provide quality routine care work together to treat more patients each day and allow doctors to focus on complex cases, improving primary health care for everyone. 

How team-based care saves lives

Imagine that you’re a physician in a busy clinic that serves hundreds of patients a day. You’d have only 3 or 4 minutes with each patient—time to take blood pressure, but not much else.  

With team-based care, non-physician health care workers—such as nurses, community health workers, and pharmacists—take on routine but time-consuming tasks like measuring blood pressure, refilling prescriptions, counseling, and initiating treatment.

This small shift in responsibilities can make a big difference:

  • More health care workers are available to see patients.
  • Patients can recieve regular follow-ups at a lower level of care closer to home—like a local primary health care clinic—where specialized providers may not always be present.
  • Doctors are freed up to provide supervision and to focus on complex cases.
  • Clinics run more smoothly, improving outcomes for everyone seeking care, not just people living with high blood pressure
With team-based care, doctors can focus on activities that require advanced clinical knowledge.

How we support team-based care

We work with partners to make team-based care a part of their blood pressure management programs. We support: 

  • Simple, standardized treatment protocols, which make it possible for non-physician health care workers to safely treat uncomplicated high blood pressure.
  • Training in blood pressure management for non-physicians, including on-demand training on smartphones, supportive supervision and mentoring.
  • Validated digital blood pressure devices, which make it easy to take blood pressure accurately, every time. 
  • Digital health records that travel with the patient to any facility or doctor they choose. 
  • Telemedicine services so non-physician health care workers can receive real-time support from specialists when needed.

Team-based care in action

Strengthening blood pressure care for pregnant women in Madhya Pradesh, India

Pilot project in Harda district, Madhya Pradesh, India, helping improve early identification and management of high blood pressure during pregnancy through training and digital tools.

Resources for team-based care

JACC-Lessons learned article cover

Lessons learned from treating 34 million people with hypertension

Journal of the American College of Cardiology
Hypertension is the leading cause of preventable death globally, yet only one in five people with high blood pressure have it under control despite availability of effective, low-cost medicines and…
Executive summary for Lessons Learned Philippines Healthy Hearts Programme report

How to increase hypertension control 6-fold through primary health care

Resolve to Save Lives
This advocacy resource from Resolve to Save Lives highlights lessons learned and key strategies for improving population-level blood pressure control in the Philippines.
Cover image of a facilitator's guide to training course on NCD management for pharmacy professionals in Ethiopia

Common Non-Communicable Diseases and their Pharmaceuticals Management: Facilitator’s Guide

Ethiopia Ministry of Health
A facilitation guide for a three-day training course  designed for pharmacy professionals in Ethiopia to enhance their knowledge, skills, and attitude in the effective management and rational use of medicines…
WHO global hypertension report: race against a silent killer

Global report on hypertension: The race against a silent killer

World Health Organization
Read WHO’s first-ever report on the global burden of high blood pressure and the path to progress.

Latest news on team-based care